Common or overlapping etiologies in disparate neurodegenerative diseases have led to the promise that optimal nutritional care and the appropriate use of dietary supplements in amyotrophic lateral sclerosis will have implications for the nutritional management of other degenerative conditions such as Parkinson's, Alzheimer's, and Huntington's disease. Furthermore, evidence supporting the efficacy of dietary supplements in amyotrophic lateral sclerosis may lend clues to the treatment of other neuromuscular disorders such as the muscular dystrophies.
Introduction: Falls are a frequent reason geriatric patients visit the emergency department (ED). To help providers, the Geriatric Emergency Department Guidelines were created to establish a standard of care for geriatric patients in the ED. We conducted a survey of emergency providers to assess 1) their knowledge of fall epidemiology and the geriatric ED guidelines; 2) their current ED practice for geriatric fall patients; and 3) their willingness to conduct fall-prevention interventions. Methods: We conducted an anonymous survey of emergency providers including attending physicians, residents, and physician assistants at a single, urban, Level 1 trauma, tertiary referral hospital in the northeast United States. Results: We had a response rate of 75% (102/136). The majority of providers felt that all geriatric patients should undergo screening for fall risk factors (84%, 86/102), and most (76%, 77/102) answered that all geriatric patients screened and at risk for falls should have an intervention performed. While most (80%, 82/102) answered that geriatric falls prevention was very important, providers were not willing to spend much time on screening or interventions. Less than half (44%, 45/102) were willing to spend 2-5 minutes on a fall risk assessment and prevention, while 46% (47/102) were willing to spend less than 2 minutes. Conclusion: Emergency providers understand the importance of geriatric fall prevention but lack knowledge of which patients to screen and are not willing to spend more than a few minutes on screening for fall interventions. Future studies must take into account provider knowledge and willingness to intervene. [West J Emerg Med. 2020;21(4)826-829.] the ED cares for such patients. In an attempt to standardize geriatric ED care, the Geriatric Emergency Department Guidelines were created. 6 One of the areas of focus was care for geriatric patients following a fall. The guidelines recommend implementing a fall risk assessment tool, using a multidisciplinary team that includes physical therapy, occupational therapy, social work, nursing, and physicians to arrange expedited outpatient follow-up. 6 However, current ED practice is not concordant with the ED fall guidelines. 7 It is not clear whether providers do not know about the guidelines or
Public engagement with research is essential to our ambition to transform lives through the sharing of knowledge. Public engagement enables researchers to connect with society for mutual benefit. In the School of Life Sciences, we are committed to creating a culture of curiosity, confidence and engagement with science. By building on our partnerships we aim to widen participation in science and to show the relevance of life sciences research for everyone. We commit to delivering this strategy over the next five years.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.