What is included in the treatment of amyotrophic lateral sclerosis (ALS) in the emergency department (ED)?

Updated: Nov 13, 2019
  • Author: Kathleen Clem, MD, FACEP; Chief Editor: Andrew K Chang, MD, MS  more...
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Answer

Answer

Patients initially are cared for symptomatically, and emotional support should be available to the patient and family. Discussion of a new diagnosis of ALS in the ED is inappropriate before further evaluation occurs.

If a living will or a declaration for a natural death is in place, keep patients comfortable and do not intubate.

Complications, such as infections, deep vein thrombosis, or respiratory insufficiency, should be managed appropriately.

Further information on the diagnosis of and treatment for ALS is available from the European Federation of Neurological Societies. [3]


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