GEMCAST
Episodes
Fire, Flood, and Fragility: Disasters Through a Geriatric Lens
02 Apr 2026
Contributed by Lukas
Dr. Stephen Gamboa is an Adjunct Associate Professor at UNC and medical director of UNC Health Pardee's emergency department in Hendersonville, North ...
Acute care of persons living with Dementia From the clinic to the ED and back
03 Mar 2026
Contributed by Lukas
In this episode of GEMCast, Dr. Christina Shenvi sits down with Dr. Christina Prather, Director of Geriatrics and Palliative Medicine at George Washin...
Frailty Frontline: How to identify frailty, and what to do next
18 Dec 2025
Contributed by Lukas
In this episode of GEMCast, host Dr. Christina Shenvi is joined by Dr. James Van Oppen, emergency physician and frailty expert at the University of Sh...
Getting Hotter Heat Emergencies in Older Adults
05 Nov 2025
Contributed by Lukas
Climate change, and the associated increase in frequency and severity of heat waves, poses a threat to health. Amongst the most at risk for heat-relat...
POCUS for Delirium and Agitation: Be ABLE
28 Sep 2025
Contributed by Lukas
Our population is aging, and with that comes an increase in the number of older adults in emergency departments. Delirium affects up to 1/3 older adul...
ED Boarding of Older Adults: Risks and Opportunities
11 Sep 2025
Contributed by Lukas
ED Boarding of Older Adults: Risks and Opportunities by Christina Shenvi
Getting ED Specific with Medication Safety
07 Jul 2025
Contributed by Lukas
Getting ED Specific with Medication Safety by Christina Shenvi
Precision Relief: Nerve Blocks for Pain in Older Patients
16 May 2025
Contributed by Lukas
In today’s episode host Dr. Christina Shenvi is joined by Dr. Robert Sternberg, Ultrasound Director at Akron General to discuss ultrasound-guided ne...
Postmenopausal Problems - Geriatric Gynecology in the ED
22 Mar 2025
Contributed by Lukas
Postmenopausal Problems - Geriatric Gynecology in the ED by Christina Shenvi
Creating A Generational Health Program
24 Feb 2025
Contributed by Lukas
In this episode learn about how the Generational Health Program at Sharp Memorial Hospital in San Diego was developed and expanded to create an extens...
High-Yield Overview Of The CMS Age-Friendly Measures
07 Jan 2025
Contributed by Lukas
Today’s episode provides an introduction and overview of the 5 domains of the CMS Age-Friendly Hospital Measure. Host Dr. Christina Shenvi is joined...
Why Less Is More: Strategies For Deprescribing In The ED
26 Sep 2024
Contributed by Lukas
With the upcoming implementation of the new CMS age-friendly hospital measure, hospitals will be required to attest that they review medications to id...
Global Perspectives On Geriatric EM Care
20 Sep 2024
Contributed by Lukas
Dr. Cristina Shenvi is joined today by a panel to explore Geriatric Emergency Medicine (GEM) from a global perspective. As the global population ages,...
Revive And Survive- Pearls For Resuscitation Of Older Adults In The ED
23 Aug 2024
Contributed by Lukas
Resuscitation of older adults in the emergency department poses unique challenges for physicians. Understanding the differences between a typical resu...
Preventing Dementia
23 Aug 2024
Contributed by Lukas
Alzheimer's disease (AD) begins developing in the brain 20-30 years before symptoms start to present in patients. Recent evidence suggests that up to ...
Constipation: What To Do Between a Rock and a Hard Place
22 Jul 2024
Contributed by Lukas
In 2021 constipation related visits to the ED reached over 1 million.The prevalence of constipation in elderly individuals in the community is between...
Why Hospital at Home May be the Best Option for Your Next Patient
20 Jun 2024
Contributed by Lukas
Dr. Christina Shenvi and Dr. Mike Craig discuss the "Home Hospital" model and its potential to transform the way we care for older adults, by bringing...
What ED Physicians need to know about Amyloid Targeting Treatments Part 2
27 May 2024
Contributed by Lukas
What ED Physicians need to know about Amyloid Targeting Treatments Part 2 by Christina Shenvi
What ED Physicians need to know about Amyloid Targeting Treatments Part 1
27 May 2024
Contributed by Lukas
What ED Physicians need to know about Amyloid Targeting Treatments Part 1 by Christina Shenvi
An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments
20 Feb 2024
Contributed by Lukas
Join Dr. Christina Shenvi and Dr. Cameron Gettel as they talk about a paper that provides the first benchmarks for emergency care process outcomes in ...
How to Create Safe Transitions of Care for Older Patients
22 Jan 2024
Contributed by Lukas
Any transition of care has risks, especially for older patients. In this episode of GEMCast, Dr. Shenvi and Dr. Magidson talk about the importance of ...
How Paramedics Can Make a Difference in Geriatric Care
28 Nov 2023
Contributed by Lukas
How Paramedics Can Make a Difference in Geriatric Care by Christina Shenvi
The Winding Road to Geriatric EM
28 Jul 2023
Contributed by Lukas
Join Dr. Christina Shenvi and Dr. Teresita Hogan as they walk through the history of geriatric emergency medicine. Learn about the challenges, changes...
Dementia Research in ED Settings
17 May 2023
Contributed by Lukas
In this episode of GEMCast Dr. Christina Shenvi is joined by Dr. Chris Carpenter to discuss GEAR 2.0-Advancing Dementia Care. Learn how GEAR 2.0 ident...
Geriatric Transitional Care Nurses and How They Could Help Your ED
24 Feb 2023
Contributed by Lukas
In this episode of GEMCast Dr. Christina Shenvi is joined by Pamela Martin and Dr. Ula Hwang to learn about Geriatric transitional care nurses and how...
How Can We Improve the Patient Experience for Older Adults?
13 Jan 2023
Contributed by Lukas
Dr. Christina Shenvi is joined by Dr. Lucas Da Silva for a conversation about the concept of patient experience and why it is important to older adult...
Do You Know How to Diagnose Pneumonia in Older Patients?
25 Nov 2022
Contributed by Lukas
In this episode, GEMCast host Dr. Christina Shenvi is joined by Dr. Katie Buck to discuss the challenges surrounding diagnosing older adults with pneu...
Do Anticoagulants Matter After a Head Injury?
04 Nov 2022
Contributed by Lukas
Dr. Christina Shenvi sits down with Dr. Kerstin de Wit to learn how much anticoagulation matters in terms of increasing the risk of intracranial hemor...
How to Diagnose and Manage Vertebral Compression Fractures in the ED
20 Sep 2022
Contributed by Lukas
Dr. Christina Shenvi and Dr. Robert Dachs discuss how ED clinicians can identify and manage vertebral compression fractures in older adults.
How to Identify and Intervene for Geriatric Self-Neglect
20 Jul 2022
Contributed by Lukas
Dr. Christina Shenvi and Dr. Lauren Southerland have a conversation about self-neglect; a complicated geriatric syndrome that is both a diagnostic and...
Geri Immersive Simulation
21 Jun 2022
Contributed by Lukas
Dr. Shenvi is joined by Dr. Alice Gray and Dr. Brittany Ellis to discuss geriatric experiential education.
How to Help Prevent the Next Fall in Your Older Patients
31 May 2022
Contributed by Lukas
Dr. Shenvi sits down with Dr. Elizabeth Goldberg to discuss ways to prevent and manage falls for older adults in the ED.
Creating a Geriatric Emergency Department
08 Apr 2022
Contributed by Lukas
Dr. Shenvi sits down with Dr. Don Melady and Dr. John Schumacher to discuss their new book: Creating a Geriatric Emergency Department. The book is pra...
Safely Caring for the Agitated Older Adult in the Emergency Department
07 Mar 2022
Contributed by Lukas
Dr. Shenvi sits down with Dr. Maura Kennedy to discuss safe and effective management of agitated older patients, and the role of dementia in producing...
Infections in Older Adults
02 Feb 2022
Contributed by Lukas
Infections in older adults are common, and often present atypically leading to delayed diagnosis and increased morbidity and mortality - Dr. Shenvi an...
Dementia Care in the ED
12 Dec 2021
Contributed by Lukas
Dementia in the ED is a critical and often overlooked issue. Dr Binkley and Dr. Shenvi discuss.
Pain Management in Older Adults in the ED
16 Nov 2021
Contributed by Lukas
In this episode we discuss inadequate pain assessment in older adults, opiophobia, lack of current pharmacologic knowledge, and how to better manage p...
Acute Brain Failure in Older Emergency Department Patients
12 Oct 2021
Contributed by Lukas
Debra Eagles and Danya Khoujah discuss delirium as a medical emergency and how to prevent, recognize, diagnose, and treat delirium in the ED.
Failure to Thrive and Frailty
17 Sep 2021
Contributed by Lukas
Dr. Selman and I discuss the value and importance of understanding and evaluating frailty in older adults in the Emergency Department.
Genitourinary Emergencies in Older Adults
23 Jul 2021
Contributed by Lukas
Nicole Soria and Danya Khoujah join in as we discuss the importance of GU emergencies in older adults and get clinical tips to do better in your ED.
COVID ICU Week 1
23 Mar 2020
Contributed by Lukas
Dr. Kusum Mathews discusses her experience as the attending on the first week of the COVID ICU in her hospital. We discuss vent management, ethics, pr...
COVID-19 in the Elderly
20 Mar 2020
Contributed by Lukas
Dr. Tess Hogan and I discuss COVID-19 and the elderly. Mortality is highest in this population. What can we do to make sure we don't miss it, and to h...
GED Models Of Care
04 Feb 2020
Contributed by Lukas
Dr. Lauren Southerland describes her recent work in defining the four main models of geriatric ED care used by Geriatric EDs in the U.S. This is a pra...
Ten Commandments of Geriatric EM
18 Dec 2019
Contributed by Lukas
Christian Nickel describes and explains the 10 "commandments" of geriatric EM care. See www.gempodcast.com for references and more.
Principles of Geriatric EM Care
01 Nov 2019
Contributed by Lukas
Paul Deknoing and Lauren Bailey run this session with fast-paced, high-yield principles of geriatric EM care. See www.gempodcast.com for more info an...
How to Do a Discharge Risk Assessment
30 Aug 2019
Contributed by Lukas
Dr. Lauren Southerland and I discuss her recent paper on the importance of and how to do a discharge risk assessment in elderly patients in the ED. Fo...
Hypertensive Emergencies Management with Clevidipine
05 Jul 2019
Contributed by Lukas
Leah Hatfield and I discuss the potential benefits of clevidipine for management of Hypertensive Emergencies. Learn more about indications, dosing, ti...
Advance Care Planning - What does it all mean?
11 Apr 2019
Contributed by Lukas
Drs. Ferdinando Mirarchi and Marie-Carmelle Elie explain the meaning and ramifications of different types of advance care planning orders and what the...
Preventing Future Falls
09 Nov 2018
Contributed by Lukas
Shan Liu talks about why we should avoid the term "mechanical fall" and how we can help prevent future falls from the ED. See www.gempodcast.com for ...
ADEPT
19 Sep 2018
Contributed by Lukas
Dr. Sandy Schneider and I discuss a new toll released by ACEP for assessing and managing older adults with agitation and confusion. See the full show ...
Are Orthostatic Vital Signs Helpful in the ED?
14 Aug 2018
Contributed by Lukas
Maura Kennedy discusses a recent paper on orthostatic vital signs. The conclusions may surprise you! See www.gempodcast.com for more info and the pape...
Subdissociative Ketamine in Older Adults
11 Jun 2018
Contributed by Lukas
Sergey Motov discusses his recent paper on subdissociative ketamine in older adults. See www.gempodcast.com for more info and the full reference.
UTIs In The Elderly
02 Feb 2018
Contributed by Lukas
Mary Mulcare and I talk about how to diagnose and treat UTIs, the dangers of catheters, and how to protocolize catheter reduction. See https://gempodc...
Trauma in Older Adults
27 Sep 2017
Contributed by Lukas
Zara Cooper is an acute care and trauma surgeon at the Brigham and Women's hospital. See www.gempodcast.com for full details and show notes. This po...
Geriatric ED Accreditation - And Why You Should Care
23 May 2017
Contributed by Lukas
Chris Carpenter discusses the new ACEP accreditation of Geriatric EDs and what your ED would need to do to become accredited. See www.gempodcast.com ...
Preventing Falls in the Elderly: an EMS story
13 Mar 2017
Contributed by Lukas
David Silfen, an EMS provider describes a program he has helped initiate to intervene with older adults who have a high falls risk. See www.gempodcast...
Practical Tips for Palliative Care in the ED
03 Feb 2017
Contributed by Lukas
Dr. Alisha Benner discusses tips for palliative care in the ED. see www.gempodcast.com for show notes, references, information, and to leave comments...
Eye Emergencies in the Elderly - Part 2
30 Nov 2016
Contributed by Lukas
Ophthalmologist Dr. Bryan Hong continues to discuss his approach to some of the common eye emergencies that bring older adults to the Emergency Depart...
Eye Emergencies in the Elderly - Part 1
14 Nov 2016
Contributed by Lukas
Ophthalmologist Dr. Bryan Hong talks about his approach to some of the common eye emergencies that bring older adults to the Emergency Department. s...
How to Reverse Oral Anticoagulants
30 Sep 2016
Contributed by Lukas
Leah Hatfield discusses the new oral anticoagulants, and how to reverse them in cases of life threatening bleeds. To leave a comment and for the shown...
How to Identify and Intervene in Cases of Elder Abuse
26 Aug 2016
Contributed by Lukas
Tony Rosen discusses how to identify elder abuse and ways to intervene. Elder abuse is a common and under-recognized problem among older adults. In ...
The Atypical is Typical for ACS in Older Adults
29 Jul 2016
Contributed by Lukas
Amal Mattu talks about ACS presentations, workup, and management in older adults, and why the atypical is typical! For the full shownotes and referen...
5 Ways to Geriatricize Your ED
29 Jun 2016
Contributed by Lukas
Chris Carpenter, one of the authors of the Geriatric ED guidelines, presents 5 high-impact, low-cost ways to make your ED and your practice more geria...
Pulmonary Emboli in Older Adults
02 Jun 2016
Contributed by Lukas
Jeff Kline talks about PEs in older adults. What's different and what's the same for older vs younger patients? Find out here! See gempodcast.com/201...
Pearls and Pitfalls of Pain Management in Older Adults
02 May 2016
Contributed by Lukas
Tim Platts-Mills shares his pearls about pain management for older adults in the ED. See here to leave a comment: https://gempodcast.com/2016/05/02/...
Dangerous Med Combos in Older Adults
30 Mar 2016
Contributed by Lukas
Bryan Hayes and David Juurlink explain why several common meds we use in the ED can cause dangerous complications for older patients. See http://gemp...
Hip Fracture Management Pathways in Older Adults
01 Mar 2016
Contributed by Lukas
Katren Tyler and Dane Stevenson talk about their protocolized pathway to make sure patients with hip fractures get the best care possible. See http:...
Geriatric Toxicology Part 3: Digoxin and Calcium Channel Blockers
11 Feb 2016
Contributed by Lukas
May Yen, toxicologist, talks about Digoxin and CCB toxicity in older adults. For the full description and to leave comments, please go to: http://gem...
Geriatric Toxicology and Acetaminophen
11 Jan 2016
Contributed by Lukas
May Yen describes the signs, symptoms, and treatment of acetaminophen overdoses in older adults. For the Show Notes, see the gemcast website: http://...
Geritric Toxicology and Salicylates
15 Dec 2015
Contributed by Lukas
May Yen talks us through acute and chronic salicylate toxicity in older adults, the symptoms, and management. For the Show Notes, see the gemcast web...
High Risk Medications and Adverse Drug Events
03 Nov 2015
Contributed by Lukas
For the Show Notes, see the gemcast website: http://gempodcast.com/2015/11/11/high-risk-medications-and-adverse-drug-events/ Adverse drug events (ADE...
Dr. Tintinalli on End-of-Life Decisions
01 Oct 2015
Contributed by Lukas
Judith Tintinalli discusses her thoughts about caring for an older patient with a severe ICH as part of a multidisciplinary team. For the show notes...
Diagnosing and Managing Delirium in Older Adults
03 Sep 2015
Contributed by Lukas
Kevin Biese describes the signs and symptoms of delirium in older adults, and drops some pearls on how to manage it safely. For the shownotes and blo...