Geriatric Assessment

What Is Geriatric Assessment?

A geriatric assessment is a multidimensional evaluation of an elderly patient's medical, psychological, and functional status, aimed at optimizing emergency care. This assessment incorporates considerations of age-related physiological changes, prevalent comorbidities, and the impact of polypharmacy. Not to be confused with a standard medical assessment, it specifically addresses the complexities of geriatric patients within the framework of emergency medical services (EMS) protocols, such as START triage. In EMS contexts, it is commonly framed alongside structured communication and triage concepts such as START (Simple Triage and Rapid Treatment) or SALT (Sort, Assess, Lifesaving interventions, Treatment/Transport) as shared terminology.

Why Geriatric Assessment Matters on the Fireground

Geriatric patients frequently exhibit atypical presentations that can complicate diagnosis and treatment. Understanding their unique medical and psychosocial needs is crucial for effective intervention and improving outcomes in emergency situations. Clear definitions improve handoffs, documentation clarity, and team alignment when multiple providers must prioritize tasks under time pressure.