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- BookLee A. Lindquist, Scott M. Dresden, editors.Summary: This book introduces the unique medical needs of aging patients in the emergency department and outlines the challenges that leave many clinicians struggling to adequately care for this demographic, including limited resources, management concerns, and other barriers. The text presents strategies for screening, diagnosing, and treating geriatric syndromes seen in the emergency care of the older adult patient. Topics include pharmacological interventions, transitioning care, and sustainability. The text includes complex cases that demonstrate the caution necessary to treat this delicate patient group. Each case concludes with a set of concise "take-home points" to make the guidelines easy to remember and/or reference. Geriatric Emergencies: A Case-Based Approach to Improving the Acute Care of Seniors is an excellent resource for geriatricians, emergency medicine specialists, internal medicine physicians, hospitalists, nurses, social workers, students, residents, trainees, and all medical professionals working with older patients in an emergency setting.
Contents:
Growing Older in the Emergency Department
Components of an effective Geriatric Emergency Department
Cognitive Impairment in the ED
Syncope in a rural emergency department setting
ER referrals and hospitalizations from Post-Acute and Long-Term Care Facilities
Can Home Visits Make a Difference to Emergency Department Visits? "I will just stop by his place on the way home: Who knew it would be a journey?"
Medication Errors in Aging Adults: A Case-Based Approach to Medication Management
Pain, Opioid Use, and Palliative Care of Older Adults in the Emergency Department
Acute Mental Status Changes and Over-the-Counter Medications in Older Adults
Identifying fall risk in the Emergency Department
Capacity, Advanced Planning, and Buying Time. - ArticleGlaeser RM, Taylor KA.J Microsc. 1978 Jan;112(1):127-38.When biological specimens are irradiated by the electron beam in the electron microscope, the specimen structure is damaged as a result of molecular excitation, ionization, and subsequent chemical reactions. The radiation damage that occurs in the normal process of electron microscopy is known to present severe limitations for imaging high resolution detail in biological specimens. The question of radiation damage at low temperatures has therefore been investigated with the view in mind of reducing somewhat the rate at which damage occurs. The radiation damage protection found for small molecule (anhydrous) organic compounds is generally rather limited or even non-existent. However, large molecular, hydrated materials show as much as a 10-fold reduction at low temperature in the rate at which radiation damage occurs, relative to the damage rate at room temperature. In the case of hydrated specimens, therefore, low temperature electron microscopy offers an important advantage as part of the overall effort required in obtaining high resolution images of complex biological structures.