The proportion of older patients presenting to emergency departments (EDs) are increasing. ED are busy environments in which complex, older persons living in the community aged care facilities are sometimes subjected to emergency department lengths of stay more than expectation, excessive tests and complications. One possible solution, a geriatric physician-championed, emergency department with gerontological intervention team, which provides frontload assessment, early discharge planning. The

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... im of this Geriatric Emergency Department Intervention is to maximize the quality of care for this vulnerable elderly patients in a cost effective manner. The author would like to give a critical insight into the present system of treatment in the ED for elderly with a focus on quality improvements and how a change in the approach by the implementation of a Geriatric Consultation Team (GCT) in the ED would bring about a safety and quality improvement in the treatment of elderly.