Frailty Frontline: How to identify frailty, and what to do next

Frailty Frontline: How to identify frailty, and what to do next

From GEMCAST by Christina Shenvi

December 18, 2025 · 31 min

About this episode

This episode discusses the importance of identifying and managing frailty in emergency medicine with expert insights from Dr. James Van Oppen.

In this episode of GEMCast, host Dr. Christina Shenvi is joined by Dr. James Van Oppen, emergency physician and frailty expert at the University of Sheffield, to discuss the rising importance of frailty in emergency medicine. Frailty, defined as the loss of physiological resilience, is both common and clinically significant for older adults presenting to the emergency department (ED). The two discuss what frailty means, how it can be identified, and how to approach ED assessment and management in a frail patient, emphasizing the value of person-centred care. Furthermore, they highlight recent studies regarding frailty, which can be found in the resources below, and discuss the need for system-wide changes to support frailty care. Alongside his work as an emergency physician and clinical lecturer, Dr. van Oppen is the chair of the geriatric emergency medicine section of the European Society of Emergency Medicine. Tune in to this episode to expand your understanding of frailty and hear some practical tips to improve your clinical practice.

People in this episode

Host: Dr. Christina Shenvi

Guest: Dr. James Van Oppen

Topics covered

  • frailty
  • emergency medicine
  • clinical practice
  • person-centred care
  • older adults
  • assessment and management

Keywords

  • frailty
  • emergency department
  • older adults
  • clinical assessment
  • person-centred care
  • physiological resilience
  • geriatric emergency medicine

Mentioned in this episode

Organizations: University of Sheffield, European Society of Emergency Medicine

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