Sam

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

[Sam @SearleDoc]

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! >>> https://t.co/gqKjrcx9dV

[Sam @SearleDoc]

“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.

[CMAJ @CMAJ]

"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

[Nova Scotia Health @HealthNS]

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

[Geriatric Medicine Research (GMR) @GeriatricMedRes]

Today is World Delirium Awareness Day! Colleagues and volunteers across the province are screening inpatients for signs of delirium. Go team! #WDAD24 @SearleDoc @HealthNS

[Sam @SearleDoc]

We are hopeful that >1500 Nova Scotians in hospital will be screened for delirium today.

#WDAD2024
@DalhousieU
@GeriatricMedRes

[Sam @SearleDoc]

“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

[Sam @SearleDoc]

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 @SearleDoc]

#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

[Kenneth Rockwood @Krockdoc]

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.

[Sam @SearleDoc]

I’m sorry…. What is ‘Excited Delirium’. Hyperactive delirium?

Is that the coroners’ point?

Either way…. Delirium is a medical emergency

https://t.co/OsfISenlDu

[Sam @SearleDoc]

High quality research at Divisions of Neurology and Neurosurgery research day.

It was my pleasure judging resident and other learner projects
@research_dal

[Sam @SearleDoc]

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

[Kenneth Rockwood @Krockdoc]

“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.

[Delirium Journal @DeliriumJournal]

Proud to publish our first article @DeliriumJournal

Reporting Essentials for Delirium Biomarker Studies (REDEEMS) guidelines
@IngridAmgarthD Annmarie Hosie @GideonCaplan @meera_agar

https://t.co/7nia14Qu5w

[Sam @SearleDoc]

@MaiaE2

[Camilla Wong 黃朗欣 🇨🇦 @camilla_wong]

Another year gone by. Time for the annual @UofT_DoM #delirium bootcamp. Please comment on draft and any missed noteworthy literature from last academic year (July 2021 to June 2022) on last page: https://t.co/Tr4qpjsLFt

@sharon_inouye @A_MacLullich @GeriInterestGp @EricWong_MD

[Kenneth Rockwood @Krockdoc]

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-

[Geriatric Medicine Research (GMR) @GeriatricMedRes]

Congratulations to @cm_jasmine for placing first in the #Dal3MT competition yesterday! Way to go Jasmine! 👏

[Sam @SearleDoc]

#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

[Sam @SearleDoc]

Everything after ‘Plus’ should be what NSH/Government consider. #frailty

[Blaine Kent @KentBlaine]

@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.