AGEM Author Spotlight February 2020
AGEM Author Spotlight: Elizabeth Goldberg, MD, SCM
Goldberg EM, Marks SJ, Ilegbusi A, Resnik L, Strauss DH, Merchant RC.
J Am Geriatr Soc. 2020 Jan;68(1):198-206. doi: 10.1111/jgs.16210. Epub 2019 Oct 17.
PMID: 31621901
Article Summary: Falls are the leading cause for injury-related morbidity and mortality in older adults. Although falls are a research priority for geriatric emergency medicine little is known about optimal emergency department (ED) care for older adults after a fall. In this pilot study, GAPcare-the Geriatric Acute and Post-Acute Fall Prevention Intervention, 110 adults 65 years old and older who presented to one of two urban EDs after a fall were randomized to usual care or a multidisciplinary fall prevention intervention. Intervention patients received care by a team of pharmacists and physical therapists who provided medication therapy management and a fall risk assessment. The data suggest that intervention patients did not have a prolonged ED length of stay and patients, caregivers, and clinicians were highly satisfied with the intervention. This work establishes that fall prevention interventions can be started in the ED without impairing ED operations and patients and caregivers would embrace care directed at preventing recurrent falls.
Short Bio: Dr. Goldberg is an Associate Professor of Emergency Medicine and Health Services, Policy & Practice at Brown University. She completed her internship, residency, and chief residency at Brown University. She is a graduate of a post-doctoral research fellowship in aging (AHRQ T32) and obtained a Master of Epidemiology in 2017. Her research interests lie at the intersection of aging and emergency medicine. She is the principal investigator of a National Institutes of Health-funded fall prevention study for older adults in the emergency department (GAPcare-the Geriatric Acute and Post-Acute Fall Prevention Intervention). She is currently investigating whether the Apple Watch could be used to monitor health and track fall outcomes in older adults.
Previous AGEM Author Spotlight Articles
January 2020
Concepts in Practice: Geriatric Emergency Departments.
Southerland LT , Lo AX , Biese K , Arendts G , Banerjee J , Hwang U , Dresden S , Argento V , Kennedy M , Shenvi CL , Carpenter CR . Ann Emerg Med. 2020 Feb;75(2):162-170.
November 2019
Ouchi, K. et. al. (2019) JAMA Network Open .
August 2019
Managing the Elderly Emergency Department Patient
Shenvi, C. L., & Platts-Mills, T. F. (2019) Annals of Emergency Medicine.
February 2019
Exploring Older Adult ED Fall Patients' Understanding of Their Fall: A Qualitative Study.
Shankar KN, Taylor D, Rizzo CT, Liu SW. Geriatric Orthopaedic Surgery & Rehabilitation.
2017 Dec;8(4):231-237
November 2018
Common Medication Management Approaches for Older Adults in the Emergency Department.
Dresden SM, Allen K, Lyden AE. Clinics in Geriatric Medicine.
2018 Aug;34(3):415-433
April 2018
Telephone Followâ€Up for Older Adults Discharged to Home from the Emergency Department: A Pragmatic Randomized Controlled Trial
Biese KJ, Busby-Whitehead J, Cai J, Stearns SC, Roberts E, Mihas P, Emmet D, Zhou Q, Farmer F, Kizer JS.
Journal of the American Geriatrics Society. 2018 March; 66(3): 452-458
March 2018
An Emergency Department Observation Unit Is a Feasible Setting for Multidisciplinary Geriatric Assessments in Compliance With the Geriatric Emergency Department Guidelines
Southerland LT, Vargas AJ, Nagaraj L, Gure TR, Caterino JM. Academic Emergency Medicine.
2018 Jan; 25(1): 76-82
February 2018
Geriatric Emergency Department Innovations: Transitional Care Nurses and Hospital Use
Hwang U, Dresden SM, Rosenberg MS, Garrido MM, Loo G, Sze J, Gravenor S, Courtney DM, Kang R, Zhu CW, Vargas-Torres C, Grudzen CR, Richardson LD; GEDI WISE Investigators
January 2018
Major trauma in the older patient: Evolving trauma care beyond management of bumps and bruises
December 2017
Emergency Department Pain Management Following Implementation of a Geriatric Hip Fracture Program
Casey SD, Stevenson DE, Mumma BE, Slee C, Wolinsky PR, Hirsch CH,
Tyler K
November 2017
Emergency Medical Services Perspectives on Identifying and Reporting Victims of Elder Abuse
Rosen T; Lien C, Stern ME, Bloemen EM, Mysliwiec R, McCarthy TJ, Clark S, Mulcare MR, Ribaudo DS, Lachs MS, Pillemer K, Flomenbaum NE
October 2017
Discrepancies between information provided and information required by emergency physicians for long-term care patients
Evans CS; Timothy Platts-Mills, MD, MSc; Fernandez AR; Grover JM; Cabanas JG; Patel MD; Vilke GM; Brice JH
September 2017
Discrepancies between information provided and information required by emergency physicians for long-term care patients
Parshar R, McLeod S,Don Melady, MSc, MD,
August 2017
The Effect of Older Age on EMS Use for Transportation to an Emergency Department
Manish N. Shah, MD, MPH; Jones CMC; Wasserman EB, Li T, Amidon A, Abbot, M
July 2017
Serious conditions for ED elderly fall patients: a secondary analysis of the Basel Non-Specific Complaints study
Shan W. Liu MD, SD; Jiraporn Sri-On MD, Gregory Philip Tirrell MS, Christian Nickel MD, Roland Bingisser MD
June 2017
Accuracy of Current Diagnostic Criteria for Acute Bacterial Infection in Older Adults in the Emergency Department
Jeffrey Caterino, MD; Robert Leininger, MD; David M. Kline, PhD; Lauren T. Southerland, MD; Salman Khaliqdina, MBBS; Christopher W. Baugh, MD, MBA; Daniel J. Pallin, MD, MPH; Kurt B. Stevenson, MD, MPH
May 2017
Factors Associated with Hospital Admission for Older Adults Receiving Care in U.S. Emergency Departments
Alexander X. Lo, MD, PhD; Kellie L. Flood, MD; Kevin Biese, MD, MAT; Timothy F. Platts-Mills, MD, MSc; John P. Donnelly, MSPH; Christoper R. Carpenter, MD, MS
April 2017
Emergency Department Visits Without Hospitalization Are Associated With Functional Decline in Older Persons
Justine M. Nagurney, MD; William Fleischman, MD, MHS; Ling Han, MD, PhD; Linda Leo-Summers, MPH, Heather G. Allore, PhD; Thomas M. Gill, MD
Improving Pain Relief in Elder Patients (I-PREP): An Emergency Department Education and Quality Intervention
Teresita M. Hogan, MD; Michael D. Howell, MD; John F. Cursio, PhD; Alexandra Wong, BA; William Dale, MD
March 2017
Exploring Delirium's Heterogeneity: Association Between Arousal Subtypes at Initial Presentation and 6-Month Mortality in Older Emergency Department Patients
Jin H. Han, MD, MSc; Nathan E. Brummel, MD, MSCI; Rameela Chandrasekhar, PhD; Jo Ellen Wilson, MD; Xulei Liu, MS; Eduard E. Vasilevskis, MD, MPH; Timothy D. Girard, MD, MSCI; Maria E. Carlo, MD; Robert S. Dittus, MD, MPH; John F. Schnelle, PhD; E. Wesley Ely, MD, MPH
December 2016
Feasibility of nurses measuring gait speed in older community-dwelling Emergency Department patients
Paula W. Tucker, DNP, FNP-BC; Dian Dowling Evans, PhD, FNP-BC, ENP-BC, FAANP; Carolyn K. Clevenger, DNP, RN, GNP-BC, AGPCNP-BC, FAANP; Michelle Ardisson, DNP, RN, ACNP-BC; Ula Hwang, MD, MPH, FACEP
October 2016
Effect of Geriatric-Specific Trauma Triage Criteria on Outcomes in Injured Older Adults: A Statewide Retrospective Cohort Study
Jeffrey M. Caterino, MD, MPH; Nicole Brown, MS; Maya W Hamilton, BA; Brian Ichwan, MD; Salman Khaliqdina, MBBS; David C. Evans, MD; Subrahmanyan Darbha, MS; Ashish R. Panchal, MD, PhD; Manish N. Shah, MD, MPH
October 2013
Geriatric Department Guidelines
Mark S. Rosenberg, DO, MBA, FACEP, Christopher R. Carpenter, MD, MSc, FACEP, Marilyn Bromley, RN, BS, Jeffrey M. Caterino, MD, MPH, FACEP, Audrey Chun, MD, Lowell Gerson, PhD, Jason Greenspan, MD, FACEP, Ula Hwang, MD, FACEP, David P. John, MD, FACEP, Joelle Lichtman, MA, William L. Lyons, MD, Betty Mortensen, RN, MS, BSN, FACHE, Timothy F. Platts-Mills, MD, MSc, Luna C. Ragsdale, MD, MPH, FACEP, Julie Rispoli, David C. Seaberg, MD, CPE, FACEP,
Scott T. Wilber, MD, MPH, FACEP