Un joli optimist par brise légère, magnifique

Jodie Foster…elle parle français de ouf.

Essayez de dire squirrel sans que personne de se marre…. Allez-y

A quote card by Scott Galloway that says: "If you have an endowment over a billion dollars and you aren’t growing your freshman class size faster than the population, I think you should lose your tax-free status."

My thoughts on higher ed.

I nominate this cartoon by Steve Cousineau for a Pulitzer!

How do you plan to address the necessary education of the practitioners? Literature reveals reported rates under evaluating the burden of the disease; not to mention hypoactive delirium that flies under the radar. It’s a system issue.

Emergency Department (ED) staff: screen ALL patients over 65 for delirium.

Emergency departments are where it's most missed and most dangerous.

Make it as routine as checking blood pressure.

Hypoactive #delirium is often missed. It can be mistaken for simple sleepiness, or glossed over as "old age."

Look for unexplained inattention, withdrawal, slow responses, limited speech.

Drivers can expect another gas price surge this week The average price for a gallon of gas in Minnesota was $3.25 on Monday morning, according to AAA.

Minnesotans can’t afford the Trump economy.

www.startribune.com/oil-prices-f...

When delirium causes hallucinations, they're not "just seeing things"

The picture is Redon's L'Araignée souriante (The Smiling Spider), 1881.

People who experienced delirium often state that these experiences were genuinely terrifying for them - "terror like you wouldn't believe."

#Delirium

4AT - Rapid Clinical Test for Delirium Detection 4AT: rapid assessment test for delirium detection. Designed by Alasdair MacLullich (University of Edinburgh), Tracy Ryan and Helen Cash (NHS Lothian). Used in clinical care by doctors, nurses, occupational therapists and other healthcare professional

Made the 4AT #delirium assessment tool with 2 colleagues in 2011 to help improve the rates of detection in my hospital at the time. Also made a website - www.the4AT.com - to help with dissemination.

Pleased to say it has now been widely adopted & has a large evidence base.

A Christmas present from @drjrubenstein.bsky.social & Dr Tammy Pegg.
If we talk clearly about the end of life, we put those frantic & unlived moments of unhelpful #CPR into context so their futility is clear.
CPR is fantastic first aid in a crisis. Ordinary dying isn't a crisis.
Talk about it.

Souhaitons tous un excellent anniversaire à Nicolas Sanson, cartographe 🇫🇷 né un 20 déc. 1600. Historien, géographe de Louis XIII, il a révolutionné la cartographie en introduisant une précision inédite et une représentation géographique et scientifique, influençant durablement la discipline.

A positive delirium screen should trigger diagnosis and care.

When it doesn’t - we haven’t actually helped the patient and their family.

We’ve created a bureaucratic fiction, not better care.

🚨The courage, the honor, the truth and candor missing from the U.S. government in this moment has one unadulterated Congressperson who is standing up to the lies: Senator Mark Kelly. Spread this message, this truth, this courage.

Towards a dedicated quality of recovery scale for regional anaesthesia

#AnSky #MedSky #RASky

doi.org/10.1111/anae...

Some studies show that in some undergraduate degrees nurses get no formal #delirium training.

For an emergency that affects 1 in 6 hospital patients.

Help me understand why this is.

Examples of solutions have existed for several years (eg @iownhs.bsky.social ambulance service, @nhswalesexecutive.bsky.social Wales ambulance service) so why are these not being taken up by other areas?

Did you know that if you show up to work in a pair of scrubs and a fleece for a day of palliative consults no one will say anything and it’s very comfortable and much easier?

The French hen in St. Paul

They may not want to hear it, and it may incense them, but the parallels between what the Nazis did then, and what Trump and MAGA are doing today, are striking, chilling—and as any expert on authoritarianism will tell you, straight out of the same toxic, but dog-eared, playbook.

Good morning everyone.
I’m at the #BGSconf this morning talking about delirium.
Caught @cswarbrick1’s excellent talk on the impact of delirium and the results of Snap3.

Delirium increases length of stay, mortality and all complications.

If your patient has delirium post op, they usually have some other complication too. Check for infection, thrombosis etc, but also think “is this patient bleeding?”

Trump Truth social post: “I love the smell of deportations in the morning…” Chicago about to find out why it’s called the Department of WAR 🚁🚁🚁

Take off that Cavalry hat, you draft dodger.

You didn’t earn the right to wear it.

Stolen valor at its worst.

“Make your calls. Go to your town halls. Ask your state and local officials what they are doing under state and local law. Rest. Hydrate. Make soup for the hungry. Don’t let people tell you that you’re doing it wrong… Not a marathon. A relay. Find your team. Thank you.”
@dahlialithwick.bsky.social

"Just a bit muddled" - avoiding saying "delirium" - doesn't cut it.

It's unprofessional.

Use the right word: DELIRIUM.

#delirium

What are her goals of care? How to you present your case if she decides that, indeed, aggressive care is her choice and do you address the potential complications conversation?

STAGGERING: This new study of 133 countries is the first to estimate the impact of all USAID’s work. In 2 decades, it has saved *92M* lives. Current cuts, if not reversed, are forecast to cost up to *14M* lives thru 2030. www.thelancet.com/journals/lan...

No