<aside>

Don’t EVER call it mechanical fall

• If someone tripped → call it ‘tripped’

</aside>

History

Fall History

Assessment

• Romberg Test
• Postural instability
• Gait Inspection
  • Gait Speed (≥ 1.0)

Investigation

• Hip → Hip/Pelvis XR
• Head → CT
• Seizure → EEG
• ECG
  • ↓Bradycardia
  • !AFib - Atrial Fibrillation (one time)
    • sinus → AF → sinus
    • entering or exiting leads to pauses of blood flow → Cerebral hypotension

Etiology (Fall Work-up)

Intrinsic

• Vision
  • → Cataract, Open Angle Glaucoma, AMD - Age-related Macular Degeneration
• Quad Strength
  • → Weight loss in Older Adult
• Joint and bone health
  • → Arthritis
  • → OP - Osteoporosis
• Gait and Balance
  • → Parkinsonism
    • Time to get up and go
  • → Cerebellar Diseases
    • Tandem Gait
    • Romberg Test
• Cognition (e.g. forget to use walking aid)