Geriatrician. Jazzed about frailty research since 2008. Canadian. @MRCLHA. @dalhousieU. former @brownuniversity. tweets my own (he/him)
Joined July 2016
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The more voices, the better!
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“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.
Sam retweeted
"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.
➡️ cmaj.ca/lookup/doi/10.1503/c…
@CVarnerEmerg @drandrewb @AndreasLaupacis
ALT To restore human dignity in health care — to properly address the barriers experienced by patients and the moral distress of health providers — structural factors causing health disparities must be confronted as policy failures, not personal ones.
Sam retweeted
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: nshealth.ca/news-and-notices…
Sam retweeted
Today is World Delirium Awareness Day! Colleagues and volunteers across the province are screening inpatients for signs of delirium. Go team! #WDAD24 @SearleDoc @HealthNS
We are hopeful that >1500 Nova Scotians in hospital will be screened for delirium today.
#WDAD2024
@DalhousieU
@GeriatricMedRes
“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
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
Sam retweeted
How to construct a frailty index from an existing dataset in 10 steps. pubmed.ncbi.nlm.nih.gov/3812… 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.
I’m sorry…. What is ‘Excited Delirium’. Hyperactive delirium?
Is that the coroners’ point?
Either way…. Delirium is a medical emergency
cbc.ca/news/health/coroners-…
High quality research at Divisions of Neurology and Neurosurgery research day.
It was my pleasure judging resident and other learner projects
@research_dal
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
Sam retweeted
“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.
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
Sam retweeted
Proud to publish our first article @DeliriumJournal
Reporting Essentials for Delirium Biomarker Studies (REDEEMS) guidelines
@IngridAmgarthD Annmarie Hosie @GideonCaplan @meera_agar
deliriumjournal.com/article/…
Sam retweeted
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-
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
Sam retweeted
Congratulations to @cm_jasmine for placing first in the #Dal3MT competition yesterday! Way to go Jasmine! 👏
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! 👏
Everything after ‘Plus’ should be what NSH/Government consider. #frailty
Sam retweeted
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
bmcgeriatr.biomedcentral.com…
