Emergency Medicine is implemented as a primary specialty in many countries in Europe and all over the world. Efforts have been focused on setting design, organization of pre-hospital systems and emergency departments (ED) and improve outcomes of life-threatening conditions like myocardial infarction or trauma. Despite all international multicentric studies including all ages of patients, attention towards older patients remains still low although they represent one of the most important groups because of the changing population demographics.
ED visit of older patients are always a crisis for them because three dimensions are involved; social, somatic, and psychological. The WHO definition of older people starts from 60 years old but problems are critical for older patients over 75 years of age who experience loss of
autonomy, difficulties of stay at home, and cognitive deficiencies (eg dementia). Emergency care of older people will increase exponentially because the number of old people will increase for the next 50 years. This evolution will generate increase of health demand in emergency medicine settings and significant increase of health cost at the national and global level. In 2050, the number of people over the age of 85 will outnumber those under 16. Europe has 23 of the world’s 25 “oldest” countries.
Beside specific studies done by geriatricians little is known on geriatric emergency medicine (GEM). Relevant data and registries are still missing in the context of pre hospital and ED care management. GEM is a specific area which is of interest for emergency physicians and geriatricians.
The mission of this new EUSEM section is to develop GEM with collaboration between emergency physicians and geriatricians involved in two different societies, European Society for Emergency Medicine (EUSEM) and European Union of Geriatric Emergency Medicine
Society (EUGMS) which have a common objective to improve the quality of older patients emergency care. One of the originality of this approach compared to other EUSEM sections is the creation of a unique group including emergency physicians and geriatricians, leaders and members of EUSEM and EUGMS that will dedicate its effort on the development of GEM.
The objective is to concentrate concepts and goals avoiding overlap and repetition. Merging the two expertise will give more power and will help to achieve missions at the European Union and Global level. This group will focus on three domains, Organisation, Education and Research. The following will develop the status of this section.