Mini-GEMs (Geriatrics E-learning Modules) are short, focused video podcasts designed for rapid dissemination of knowledge on a very specific topic area of geriatric medicine.
All our topics are listed below, but you can also view and subscribe to the Mini-GEMs on the AEME YouTube channel: youtube.com/ElderlyMedEd
This is a new format for medical online learning material, and we would appreciate your thoughts and feedback.
If you would be interested in joining AEME and creating your own Mini-GEM, please read our ‘Guidelines for Authors‘ and then get in touch!
Will you just have a look at this abdominal x-ray…?
Mr Michael Courtney gives us a surgical viewpoint on how to recognise and manage ileus and bowel obstruction on care of the elderly wards, including when to refer to the surgical team.
Anticoagulation – It Doesn’t Have to be a Bleeding Nightmare
Dr Nick Saxton takes us through the decision-making process of choosing whether to recommend anticoagulation to patients in atrial fibrillation (AF), and the pros and cons of warfain and NOACs (dabigatran, rivaroxaban, and apixaban).
Assessing Vision in Older Patients
Dr Laura Butler provides a practical guide to visual assessment, with a particular focus on common problems in older people, and advice about when to refer to ophthalmology.
Vicky Gibson takes us on a journey through the world of low sodium, telling us why it happens, how to investigate and treat it, and when to worry. Everything you ever needed to know about hyponatraemia in under 10 minutes!
My Patient with PD Can’t Swallow Their Meds – Gulp!
Ever found yourself wondering how to manage essential dopaminergic medications in patients with Parkinson’s Disease who can’t swallow? Wonder no more, as Dr James Fisher guides you through the basic principles, and introduces a free online tool to aid clinical decision-making.
Assessing the Elderly Patient with Back Pain
Dr Sabiha Ali has your back! In this Mini-GEM she discusses the important points in the history and examination of older patients with back pain, and guides us through some principles of management.
“Send a Myeloma Screen Please!”
Dr Andrew McGregor provides a brief overview of myeloma and myeloproliferative disorders, including when to consider the diagnosis and how to investigate in older patients.
Mind Your Language – The Geriatrician’s Profanisaurus
Professor David Oliver discusses his top ‘banned words and phrases’ within Geriatric Medicine, and explains why we should try to think differently about the way we refer to older people and their problems when they come into hospital.
Pitfalls of Surgical Diagnosis in the Elderly: The Art of Turf War!
Dr Richard Thomson talks about how to diagnose, assess and manage surgical problems in older people, and how to communicate with the surgical team to achieve the best outcomes for your patients.
“Urine Leaks – Contain Yourself!” – Urinary Incontinence in Frail Older People
Dr Henry Woodford provides an overview of the causes of urinary incontinence in frail older people, and suggests how to investigate and manage this important problem
Shake, Rattle and Roll: The Epley Manoeuvre
Dr James Fisher provides a recap of BPPV and describes how to treat it by performing the Epley Manoeuvre.
DNACPR Decisions – It’s Good to Talk
In this Mini-GEM, Dr Frances Tanner takes us through the decision-making process with respect to DNACPR decisions, including legal, ethical and practical aspects, and the latest guidance from the Resuscitation Council.
Atypical Presentations in Older Patients – things aren’t always what they seem…
Dr Selina Sangha discusses atypical clinical presentations in elderly patients, including why they happen and what to watch out for.
Dizziness: Getting Your Head Around It
In this Mini-GEM, James Fisher gives an overview of the mechanisms behind BPPV, and the assessment of vertigo, including the Hallpike test.
“I’m a patient – get me out of here!” – A Guide to Mental Capacity Assessment
Dr Fionnuala Johnston takes you on a whistle-stop tour of mental capacity, including how, why, and when to carry out an assessment, as well as an overview of the Mental Capacity Act and Deprivation of Liberty Safeguards.
Life after the LCP
In this Mini-GEM, Dr Jonathan Pickard presents a practical approach to end of life care, and discusses the clinical priorities that are needed following the withdrawal of the Liverpool Care Pathway in the NHS.
Tips for New Docs – Geriatrics for FY1s
Dr Peter Brock presents a summary of what to expect from your job as a junior doctor on an Elderly Care ward, how to make the most out of it, and give some top tips for success.
Acopia – the diagnosis for docs who can’t cope!
This Mini-GEM highlights the hidden truths behind the non-diagnosis of “acopia”, encouraging deeper exploration of issues and and explaining why the term should never be used.
Constipation: Easing the Strain!
This Mini-GEM provides a concise overview of the recognition and management of constipation in older patients.
Myths and MSUs
This Mini-GEM explains how and when to diagnose UTI in older patients, and common pitfalls to avoid!
Keeping Dementia Patients Safe in Hospital
This Mini-GEM provides a case study to illustrate the important points to consider when looking after patients with dementia in hospital.
The Geriatrician’s Scalpel: Pharmacological Debridement
Got a patient with more medications than they can swallow? This Mini-GEM provides an introduction to polypharmacy, prescribing cascades, and rational prescribing in the elderly.
Focused Assessment Following a Fall on the Ward
This Mini-GEM outlines the important things to consider when you’ve been asked to assess a patient who has had a fall on the ward.
Managing Delirium Out of Hours
A concise guide to recognising, diagnosing, and managing delirium in hospital, with links to further useful resources.
I Think My Patient Might Have Parkinson’s Disease
A short summary for junior doctors and non-specialists, focusing on what to do if you suspect your patient might have Parkinson’s disease.
A Five Minute Guide to Stroke Thrombolysis
A brief overview of thrombolysis in acute ischaemic stroke, aimed predominantly at junior and non-specialist practitioners in the UK.
Introduction to Mini-GEMs
An introduction to AEME and the Mini-GEM format