Avoiding anchoring bias by moving beyond ‘mechanical falls’ in geriatric emergency medicine

An 84 year old functionally independent man, presents with right‐sided chest pain. His general practitioner prescribed rivaroxaban 9 months ago following a deep venous thrombosis. He was cleaning his garage and slipped from a small stool, falling backwards onto his bottom and then chest. He reports...

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Main Authors: Nagaraj, G., Hullick, C., Arendts, G., Burkett, E., Hill, Keith, Carpenter, C.
Format: Journal Article
Published: Wiley-Blackwell Publishing Asia 2018
Online Access:http://hdl.handle.net/20.500.11937/72084
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author Nagaraj, G.
Hullick, C.
Arendts, G.
Burkett, E.
Hill, Keith
Carpenter, C.
author_facet Nagaraj, G.
Hullick, C.
Arendts, G.
Burkett, E.
Hill, Keith
Carpenter, C.
author_sort Nagaraj, G.
building Curtin Institutional Repository
collection Online Access
description An 84 year old functionally independent man, presents with right‐sided chest pain. His general practitioner prescribed rivaroxaban 9 months ago following a deep venous thrombosis. He was cleaning his garage and slipped from a small stool, falling backwards onto his bottom and then chest. He reports three other falls over the last year, but none of them were injurious and he has not sought medical care before today. His only other past medical history is hypertension for which his general practitioner recently added a third antihypertensive agent. He has blood pressure 105/73, heart rate 96, oxygen saturation 92% on room air and Glasgow Coma Scale 15. His chest wall is tender on the right without crepitus or palpable deformity. No traumatic injuries were found on imaging. The patient is eager to return home, as you contemplate an opportunity to prevent future injurious falls. Should emergency medicine's role include intervening in this sentinel event?
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institution Curtin University Malaysia
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publishDate 2018
publisher Wiley-Blackwell Publishing Asia
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spelling curtin-20.500.11937-720842019-02-08T06:09:47Z Avoiding anchoring bias by moving beyond ‘mechanical falls’ in geriatric emergency medicine Nagaraj, G. Hullick, C. Arendts, G. Burkett, E. Hill, Keith Carpenter, C. An 84 year old functionally independent man, presents with right‐sided chest pain. His general practitioner prescribed rivaroxaban 9 months ago following a deep venous thrombosis. He was cleaning his garage and slipped from a small stool, falling backwards onto his bottom and then chest. He reports three other falls over the last year, but none of them were injurious and he has not sought medical care before today. His only other past medical history is hypertension for which his general practitioner recently added a third antihypertensive agent. He has blood pressure 105/73, heart rate 96, oxygen saturation 92% on room air and Glasgow Coma Scale 15. His chest wall is tender on the right without crepitus or palpable deformity. No traumatic injuries were found on imaging. The patient is eager to return home, as you contemplate an opportunity to prevent future injurious falls. Should emergency medicine's role include intervening in this sentinel event? 2018 Journal Article http://hdl.handle.net/20.500.11937/72084 10.1111/1742-6723.13129 Wiley-Blackwell Publishing Asia restricted
spellingShingle Nagaraj, G.
Hullick, C.
Arendts, G.
Burkett, E.
Hill, Keith
Carpenter, C.
Avoiding anchoring bias by moving beyond ‘mechanical falls’ in geriatric emergency medicine
title Avoiding anchoring bias by moving beyond ‘mechanical falls’ in geriatric emergency medicine
title_full Avoiding anchoring bias by moving beyond ‘mechanical falls’ in geriatric emergency medicine
title_fullStr Avoiding anchoring bias by moving beyond ‘mechanical falls’ in geriatric emergency medicine
title_full_unstemmed Avoiding anchoring bias by moving beyond ‘mechanical falls’ in geriatric emergency medicine
title_short Avoiding anchoring bias by moving beyond ‘mechanical falls’ in geriatric emergency medicine
title_sort avoiding anchoring bias by moving beyond ‘mechanical falls’ in geriatric emergency medicine
url http://hdl.handle.net/20.500.11937/72084