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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.* pubmed.ncbi.nlm.nih.gov/32531089

#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! abstractscorecard.com/cfp/submit/log…

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.

I'll retweet this every time it is posted! Marisha Burden, MD, MBA Angela Keniston

imm_2023_news_thurs_april_27 - Dementia: read.nxtbook.com/customnews_inc…

Boston doctor Lindsey Ulin, MD Brigham and Women's Hospital urges FAA to change #EpiPen policy after terrifying mid-flight reaction ow.ly/9MxY50NYLzW WCVB-TV Boston

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.

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

'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.' 📍Journal of Hospital Medicine: bit.ly/3VErpsA Martin Kaminski Harvard Macy #MedEd

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)

Rachel Alter, MD MPH 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!

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 nytimes.com/2023/03/14/wel…

"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" - jamanetwork.com/journals/jamai…

A long time coming!! TY Rochelle Walensky, MD, MPH Robbie Goldstein (he/him) MGH Division of Infectious Diseases MGH Division of General Internal Medicine Mass General MDs

Absolutely, this right here! 👇👇👇

Such an important #delirium fact.

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.

Ken Covinsky Miriam Johnson 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 academic.oup.com/ageing/article…