A person with a single non-injurious fall who has a normal gait and balance is considered at low risk for recurrent falls. Simple tests for gait in the ED include the ‘Timed up and go test’ or ’30 second sit to stand.’ - Winny Li


image by: Leroy Village Green Residential Healthcare Facility

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Frailty, Falls, and Pain Management in the Older Emergency Department Patient

Falls are a sentinel event in an older person’s life...

First, start by asking yourself if the patient in front of you would have fallen if he or she was 20 years old? Many patients in our EDs are labelled as having a “mechanical” fall, but there are often modifiable causes of falls that we can, and should, identify...

Take falls, even ones resulting in very minor injury, seriously in the older patient. Ask them about fall history, depression, and medications. Perform orthostatic vitals, and watch them walk as part of your assessment!

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 Frailty, Falls, and Pain Management in the Older Emergency Department Patient

For history, the following risk factors have been found to be predictive of falls specifically in ED populations: History of falls. Poor foot care: inability to cut one’s toenails, non-healing foot sores. Depression. Multiple medications.

Five Key Papers About Emergency Department Fall Evaluation: A Curated Collection for Emergency Physicians

Evaluation of older patients with a history of falls is a challenging but crucial component of EM training. We believe our review will be educational for junior and senior EM faculty to better understand these patients' care and to design an evidence-based practice.

Clinical Frailty Scale

Measures frailty to predict survival.


Each year, millions of older people—those 65 and older—fall. In fact, more than one out of four older people falls each year, but less than half tell their doctor. Falling once doubles your chances of falling again

Risk Management: Falls in the Emergency Department

Crowded, busy emergency departments seem susceptible to an increased risk of slip-and-fall accidents that keep administrators awake at night. But does the evidence bear out this assumption?

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