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@mdaware.orgOct 6, 2026, 6:41 PM

get all your #GeriED guidelines 2.0 publications at the GEAR website

Systematic Reviews and Clinical Practice Guidelines 2.0
NITE. PROTECT. EMPOWER.
Caldelises Systematic Reviews Clinical Practice Caldelises Deliriem Dementia Elder Mistreatment Falls frailty Medications Palliative Care
Systematic Review: Elder
Mistreatment Screening and
Interventions
Elder mistreatment is associated with signancant mortalty and morai
Screening and intervention strategies for elder mistreatment in the tu secan are not
found no studies meeting full inclusion criteria, highlighting the large knowledge
ans acous
CED Guidelines 2.0 Methodology
Department Guidelines 2.0 A Model for Developing Subspecialty Clinical Practice
Department Guidelines 2.0 Satheesh Cunaga
DO, Christopher R. Carpenter MD, MSc, Maura Kennedy MD, MPH, LaurenT. Southerland
MD, MPH, Alexander X...
Systematic Review: Falls
Systematic Review: Fall Prevention Physical and Occupational Therapist Evaluations for Fall Prevention in the Emergency Department: A Geriatric ED Guidelines 2.0
Systematic Review A systematic review Lauren T. Southerland, Pedro K. Curiati, Richard D. Shih, Alexander X. Lo, Kristie
Harper.
READMOKE
HEADNE
HEADMOT
Management
Systematic Review: Dementia| Pain
Management A Systematic Review Evaluating
Pain Assessment Strategies for Patients With
Geriatric ED Guidelines 2.0 A systematic review Sangil Lee, Alexander X. Lo, Teresita M.
Hogan, James D. van...
Clinical Practice Guideline: Delirium
Clinical Practice Guideline z.o: Delirium
GRADE-Based Clinical Practice Guidelines for Emergency Department Delirium Risk
Stratification, Screening, and Brain Imaging
pracuce guideline sangi Lee, wana knowjan, Debra Eagles, Maura Kennedy, Alexander X Lo, Christian...
Systematic Review: Delirium |
Systematic Review Delirium | Detection
Deltam detecon in the emerency
department: A diagnostic accuracy meta-analysis of history, physical examination. laboratory tests, and screening instruments A systematic review Christopher R. Carpenter MD, MSc, Sangil Lee MD, MS, Maura Kennedy
MU.MPH.
…
@mdaware.orgOct 6, 2026, 6:36 PM

current #GeriED guidelines 2.0 status

#ACEP26

Ill American College of am emerseney Paysicians
GERIATRIC EMERGENCY
DEPARTMENT GUIDELINES 2.0
Building the Evidence. Developing the Guidelines. Moving Knowledge Into Practice.
Scholarly Output and Dissemination Through October 1, 2026
額
17
PEER-REVIEWED PUBLICATIONS
12
EVIDENCE REVIEWS
(Systematic and scoping reviews)
1
PUBLISHED
CLINICAL PRACTICE
GUIDELINE
2
PUBLISHED
SRMA PROTOCOLS
UNITE. PROTECT. EMPOWER.
EVIDENCE
GUIDELINES
DISSEMINATION
IMPLEMENTATION
BETTER CARE FOR OLDER ADULTS
all
208+
GOOGLE SCHOLAR
CITATIONS (AND GROWING)
55,000+
FULL-TEXT
VIEWS/DOWNLOADS
ACROSS PUBLISHER
PLATFORMS
(SINCE PUBLICATION)
@mdaware.orgOct 6, 2026, 6:32 PM

next #GeriED guideline on medication safety is almost ready for submission

#ACEP26

@mdaware.orgOct 6, 2026, 6:31 PM

first #GeriED guideline is out on delirium

good questions, imperfect data to answer

#ACEP26

American Colleg
Emergency Phys
Geriatric ED Guidelines 2.0
DELIRIUM
TECT. EMPOWER.
Delirium
Acute brain dysfunction that manifests as inattention and confusion, altered level of consciousness, or perceptual disturbances
Prevalent Delirium
Delirium present on the patient's presentation to the ED
Incident Delirium
Delirium that develops while the patient is in the ED
Questions
0.0l
Should risk stratification methods be used to identify older adults in the ED at high risk for delirium for targeted delirium testing?
Can delirium screening instruments accurately rule in or rule out delirium in older ED patients?
Should older adults with delirium in the ED be evaluated with a non-contrast head CTor not?
BangeGeriatric ED Guidelines 2.0: Delirium Algorithm
Is my ED patient at risk for delirium?
• Age≥65: Consider Delirium Risk Score (low risk <1)
• Age265 and admitted to ED obs unit: Consider Zucchelli (<4 lowrisk,
24 high risk)
• Age> 75: Consider REDEEM score (low risk s5, high risk 211)
mCAM
CAM-ICU
RASS
Is my ED patient delirious?
• Consider 4AT, bCAM, mCAM, CAM-ICU, or RASS to rule in/out delirium
• Consider Delirium Triage Screen to rule out delirium
Does my delirious ED patient need a head CT?
• Data is insufficient for obtaining a head CT or not
• Obtain a head CTin those with focal neurologic findings on exam
2 CRecommendations
Risk Stratification
Lin older adults presenting to the ED, the Delirium Risk Score may be used to identify subsets of older adults at low risk for delirium. [Very low certainty of evidence]
2. In adults over age 65 admitted to the ED observation unit from the ED, Zucchelli's risk assessment tool with score threshold of 4 or 5 may be used to identify those at low or high risk of delirium. Very low certainty of evidence!
3. In adults over age 75 presenting to the ED, REDEEM Score threshold of 11 may be used to identify those at low or high risk of delirium. The low-risk cutoff of 5 may be used to rule out high risk for delirium. Very low certainty of evidence
Diagnostic Tools
4. In older adults in the ED, 4AT, CAM, CAM-ICU, mCAM, or RASS may be used to rule in or rule out delirium. [Very low certainty of evidence]
5. In older adults in the ED, DTS may be used to rule out delirium. Very low certainty of evidence
Brain Imaging
6. In the undifferentiated older ED patients with delirium, we have insufficient data to recommend obtaining a head CT vs not obtaining a head CT. [Very low certainty of evidence]
UNITE. PROTECT. EMPOWER.
Total 6 recommendations for risk stratification, diagnostic tools, and imaging in the ED.
Lee, Khoujah et al, 2025 AEM
@mdaware.orgOct 6, 2026, 6:24 PM

important #GeriEM questions, SRMAs and #GeriED guidelines 2.0 are trying to answer

#ACEP26

I American College of Emergency Physicians"
UNITE. PROTECT. EMPOWER.
Key Questions When Evaluating Older Patients in the ED
• What is the best test for delirium?
• How best to control for undifferentiated agitation?
• Consult physical therapy for my fall patient?
• Consult palliative care?
• Screening for elder abuse?
• Pain measurement for patients with dementia?
ance