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Sam

@SearleDoc

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Geriatrician. Jazzed about frailty research since 2008. Canadian. @MRCLHA. @dalhousieU. former @brownuniversity. tweets my own (he/him)

Joined July 2016
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@SearleDoc
Sam
1 year
The more voices, the better! See below for a study in which I am collaborating: Complete a 30-minute questionnaire on well-being and healthcare delivery and you could win an iPad! Click here to find out more! >>>
heresearch.ca
Get involved in Project ADDING HEAT! I’m part of a team working to find ways that the health system in Nova Scotia can be made better. We plan to do this by looking at the well-being of people living...
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@SearleDoc
Sam
2 years
“A more fulsome review of delerium investigation, management, next frontiers would have been more appropriate for this target audience, as this was a very basic review for DoM rounds” Sounds like we needed to get back to the basecs… I mean basics.
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@CMAJ
CMAJ
2 years
"Socially admitted" patients are not to blame for inadequate home care, unavailable long-term care, or a lack of access to secure housing means managing a chronic condition in the community is impossible. ➡️ https://t.co/ehpE1eqKRZ @CVarnerEmerg @drandrewb @AndreasLaupacis
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@HealthNS
Nova Scotia Health
2 years
Each year on March 13, on Delirium Awareness Day, we recognize the affect delirium can have on patients, families and caregivers. Read about one Nova Scotia Health nurse practitioner’s journey to improve delirium recognition, prevention and recovery: https://t.co/8DqWiL6jkm
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@GeriatricMedRes
Geriatric Medicine Research (GMR)
2 years
Today is World Delirium Awareness Day! Colleagues and volunteers across the province are screening inpatients for signs of delirium. Go team! #WDAD24 @SearleDoc @HealthNS
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@SearleDoc
Sam
2 years
We are hopeful that >1500 Nova Scotians in hospital will be screened for delirium today. #WDAD2024 @DalhousieU @GeriatricMedRes
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@SearleDoc
Sam
2 years
“Medically stable” Nova Scotians who are in hospital screen positive for delirium at least as much as medically active patients #WDAD2024 @Doctors_NS @alzheimerssoc @CanGeriSoc
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@SearleDoc
Sam
2 years
It doesn’t matter what service you are admitted under in Nova Scotia: 1 in 5 Nova Scotians are delirious in hospital @Krockdoc @NSHealthHub @DalhousieU @DalMedSchool
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@SearleDoc
Sam
2 years
#WDAD2024 Screening Nova Scotian inpatients today for delirium Last year: 1 in 5 Nova Scotians delirious in hospital Two years ago: 1 in 5 Nova Scotians delirious in hospital Three years ago: 1 in 5 Nova Scotians delirious in hospital
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@Krockdoc
Kenneth Rockwood
2 years
How to construct a frailty index from an existing dataset in 10 steps. https://t.co/oXDjIYwmL7 This is an update of what we’ve learned about constructing a frailty index since Sam Searle’s classic BMC Geriatrics 2008 “standard procedure” paper.
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@SearleDoc
Sam
3 years
I’m sorry…. What is ‘Excited Delirium’. Hyperactive delirium? Is that the coroners’ point? Either way…. Delirium is a medical emergency
Tweet card summary image
cbc.ca
A major shift is underway in the medical community's thinking about the contentious diagnosis of excited delirium, and medical examiners and coroners across Canada and the U.S. are starting to reject...
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@SearleDoc
Sam
3 years
High quality research at Divisions of Neurology and Neurosurgery research day. It was my pleasure judging resident and other learner projects @research_dal
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@SearleDoc
Sam
3 years
Please Be AWARE Last year 22% of admitted Nova Scotians were delirious >1100 screened in 1 day 1 in 4 #WDAD @NSHealthHub @DalhousieU @CFN_NCE
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@Krockdoc
Kenneth Rockwood
3 years
“The introduction of frailty screening on admission has enabled our perioperative service to proactively identify frail patients who are able to benefit from a comprehensive geriatric assessment.” Benefits of CGA are risk assessment and care plans that mitigate routine hazards.
@Vrichmond1
Victoria Richmond
3 years
So proud of our small but mighty surgical acute frailty team! Showing how CFS scoring helps identify patients for full CGA as part of their emergency surgical admission. Abstract 86 @EBPOM #EBPOM22 world congress 2022. @NHSTayside @CPOC_News @Krockdoc
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@Krockdoc
Kenneth Rockwood
4 years
Why junior clinicians might try scoring the CFS in Emerg: 1) understand disease severity (if this confused person who can’t sit up was walking to work last week, they’re likely v ill, might well need ICU; don’t wait for low bp, low SpO2 to diagnose sepsis) 2) to help set patient-
@joncheah
Jonathan Cheah 🚢
4 years
is it feasible and worthwhile to do frailty screening via CFS in the emergency department by junior clinicians ? @Krockdoc brainstorming how will this help our ED. ? ICU referrals ? Non invasive ventilation ?appropriate Short Stay admissions @MyaCubitt @ReeDebbie @geriatricsdoc
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@GeriatricMedRes
Geriatric Medicine Research (GMR)
4 years
Congratulations to @cm_jasmine for placing first in the #Dal3MT competition yesterday! Way to go Jasmine! 👏
@DalGradStudies
Dal Grad Studies
4 years
Announcing the top three finishers in tonight's #Dal3MT finals: 🥇Jasmine Mah, PhD in Medical Research Graduate Program 🥈Tommy Davies, PhD in Agriculture 🥉Adam Sunavsky, MSc in Medical Neuroscience Congratulations, and thanks to everyone who took part! 👏
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@SearleDoc
Sam
4 years
#delirium isn’t normal, even if you’re old. “Recently” a medical subspecialty fellow finishing their program examined my inpatient in consult for their specialty. “Exam: N Cognition” #4AT+ MMSE: 17/30
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@SearleDoc
Sam
4 years
Everything after ‘Plus’ should be what NSH/Government consider. #frailty
@KentBlaine
Blaine Kent
4 years
@Tim_Bousquet @dartjenhen And the staff is going to come from where exactly? Plus…can only do “healthy people”…which is a very small portion of those who need surgery.
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@IPTOPphysio
IPTOP
4 years
The PT can choose specific scales to monitor motor functions and basic mobility in people with delirium such as the Tinetti Scale, the de Morton Mobility Index (DEMMI), the Short Physical Performance Battery (SPPB), and the HABAM scale #WDAD2022 https://t.co/fJjolkGPAw
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