@geri_doc @MJJohnson_HYMS The HELP system to prevent delirium in hospitalised older people was adapted for use in the UK and tested in a large pilot study and reported in this 2020 paper https://t.co/y6CNAp7Twx

Early in my training, I was taught that delirium was a transient confusional state that usually resolved quickly This was wrong Delirium can take may days to resolve. If you discharge a patient who had delirium, they may be cognitively abnormal need significant caregiver help.

Such an important #delirium fact.

New systematic review of 8 RCTs of #delirium prevention. Conclusion: prevention works. NNT=12.5. No evidence of superiority of particular protocols. *Message: implement delirium prevention in context of local resources/systems.* https://t.co/P718cmjzR1

Absolutely, this right here! 👇👇👇

A long time coming!! TY @RWalensky @RobbieForChange @mgh_id @MGH_DGIM @MassGeneralMDs

"The Maelstrom of Medications—Optimization of Prescribing During the Course of Dementia" (JAMA IM 2023) - "In dementia, multimorbidity is the norm, and polypharmacy is exceedingly common" - https://t.co/uY4U16uKu2

Amazing. TY to this brave woman who said ENOUGH & is figuring out the pathophys of HG - and guess what? Like many things uniquely blamed on women - HG is NOT something one does to get attn or a sign of “sexual frigidity”!! #hyperemesis #pregnancy #HG https://t.co/keIV4ygzbQ

@RachelAlter007 Download the AirRx app. It makes me feel better to have a resource at hand bc medical emergencies on planes happened twice while I was a med student!

We are overprescribing gabapentanoids without evidence to support it and it leads to increased ADEs in older adults. #AGS23 year absolutely skewers gabapentin overprescribing (in the most musical way)

'Where is the sense in waking a suffering patient at dawn solely for the convenience of a pointless task? We believe that routine prerounds do not benefit patients or learners, & have real harms.' 📍@JHospMedicine: https://t.co/woMHTi9JkG @martinkaminski @HarvardMacy #MedEd

Riddle me this - In what context is it appropriate for a middle aged woman to be referred to as “Miss+First Name”? How about by a bank rep who is processing a sig transaction? Who sounds like he’s a ~32 yo M himself? #its2023

Across editions of the DSM, this criterion has met with a great deal of change and confusion. I think it's much easier to understand as "disturbance in thought clarity," similar to how it's featured in DSM-IIIR, CAM, and TMF criteria.

imm_2023_news_thurs_april_27 - Dementia:

Boston doctor @LindseyUlin @BrighamWomens urges FAA to change #EpiPen policy after terrifying mid-flight reaction https://t.co/klJSFDTVLK @WCVB

I'll retweet this every time it is posted! @marishaburden @KenistonAngela

Key take aways: ☑️Throughput (i.e., length of stay) was not improved in any analysis. ☑️Findings suggest it may be more effective to support clinicians to use clinical judgment to set priorities. This may include prioritizing dc's first or seeing sick patients first, etc.

#SHMConverge23 was incredible, in large part b/c the quality of the speakers & their content was off the charts! Want to speak at #SHMConverge24? Great, me too! Let’s get amongst it, click link below & we’ll send in our pitches! https://t.co/7kIYt2yR0z