How can we integrate evidence-based medicine and person-centred care paradigms when reaching pragmatic decisions for complex older people using emergency care? Collaborators of the European Taskforce on Geriatric Emergency Medicine (the GeriEM sections of EUSEM and EuGMS) worked with members of the International Federation of Emergency Medicine to produce this framework published in Emergency Medicine Journal: https://doi.org/10.1136/emermed-2024-213898