The reality of #REBOA at a large trauma center. Access remains difficult & did not change outcome - 2 failed attempts and 1 successful deployment who died on POD1. Finding the right patients remains difficult. Thoughts @ResusOne #FOAMed #FOAMems onlinelibrary.wiley.com/doi/epdf/10.11…

Today I saw a patient who is identified as a falls risk in hospital. She is told to never get up without calling for help, has a bed alarm and all 4 rails up in bed. She has her meals and pills brought to her bed and is assisted with her adls. Tomorrow she is going home, alone.

Navigating COVID-19 as a Hospice and Palliative Care Professional – AAHPM Blog aahpmblog.org/articles/navig…

Here is a valuable decision support tool for older people with COVID. It relies on an assessment of frailty using CFS and a frank discussion of goals of care — 2 things Emerg docs need to incorporate into every assessment.CAEP Howard Ovens @thomringer ACEP Geriatric Sect

#COVID19 can be fatal for all ages but mortality is higher in #GeriED older adults. On Monday March 30 at 2PM #GEDC will host a webinar at zoom.us/j/138698471 reviewing unique considerations for this population. If you cannot join, video archived at gedcollaborative.com/event/webinar-…

I want to highlight some people who are truly going above & beyond. Some wonderful Mayo Clinic employees are staffing our outdoor drive through #COVID testing areas. It’s 26F & sleeting. thank you 🙏🏽 #medtwitter #nursetwitter #medstudenttwitter #HeroesOfCovid19

An infographic with key messages for #GEM specific recommendations during #COVID19 ACEM ACEP Geriatric Sect Don Melady EOL Essentials Christian H. Nickel Canadian Geriatrics British Geriatrics Society @DrcarolynH The Geriatric Emergency Department Collaborative Geriatric EM Podcast

Delirium is common presenting sign of COVID - 56% fever, 51% SOB, 50% cough, 28% had delirium. Sometimes in the absence of “Classic signs.” Should be a standard part of diagonostic algorithm. JAMA Netw Open. 2020 doi:10.1001/jamanetworkopen.2020.29540 #AGS21

Just the facts: Diagnosis & treatment of UTIs in older adults by Rob Woods (he/him) Rebecca Schonnop Sarah Henschke @BrittJEllis link.springer.com/article/10.100… When should you send urine for elderly pts? Should it always be sent if confused? How about catheters? All your answers in this great JTF!

Screening for geriatric conditions at the Medicare Annual Wellness Visit (AWV) results in more tests and referrals but doesn't change high-risk prescribing. Having more than one AWV increases advance directive uptake slightly. #geriatrics agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg…

Read our latest #JGEM article discussing the unmet needs and social challenges for #OlderAdults during and after #COVID19 and recommendations for specific assessment and intervention strategies. gedcollaborative.com/jgem/unmet-nee…

New February AGEM Author Spotlight *Lucas Oliveira J E Silva: REcognizing DElirium in geriatric Emergency Medicine: The REDEEM risk stratification score* Congratulations to Lucas Oliveira J. e Silva (Lucas Silva) and coauthors! Mayo Clinic Emergency Medicine tinyurl.com/nhfp34dp

@mfbellolio The Geriatric Emergency Department Collaborative Neha Raukar MD MS CAQSM Jessica Stanich Lucas Oliveira J. e Silva (Lucas Silva) Mayo Clinic Emergency Medicine Heidi Lindroth The Knowledge Translation Pipeline highlights "able" as one prominent "leak" between what we know & what we do. As noted in JAGS agsjournals.onlinelibrary.wiley.com/doi/10.1111/jg… another pitfall unmentioned is #EBM uncertainty re: what works to prevent/treat #GeriED #delirium The Geriatric Emergency Department Collaborative American Delirium Society

5 To-do list don'ts. A functional system to manage your projects and tasks can save you heartache, missed deadlines, and mental overwhelm. These are the first 5 don'ts to help you in your quest for a working system. timeforyourlife.org/2022/04/24/to-…

Matthew Hamilton of Mayo Clinic Emergency Medicine our Resident Abstract Award Winner discussing high risk older adult falls associated with 30 day mortality in the ED #SAEM22 SAEM Congrats Matthew! @mfbellolio Jessica Stanich

2/3 of EM docs under-diagnose #delirium, and 90% of older patients present with hypoactive delirium, ever wondered why that patient is falling asleep when you talk to them in the busy #ED? 🧐 Don Melady Maura Kennedy Kevin Biese SAEM #SAEM22

SAEM’s FOAM Showcase Voting @EmergenctArt with ArtOfEmergencyMedicine.com 1 point for a like, 3 points for a RT, 5 points for a comment. Voting is open until Thurs 5/19 at midnight - final winner Friday AM! #FOAMed #FOAMShowcase22 #SAEM22 Ali S. Raja, MD Seth Trueger Lauren Westafer, DO MPH MS Aalap Shah

Excellent talk SAEM #SAEM22 from Jessica Stanich of Mayo Clinic Emergency Medicine regarding delirium and fall risk, found that 88% of falls in patients 75+ had #delirium. How do we better identify high risk pts in the #EmergencyDepartment?

ED #delirium associated with higher 30 day mortality in #geriatric patients. Maybe we should call #delirium acute brain failure, it is clearly a huge prognosticator in the ED. Thank you Lucas Oliveira J. e Silva (Lucas Silva)! Mayo Clinic Emergency Medicine Jessica Stanich @mfbellolio #SAEM22 SAEM

#delirium is present in 10% of older ED patients. It is an acute medical emergency, yet often goes unrecognized. This #JGEM article outlines common pitfalls in delirium screening and tips to improve identification of the high-risk condition #medtwitter gedcollaborative.com/jgem/pitfalls-…