Geriatric Emergencies and Terminal Patients — Emergency Medicine

Emergency Room · Clinical Specialties

How it begins

Abordaje clínico de alta complejidad del paciente anciano frágil y en situación de enfermedad terminal en el área de urgencias. Modelos fisiopatológicos, farmacocinética modificada, síndromes geriátricos agudos y terapéutica de soporte vital paliativo.

What it covers

1. Geriatrics and Terminal Patients
2. Physiological Aging and Pharmacokinetics
3. · Physiological Modifications by Systems
4. · Pharmacokinetics and Modified Pharmacodynamics
5. Geriatric Syndromes in Emergencies
6. · Atypical Presentation of Diseases
7. · Polypharmacy and Prescription Cascade
8. · Conciliation Tools in Emergencies: Beers Criteria and STOPP/START
9. Fragility and Risk Stratification
10. · Conceptual Models of Fragility
11. · Rapid Screening Instruments in Emergencies
12. Altered Mental State: Delirium
13. · Pathophysiology of Delirium
14. · Clinical Phenotypes
15. · Systematic Diagnosis: CAM and 4AT
16. · Non-Pharmacological Treatment (First Line Support Measures)
17. · Rescue Pharmacological Treatment (Life-Risk Agitation)
18. Sepsis and Geriatric Septicemic Shock
19. · Pathophysiology of Immunosenescence and Inflammaging
20. · Difficulties in Identifying Sepsis
21. · The Challenge of Fluid Resuscitation: Cardiorenal Balance
22. Atypical Myocardial Ischemia
23. · Pathophysiology of Silent Infarction and Anginous Equivalents
24. · Challenges in the Interpretation of the Electrocardiogram (ECG)
25. · Antithrombotic Therapeutics in Emergencies: The Balance of Ischemia/Bleeding
26. Acute Geriatric Abdomen
27. · Attenuation of Peritoneal Physical Signs
28. · Critical Etiologies of High Lethality
29. Falls, Trauma and Reversal of Anticoagulation
30. · Occult Acute and Chronic Subdural Hematoma
31. · Hip Fracture: Comprehensive Management Algorithm in Emergencies
32. · Urgent Anticoagulation Reversal Protocols
33. Syncope in the Elderly
34. · Pathophysiology of Geriatric Syncope
35. · Risk Stratification Tools in Emergencies
36. The Terminal Patient in the Emergency Room
37. · Palliative Needs Identification Tools: NECPAL and SPICT
38. · Adequacy of Therapeutic Effort (AET) vs. Therapeutic Obstinacy
39. · Advance Decision Planning (Advance Will and Testament)
40. Palliative Oncological and Non-Oncological Emergencies
41. · Superior Vena Cava Syndrome (SVCS)
42. · Acute Spinal Cord Compression Syndrome (CMS)
43. · Hypercalcemia of Malignancy
44. Control of Acute Symptoms and Terminal Crisis
45. · Treatment of Terminal Dyspnea
46. · Management of Breakthrough Pain
47. · Management of Terminal Rattle ("Rattle" or "Death Rattle")
48. Palliative Pharmacology by Subcutaneous Route
49. · Puncture Technique and Choice Sites
50. · Hypodermoclysis (Subcutaneous Fluid Infusion)
51. · Subcutaneous Continuous Elastomeric Infusers
52. Palliative Sedation vs. Euthanasia: Ethical-Legal Aspects
53. · Precise conceptual differentiation
54. · The Clinical Concept of Refractory Symptoms
55. · The Principle of Double Effect of Bioethics
56. · Emergency Palliative Sedation Induction Protocol