Management of Delirium in Older Adults in the Emergency Department

An Implementation Toolkit

What's Inside?

Delirium is a key ED symptom – like chest pain or abdominal pain.  It is common among older ED patients and commonly missed in their assessment. This toolkit provides resources to help you make changes in your ED to provide better care for those patients presenting with delirium. It includes resources and tools and links to the evidence to support their implementation.

Download Complete Toolkit


Ula Hwang


Dr. Ula Hwang is the Medical Director for Geriatric Emergency Medicine at New York University and a core investigator at the GRECC (Geriatrics Research, Education and Clinical Center) at the James J. Peters Bronx VAMC. Her research focuses on improving the quality of care older adults receive in the ED setting that ranges from observational studies of analgesic safety and effectiveness in older patients to multi-center implementation science studies of geriatric emergency care interventions. Hwang currently co-PIs the Geriatric Emergency Department Collaborative and is the PI on the Geriatric Emergency care Applied Research (GEAR) network.

Pamela Martin


Pamela Martin is an Emergency Department based geriatric provider at Yale New Haven Health. She supports the Department of Geriatrics and the Emergency Department with initiatives to improve the care and satisfaction of older adults across the continuum of care. Her role includes developing an accredited geriatric emergency department, facilitating communication between partner agencies and the emergency department, providing education related to older adults to staff, community partners, and national organizations. Pamela was selected to be a participant in the Expert Workgroup convened for the development of the Delirium ED-toolkit by Dr. Sharon Inouye and West Health. Pamela’s healthcare passion is for creating systems that provide person centered care to older adults and their caregivers. She is board certified as a family nurse practitioner and a geriatric advanced practice registered nurse.

The West Health Institute and the Geriatric Emergency Department Collaborative (GEDC) co-produced these toolkits to provide resources for implementing the best standards of care for older adults in the Emergency Department. You are encouraged to choose and adapt the resources which are most relevant to your site.

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