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Doody's Review ServiceReviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This is a multiauthored textbook of geriatric emergency medicine, written under the auspices of the American College of Emergency Medicine.
Purpose: Its purpose is to instruct and guide trainees and practitioners of emergency medicine about evaluation and care of older patients in emergency rooms, emphasizing the distinct nature of older persons. The authors meets their goals quite well in this handsome book.
Audience: The audience is emergency physicians at all levels of training. The authors are all academic emergency room physicians and represent well the American College of Emergency Physicians. All the authors clearly have given careful thought to their presentations.
Features: Each chapter of the book has key points highlighted in boxes; this makes skimming the book easy. There are brilliant photographs and radiologic studies given to illustrate the book; they are exceptionally well-chosen and beautifully printed. In a number of chapters there are very useful algorithms and charts of diagnoses, complications, and contributing factors. The psychosocial components of aging and assessment in the geriatric patient are well represented.
Assessment: This book is an excellent contribution to the field. Dr Rosen's thoughtful and humble opening introduction stresses the importance of not underestimating or writing off complaints in older persons, thus setting the tone for the careful analyses that follow. Were I to amend the book, I would add a chapter on asthma, and talk about the heterogeneity of older persons. How this heterogeneity stratifies emergency treatment of older persons is the future of geriatric emergency medicine. This book is an excellent guide towards this future, and deserves a wide readership.