Episode 208: Geriatric Emergency Medicine

Geriatric emergency medicine requires a shift from singular acute diagnosis toward a comprehensive approach that addresses the complex needs of older patients. Dr. Ula Hwang, a pioneer in the field and medical director of geriatric emergency medicine, emphasizes integrating the "4/5 M's"—mentation, medications, mobility, what matters, and mistreatment—into standard clinical workflows. By prioritizing these factors, clinicians can better identify high-risk patients and facilitate safe discharges, often preventing unnecessary hospitalizations. Implementing structured protocols, such as those found in the Geriatric ED Accreditation Program, allows emergency departments of all sizes to improve care quality. Ultimately, adopting these geriatric-focused strategies enhances the overall standard of care, as the principles of reducing environmental chaos and aligning treatment with individual patient goals benefit all emergency department populations.