GEMCAST

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Welcome to GEMCAST! Shownotes and more info are available on www.gempodcast.com GEMCAST is a Geriatric Emergency Medicine Podcast created to help clinicians, nurses, or paramedics who take care of older adults, particularly in the Emergency Department setting. Welcome! I'm your host, Christina Shenv…

Christina Shenvi


    • May 16, 2025 LATEST EPISODE
    • monthly NEW EPISODES
    • 28m AVG DURATION
    • 66 EPISODES


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    Latest episodes from GEMCAST

    Precision Relief: Nerve Blocks for Pain in Older Patients

    Play Episode Listen Later May 16, 2025 46:50


    In today's episode host Dr. Christina Shenvi is joined by Dr. Robert Sternberg, Ultrasound Director at Akron General to discuss ultrasound-guided nerve blocks for precise pain relief in older patients. Ultrasound-guided nerve blocks provide relief from one of the most common emergency department complaints: pain. In addition to their use in acute pain management, nerve blocks can help reduce the use of opioids, reduce hospital length of stay, and improve patient outcomes and experiences. Using case examples, Dr. Sternberg talks through how to perform 4 common types of nerve blocks you may use in the emergency department with an elderly patient: Fascia Iliaca Compartment Block (FICB), Pericapsular Nerve Group (PENG) Block, Serratus Anterior Plane (SAP) Block and Erector Spinae Block (ESB). Tune in to hear indications, key anatomical landmarks, dosing, and techniques for each of the nerve blocks.

    Postmenopausal Problems - Geriatric Gynecology in the ED

    Play Episode Listen Later Mar 24, 2025 33:30


    Postmenopausal Problems - Geriatric Gynecology in the ED by Christina Shenvi

    Creating A Generational Health Program

    Play Episode Listen Later Feb 24, 2025 26:30


    In this episode learn about how the Generational Health Program at Sharp Memorial Hospital in San Diego was developed and expanded to create an extensive care program that provides specialised care for older adults. What started as a pilot program in 2019 is now a multidisciplinary age-friendly collaboration that begins right at admission.   Host Christina Shenvi is joined by 3 experts from Sharp Memorial Hospital who provide insight into how this program operates to provide the highest level of care for older patients. Diane Wintz, MD, a trauma surgeon who was heavily involved in creating the Generational Health Program. Her goal was to change how traditional health care models approach elderly patients presenting to the ED. Kelly Wright, RN, trained as an oncology nurse and now serves as manager of the program, and Stacy Nilsen, PhD RN, who's focus is on the feasibility, implementation, education and data assessment of the program. Together they discuss the creation and expansion of the program and highlight the most important aspects of what makes it a success.

    High-Yield Overview Of The CMS Age-Friendly Measures

    Play Episode Listen Later Jan 7, 2025 33:20


    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 by Dr. Marcia Russell to help clarify what each of these domains entail and how they may be carried out in the ED. They also discuss concerns that may be brought about following the implementation of this measure on January 1, 2025, and how these issues might be addressed and minimised. Dr. Marcia Russel is a colorectal surgeon and Associate Professor at UCLA. She has a special interest in the surgical care of older adults and has worked with ACS to improve geriatric surgery through the ACS Geriatric Surgery Verification Program.

    Why Less Is More: Strategies For Deprescribing In The ED

    Play Episode Listen Later Sep 26, 2024 21:52


    With the upcoming implementation of the new CMS age-friendly hospital measure, hospitals will be required to attest that they review medications to identify potentially inappropriate medications (PIMS) for older adults. Dr. Martin Casey, MD, MPH is an Assistant Professor in the Department of Emergency Medicine at UNC School of Medicine. Dr. Caseys' work has focused on the identifying PIMS and finding opportunities to reduce the use of, and deprescribe, potentially harmful medications in the emergency department. In this episode, Dr. Christina Shenvi and Dr. Martin Casey will discuss strategies for ED physicians who face unique challenges when assessing older patients' medications. Using case examples of deprescribing in practice, they illustrate how deprescribing is a nuanced skill and how to approach it.

    Global Perspectives On Geriatric EM Care

    Play Episode Listen Later Sep 20, 2024 25:21


    Dr. Cristina Shenvi is joined today by a panel to explore Geriatric Emergency Medicine (GEM) from a global perspective. As the global population ages, the importance of GEM and its continued development as a subspecialty becomes increasingly evident. This episode will examine the unique challenges that arise as GEM evolves and how different healthcare systems are adapting to meet these challenges. The panel will also discuss innovative practices and solutions that have emerged in their respective countries to advance GEM and improve care for elderly patients. The expert panel features three distinguished guests: Dr. Mohd Idzwan Zakaria (@prof_idzwan), a senior consultant and professor of Emergency Medicine at University Malaya in Malaysia, specializing in innovative approaches to managing older patients; Dr. Rosa McNamara (@rosaMcNamara), a consultant at St. Vincent's University Hospital in Dublin, Ireland, and GEM Special Interest Group Chair for the International Federation for Emergency Medicine, with extensive expertise in GEM and medical education; and Dr. Rasha Buhumaid (@Rbuhamaid), an Emergency Physician in Dubai, UAE, President of the Emirates Society for Emergency Medicine, working in both public health and private practice, and an Assistant Professor at Mohammed Bin Rashid University of Medicine and Health Sciences.

    Revive And Survive- Pearls For Resuscitation Of Older Adults In The ED

    Play Episode Listen Later Aug 23, 2024 53:46


    Resuscitation of older adults in the emergency department poses unique challenges for physicians. Understanding the differences between a typical resuscitation process compared to a resuscitation of an older adult is essential to appropriately manage and treat this population. In this episode Dr. Cliff Reid joins Dr. Christina Shenvi to explore these differences and the associated challenges, and highlight some tools he uses in his own practice. Cliff Reid, MD, is an Emergency, Retrieval, and Critical Care Physician and educator in the greater Sydney area with a focus on resuscitation of adults and children.

    Preventing Dementia

    Play Episode Listen Later Aug 23, 2024 38:25


    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 40% of AD cases could potentially be prevented by addressing modifiable risk factors such as insufficient education, hearing loss, hypertension, obesity, smoking, depression, social isolation, physical inactivity, diabetes, excessive alcohol consumption, air pollution, and traumatic brain injury.  Dr. Christina Shenvi is joined once again by Dr. Richard Isaacson, M.D., a Harvard-trained preventive neurologist and world-renowned researcher at the Institute for Neurodegenerative Diseases in Florida. In 2013, he founded the Alzheimer's Prevention Clinic at Weill Cornell Medicine and New York-Presbyterian, the first of its kind in the United States. In this episode of GEMCast they focus on the importance of individualized intervention and prevention as the future of AD treatment.

    Constipation: What To Do Between a Rock and a Hard Place

    Play Episode Listen Later Jul 22, 2024 36:52


    In 2021 constipation related visits to the ED reached over 1 million.The prevalence of constipation in elderly individuals in the community is between 15-30% and for those living in nursing homes or long-term care facilities it ranges between 50-75%. While constipation itself is not usually life-threatening, it can be indicative of life-threatening diseases or disorders and therefore a comprehensive history and physical assessment of patients is essential to avoid missing a critical diagnosis. Sarah Lee is an emergency physician at the University of Maryland. In this episode she joins Dr. Christina Shenvi to discuss the presentation, risk factors, assessment and management of constipation in geriatric patients in the ED.

    Why Hospital at Home May be the Best Option for Your Next Patient

    Play Episode Listen Later Jun 20, 2024 47:19


    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 hospital-level care to patients' homes.

    What ED Physicians need to know about Amyloid Targeting Treatments Part 2

    Play Episode Listen Later May 27, 2024 33:47


    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

    Play Episode Listen Later May 27, 2024 25:28


    What ED Physicians need to know about Amyloid Targeting Treatments Part 1 by Christina Shenvi

    An Outcome Comparison Between Geriatric and Nongeriatric Emergency Departments

    Play Episode Listen Later Feb 20, 2024 24:21


    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 geriatric EDs compared with nongeriatric EDs.

    How to Create Safe Transitions of Care for Older Patients

    Play Episode Listen Later Jan 22, 2024 37:30


    How to Create Safe Transitions of Care for Older Patients by Christina Shenvi

    How Paramedics Can Make a Difference in Geriatric Care

    Play Episode Listen Later Nov 28, 2023 31:51


    How Paramedics Can Make a Difference in Geriatric Care by Christina Shenvi

    The Winding Road to Geriatric EM

    Play Episode Listen Later Jul 28, 2023 40:47


    Join Dr. Christina Shenvi and Dr. Teresita Hogan as they walk through the history of geriatric emergency medicine. Learn about the challenges, changes, and breakthroughs that have shaped this field over the past 40 years.

    geriatrics winding road christina shenvi
    Dementia Research in ED Settings

    Play Episode Listen Later May 17, 2023 21:16


    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 identified and prioritized research gaps in emergency care for persons living with dementia and their care partners.

    Geriatric Transitional Care Nurses and How They Could Help Your ED

    Play Episode Listen Later Feb 24, 2023 31:28


    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 they can be incorporated into an ED to improve care for older patients.

    nurses geriatrics transitional care pamela martin christina shenvi
    How Can We Improve the Patient Experience for Older Adults?

    Play Episode Listen Later Jan 13, 2023 18:17


    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 care in the emergency department.

    Do You Know How to Diagnose Pneumonia in Older Patients?

    Play Episode Listen Later Nov 25, 2022 26:02


    In this episode, GEMCast host Dr. Christina Shenvi is joined by Dr. Katie Buck to discuss the challenges surrounding diagnosing older adults with pneumonia.

    Do Anticoagulants Matter After a Head Injury?

    Play Episode Listen Later Nov 4, 2022 24:04


    Dr. Christina Shenvi sits down with Dr. Kerstin de Wit to learn how much anticoagulation matters in terms of increasing the risk of intracranial hemorrhage after a ground-level fall.

    How to Diagnose and Manage Vertebral Compression Fractures in the ED

    Play Episode Listen Later Sep 20, 2022 35:09


    How to Diagnose and Manage Vertebral Compression Fractures in the ED by Christina Shenvi

    How to Identify and Intervene for Geriatric Self-Neglect

    Play Episode Listen Later Jul 20, 2022 31:55


    How to Identify and Intervene for Geriatric Self-Neglect by Christina Shenvi

    Geri Immersive Simulation

    Play Episode Listen Later Jun 21, 2022 35:43


    Geri Immersive Simulation by Christina Shenvi

    simulation immersive christina shenvi
    How to Help Prevent the Next Fall in Your Older Patients

    Play Episode Listen Later May 31, 2022 25:45


    How to Help Prevent the Next Fall in Your Older Patients by Christina Shenvi

    Creating a Geriatric Emergency Department

    Play Episode Listen Later Apr 8, 2022 27:39


    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 practical and accessible, providing essential guidance on assessing the ED care of older patients - and improving it.

    Safely Caring for the Agitated Older Adult in the Emergency Department

    Play Episode Listen Later Mar 7, 2022 39:55


    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 these symptoms.

    Infections in Older Adults

    Play Episode Listen Later Feb 2, 2022 31:12


    Infections in older adults are common, and often present atypically leading to delayed diagnosis and increased morbidity and mortality - Dr. Shenvi and Dr. Khoujah discuss

    Dementia Care in the ED

    Play Episode Listen Later Dec 12, 2021 17:33


    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

    Play Episode Listen Later Nov 16, 2021 52:55


    In this episode we discuss inadequate pain assessment in older adults, opiophobia, lack of current pharmacologic knowledge, and how to better manage pain in older adults in the ED.

    Acute Brain Failure in Older Emergency Department Patients

    Play Episode Listen Later Oct 12, 2021 26:49


    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

    Play Episode Listen Later Sep 17, 2021 19:53


    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

    Play Episode Listen Later Jul 23, 2021 22:59


    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

    Play Episode Listen Later Mar 23, 2020 50:31


    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, protecting our families, and coping skills. There are links to the surviving sepsis COVID-19 recommendations and other training resources at www.gempodcast.com

    COVID-19 in the Elderly

    Play Episode Listen Later Mar 20, 2020 23:39


    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 help prevent spread? See: www.gempodcast.com for show notes. Image from cdc.gov.

    GED Models Of Care

    Play Episode Listen Later Feb 4, 2020 24:23


    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 practical blueprint for anyone interested in pursuing Geriatric ED Accreditation. See the reference and more at: gempodcast.com/2020/02/04/ged-models/

    Ten Commandments of Geriatric EM

    Play Episode Listen Later Dec 18, 2019 33:54


    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

    Play Episode Listen Later Nov 1, 2019 27:20


    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 and references.

    How to Do a Discharge Risk Assessment

    Play Episode Listen Later Aug 30, 2019 24:01


    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. For more, go to www.gempodcast.com

    Hypertensive Emergencies Management with Clevidipine

    Play Episode Listen Later Jul 5, 2019 13:48


    Leah Hatfield and I discuss the potential benefits of clevidipine for management of Hypertensive Emergencies. Learn more about indications, dosing, titration, and potential contra-indications. For full shownotes, credits, and references, see www.gempodcast.com

    Advance Care Planning - What does it all mean?

    Play Episode Listen Later Apr 11, 2019 23:48


    Drs. Ferdinando Mirarchi and Marie-Carmelle Elie explain the meaning and ramifications of different types of advance care planning orders and what they mean to physicians, APPs, or nurses caring for patients. Image credit: pixabay.com/photos/business-signature-contract-962355/ Sound credit:www.freesound.org/people/HerbertBoland/sounds/128544/

    Preventing Future Falls

    Play Episode Listen Later Nov 9, 2018 20:19


    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 references and more.

    ADEPT

    Play Episode Listen Later Sep 19, 2018 27:20


    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 notes at www.gempodcast.com. The tool is available at www.acep.org/adept

    Are Orthostatic Vital Signs Helpful in the ED?

    Play Episode Listen Later Aug 14, 2018 21:50


    Maura Kennedy discusses a recent paper on orthostatic vital signs. The conclusions may surprise you! See www.gempodcast.com for more info and the paper reference.

    Subdissociative Ketamine in Older Adults

    Play Episode Listen Later Jun 11, 2018 15:42


    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

    Play Episode Listen Later Feb 2, 2018 26:45


    Mary Mulcare and I talk about how to diagnose and treat UTIs, the dangers of catheters, and how to protocolize catheter reduction. See https://gempodcast.com/2018/02/02/utis-in-older-adults/ for show notes, more info, and references.

    Trauma in Older Adults

    Play Episode Listen Later Sep 27, 2017 29:19


    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 podcast uses sounds from freesound.org by Jobro and HerbertBoland. Image is from: https://pixabay.com/en/heart-first-aid-medical-medicine-2730784/

    Geriatric ED Accreditation - And Why You Should Care

    Play Episode Listen Later May 23, 2017 24:08


    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 for full shownotes and more info or to leave a comment. Music credit: Bob Dylan, The Times They Are Changing, 1964, Columbia Records

    Preventing Falls in the Elderly: an EMS story

    Play Episode Listen Later Mar 13, 2017 29:14


    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.com for full details and show notes. This podcast uses sounds from freesound.org by Jobro and HerbertBoland. Image credit: https://pixabay.com/en/step-falling-tripping-danger-98822/

    Practical Tips for Palliative Care in the ED

    Play Episode Listen Later Feb 3, 2017 37:23


    Dr. Alisha Benner discusses tips for palliative care in the ED. see www.gempodcast.com for show notes, references, information, and to leave comments! Follow @gempodcast on twitter. This podcast uses sounds from freesound.org by Jobro and HerbertBoland. Image credit: https://commons.wikimedia.org/wiki/File:Dante_Gabriel_Rossetti_-_Study_of_Dante_holding_the_hand_of_Love.jpg

    Eye Emergencies in the Elderly - Part 2

    Play Episode Listen Later Nov 30, 2016 18:32


    Ophthalmologist Dr. Bryan Hong continues to discuss his approach to some of the common eye emergencies that bring older adults to the Emergency Department. see www.gempodcast.com for show notes and information and to leave comments. This podcast uses sounds from freesound.org by Jobro and HerbertBoland. Image credit: https://pixabay.com/en/eye-black-reds-female-red-color-1574829/

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