PURPOSE: Despite the rapidly expanding knowledge in the field of Geriatric Emergency Medicine in Europe, widespread implementation of change is still lacking. Many opportunities in everyday clinical care are missed to improve care for this susceptible and growing patient group. The aim was to develop expert clinical recommendations on Geriatric Emergency Medicine to be disseminated across Europe. METHODS: A group of multi-disciplinary experts in the field of Geriatric Emergency Medicine in Europe was assembled. Using a modified Delphi procedure, a prioritized list of topics related to Geriatric Emergency Medicine was created. Next, a multi-disciplinary group of nurses, geriatricians and emergency physicians performed a review of recent guidelines and literature to create recommendations. These recommendations were voted upon by a group of experts and placed on visually attractive posters. The expert group identified the following eight subject areas to develop expert recommendations on: Comprehensive Geriatric Assessment in the Emergency Department (ED), age/frailty adjusted risk stratification, delirium and cognitive impairment, medication reviews in the ED for older adults, family involvement, ED environment, silver trauma, end of life care in the acute setting. RESULTS: Eight posters with expert clinical recommendations on the most important topics in Geriatric Emergency Medicine are now available through https://posters.geriemeurope.eu/ . CONCLUSION: Expert clinical recommendations for Geriatric Emergency Medicine may help to improve care for older patients in the Emergency Department and are ready for dissemination across Europe.

Academic Geriatric Medicine University of Southampton Southampton UK

Accident and Emergency Department United Christian Hospital Kwun Tong Hong Kong

Department of Emergency Medicine Gazi University School of Medicine Ankara Turkey

Department of Emergency Medicine Guy's and St Thomas' NHS Foundation Trust London UK

Department of Emergency Medicine Leiden University Medical Center Leiden The Netherlands

Department of Emergency Medicine Necmettin Erbakan University Meram Faculty of Medicine Konya Turkey

Department of Emergency Medicine Sligo University Hospital Sligo Ireland

Department of Emergency Medicine Spaarne Gasthuis Haarlem The Netherlands

Department of Emergency Medicine St Vincent's University Hospital Dublin Ireland

Department of Geriatric Medicine Lyon Sud University Hospital Lyon France

Department of Geriatric Medicine University Hospitals Leuven Leuven Belgium

Department of Geriatrics and Palliative Care Consorci Sanitari de Terrassa Terrassa Barcelona Spain

Department of Geriatrics Klinikum Nürnberg Paracelsus Private Medical University Nuremberg Germany

Department of Internal Medicine Section on Gerontology and Geriatrics Leiden University Medical Center Leiden The Netherlands

Department of Pharmaceutical and Pharmacological Sciences KU Leuven Leuven Belgium

Department of Public Health and Primary Care Academic Centre for Nursing and Midwifery KU Leuven Leuven Belgium

Department of Public Health and Primary Care KU Leuven Leuven Belgium

Emergency Medicine University Hospital Basel Basel Switzerland

Geriatric Center Pardubice Hospital Pardubice Czech Republic

Geriatric Medicine MRC Unit for Lifelong Health and Ageing at UCL 5th Floor 1 19 Torrington Place London WC1E 7HB UK

Institute for Biomedicine of Ageing Friedrich Alexander University Erlangen Nuremberg Erlangen Germany

Pharmacy Department University Hospitals Leuven Leuven Belgium

Research Foundation Flanders Brussels Belgium

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