Rephonic
Artwork for GEMCAST
Geriatric Emergency Medicine
Emergency Department
Older Adults
Frailty
Medication Safety
Delirium
Delirium Prevention
Family Dynamics In Healthcare
Cultural Differences In Elder Care
Adverse Drug Events
CMS Age-Friendly Health Measures
Geriatric Care
Geriatric Gynecology
Boarding
Deprescribing
Geriatrics
Point-Of-Ccare Ultrasound
Heat Stroke
Dementia
Covid-19

Welcome to GEMCAST! Shownotes and more info are available on gedcollaborative.com/resources/?type=podcast. 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 Shenvi. You can connect with me on twitter @clshenvi Disclaimer: By li... more

PublishesMonthlyEpisodes73Founded11 years ago
Number of ListenersCategory
Science

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Artwork for GEMCAST

Latest Episodes

Dr. Stephen Gamboa is an Adjunct Associate Professor at UNC and medical director of UNC Health Pardee's emergency department in Hendersonville, North Carolina. In today’s GEMCast episode, he shares his first-hand experiences from two major natural di... more

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In this episode of GEMCast, Dr. Christina Shenvi sits down with Dr. Christina Prather, Director of Geriatrics and Palliative Medicine at George Washington University, for a dynamic, coffee-style conversation about innovations and challenges in geriat... more

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In this episode of GEMCast, host Dr. Christina Shenvi is joined by Dr. James Van Oppen, emergency physician and frailty expert at the University of Sheffield, to discuss the rising importance of frailty in emergency medicine. Frailty, defined as the ... more

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Climate change, and the associated increase in frequency and severity of heat waves, poses a threat to health. Amongst the most at risk for heat-related emergencies are older adults; age-associated physiologic vulnerabilities, chronic conditions, med... more

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Recent Guests

Christina Prather
Director of Geriatrics and Palliative Care Medicine, George Washington University
George Washington University
Episode: Acute care of persons living with Dementia: From the clinic to the ED and back
James Van Oppen
Emergency physician; frailty expert
University of Sheffield
Episode: Frailty Frontline: How to identify frailty, and what to do next
Geoff Comp
Emergency physician, wilderness medicine specialist
University of Arizona; Creighton in Phoenix
Episode: Getting Hotter Heat Emergencies in Older Adults
Kayla Furlong
Emergency physician, St. John's, Newfoundland and Labrador
St. John's, NL, Canada
Episode: POCUS for Delirium and Agitation: Be ABLE
Jillian Shepherd
Emergency physician, St. John's, Newfoundland and Labrador
St. John's, NL, Canada
Episode: POCUS for Delirium and Agitation: Be ABLE
Dr. Maura Kennedy
Emergency medicine physician focusing on geriatric care
Episode: ED Boarding of Older Adults: Risks and Opportunities
Rachel Skains
Assistant Professor at the University of Alabama in Birmingham
University of Alabama in Birmingham
Episode: Getting ED Specific with Medication Safety
Bob Sternberg
Ultrasound director, fellowship trained in ultrasound and board certified in emergency medicine
Akron General
Episode: Precision Relief: Nerve Blocks for Pain in Older Patients
Jennifer Wang
Faculty at the University of Maryland, expert in geriatric gynecology
University of Maryland
Episode: Postmenopausal Problems - Geriatric Gynecology in the ED

Host

Christina Shenvi
Host of GEMCAST, focuses on care of older patients in ED settings; leads discussions on geriatrics in emergency care

Reviews

4.8 out of 5 stars from 18 ratings
  • Great resource for nurses

    Being a nurse in an ED that has just started its “geriatric friendly” journey, this has been a great resource for me. Thank you!

    Apple Podcasts
    5
    SamStevensSTL
    United States6 years ago

Listeners Say

Key themes from listener reviews, highlighting what works and what could be improved about the show.

Praises practical, clinician-friendly insights for geriatric ED care.
Good resource for nurses and clinicians implementing geriatric-friendly ED practices.
Guests bring real-world experience and implementable strategies.

Chart Rankings

How this podcast ranks in the Apple Podcasts, Spotify and YouTube charts.

Apple Podcasts
#203
New Zealand/Science
Apple Podcasts
#232
Norway/Science

Talking Points

Recent interactions between the hosts and their guests.

Frailty Frontline: How to identify frailty, and what to do next
Q: How should an ED physician approach frailty on a shift?
Start with identifying those at highest risk (e.g., 85+ age group, clinical frailty scale scores), then think outside the presenting complaint, consider the home situation and medications, and use the 4Ms/5Ms framework to guide care aligned with patient values.
Frailty Frontline: How to identify frailty, and what to do next
Q: What is frailty, and why is it important in the ED?
Frailty is the reduced physiological reserve that leads to worse outcomes after minor stressors, and it is extremely common in EDs, making it crucial to identify early and manage with a multidisciplinary, patient-centered approach.
Getting Hotter Heat Emergencies in Older Adults
Q: What is the formal definition of heat stroke versus heat exhaustion, and how should core temperature be measured in suspected cases?
Heat stroke is characterized by a core temperature exceeding 39°C with altered mental status; heat exhaustion shows weakness and nausea with preserved mentation. For accuracy, clinicians should obtain a true core temperature (rectal or equivalent) rather than relying on forehead or ear measurements, especially in older patients.
Global Perspectives On Geriatric EM Care
Q: What are some innovations that your site or your contacts have developed to help with geriatric care?
There are many initiatives in the UAE for mobile clinic services that provide care for the elderly, as well as ongoing discussions on establishing geriatric emergency departments.
Global Perspectives On Geriatric EM Care
Q: What are some of the challenges you feel come up in your context for geriatric care?
It can be difficult to provide holistic care planning in a short period, especially as many patients may not have nearby family support.

Audience Metrics

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Frequently Asked Questions About GEMCAST

What is GEMCAST about and what kind of topics does it cover?

GEMCAST concentrates on geriatric emergency medicine, translating clinical practices and system-level strategies for older adults in acute care settings. Episodes mix practical clinical how-tos (frailty screening, delirium workups, antimicrobial safety, nerve blocks for pain) with program design and care coordination (home-based care, trauma-informed geriatric ED care, boarding reduction). The show often centers on pragmatic tools and protocols—like ABLE, ISAR, or 4Ms framework—and features clinicians and geriatric specialists who share actionable tips, real-world stories, and implementation insights aimed at improving outcomes for older patients while reducing unnecessary admissions and delirium risk. A notable strength is the emphasis on ... more

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Which podcasts are similar to GEMCAST?

These podcasts share a similar audience with GEMCAST:

1. Emergency Medicine Cases
2. EMCrit FOAM Feed
3. JAMA Clinical Reviews
4. GeriPal - A Geriatrics and Palliative Medicine Podcast
5. Emergency Medical Minute

How many episodes of GEMCAST are there?

GEMCAST launched 11 years ago and published 73 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on GEMCAST?

Recent guests on GEMCAST include:

1. Christina Prather
2. James Van Oppen
3. Geoff Comp
4. Kayla Furlong
5. Jillian Shepherd
6. Dr. Maura Kennedy
7. Rachel Skains
8. Bob Sternberg

To view more recent guests and their details, simply upgrade your Rephonic account. You'll also get access to a typical guest profile to help you decide if the show is worth pitching.

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