Reimbursement and Costs of a Geriatric Nurse Practitioner in a High-Volume Emergency Department. #geriatrics https://agsjournals.onlinelibrary.wiley.com/doi/10.1111/jgs.70523

Together with Marie Curie UK, we are pleased to announce the award of two research grants worth more than £30,000. These will fund projects aimed at improving palliative and end of life care in Emergency Departments. Read more in the link below.

Happy🎂to the control chart b #OTD 1924. The brainchild of Walter Shewhart (ASA Fellow 1934; ASA President 1945) it first shows up in a 1-page memo to his boss. It eventually launches the entire field of statistical process control & quality improvement.

Unearthed reports reveal that RFK Jr. fired every full-time CDC cruise ship sanitation inspector ahead of the Hantavirus cruise ship outbreak. www.cbsnews.com/news/cdc-cru...

Live from São Paulo: Brazilian geriatricians join GeriPal to discuss intrinsic capacity, loneliness as a medical syndrome, and advance care planning. Guests Eduardo Ferriolli, Marlon Aliberti, & Edison Vidal. 👉 Post: bit.ly/GeriPalEp401 😀 Hosts: Drs. Alex Smith and Eric Widera

If you paid taxes for 2025, you likely paid: $124 — school lunch & nutrition programs $49 — diplomacy to prevent wars $19 — USPS $19 — Federal Aviation Administration $18 — national parks and $4,049 — weapons and war. These priorities are hurting us all. We need change. #TaxDay

I'm seeing lots of scientific conference panels get criticism for not featuring diverse speakers on the panel. As a frequent conference organizer, here's some advice on how to avoid getting criticized for not having diverse speakers on your panel: 1) Feature diverse speakers on your panel.

12/25

“NIH” put out a memo about how they are making a “concerted effort” to support Early Stage Investigators (ESI). In the data presented, there is a decrease in funding rates from 26.1% in ‘24 to 18.9% in ‘25. Median age of ESIs stayed flat at 40. grants.nih.gov/news-events/...

another year of us not running a super bowl ad

“ @acepnation.bsky.social opposes federal and state initiatives which require physicians and health care facilities to refuse care to undocumented persons or to report suspected undocumented persons to immigration authorities. ERs are required by federal law to provide stabilization to all persons”

12 Days of Urgent Care 12 subjective fevers 11 requests for Z-paks 10 sore throats 9 STI checks 8 pulling ears 7 coughs a coughing 6 chronic knee pains FIVE UTI’S 4 angry co-pays 3 finger lacs 2 ankle sprains AND A 65 YEAR OLD WITH A STEMI

Emergency Medicaid accounts for less than 1% of total #Medicaid spending, even in states with large undocumented populations. ja.ma/4b6fYng

Closing out my year with a journal editor shocker 🧵 Checking new manuscripts today I reviewed a paper attributing 2 papers to me I did not write. A daft thing for an author to do of course. But intrigued I web searched up one of the titles and that's when it got real weird...

The White House claims the vote to rename the Kennedy Center was “unanimous.” That is false. I was muted on the call and denied the opportunity to speak or register my opposition. That is not consensus. That is censorship.

ACEP is deeply concerned by this week's CDC panel vote to stop recommending hepatitis B vaccines for all newborns. Families deserve vaccine information grounded in science. We urge the CDC to retain the current evidence-based approach. 🔗 below for more. https://bit.ly/48CPKG6

Are you an early-stage physician or health professional investigator with a commitment to aging and/or aging-related diseases? The Beeson award is designed to advance your research and leadership skills. Learn more: www.grants.gov/search-resul... #delirium @nidus-delirium.bsky.social

Nicely done study by my colleague Pedro Curiati and others out of São Paulo- if an older patient needs assistance with ambulatory, give them a walker and training! Walking Aids and Locomotion Training in the Emergency Department url: jamanetwork.com/journals/jam...

I am not kidding when I say that I have considered having an Adulting Party where we all fill out medical advanced directives and witness each others' wills and make sure we've got beneficiaries listed on our bank accounts and the like.

Reports of a suspected viral hemorrhagic fever in Ethiopia: 8 suspected cases, including 2 healthcare workers, and 6 deaths. HCW infections raise concern for direct person-to-person spread or a shared exposure source. www.afro.who.int/news/ethiopi... www.addisinsight.net/2025/11/13/s...

So... I did some analysis of grants that did receive noncompetitive renewals. In particular, I looked a those award where the title of the grant changed. Warning: The results are just what I expected, but oooph... 1/4

What is an @saemonline.bsky.social #AEMP RxSTAT Chapter? Your campus hub for emergency medicine pharmacy. Connect with #EMPharmD, get hands-on programming, and lead locally with national support. Contact [email protected] for more information on chapter registration! #PharmD #EmergencyMedicine

In the ER, I see the suffering that results from policy decisions — people sick and injured because our policies don't value our lives. I’m running for Congress to change that. Join me in building a government that heals: thomasfisherforcongress.com

I've had an opportunity to do a structured critical appraisal of the unpublished Henry Ford obs study comparing vax vs unvax using a tool to probe the evidence for its validity & mitigate bias. Here are my thoughts & I welcome feedback. @casinoshiftmd.bsky.social #MedSky @caulfieldtim.bsky.social

I don’t post often, but out in the US somewhere is a young man who donated bone marrow cells to my sister and she is doing really well after the transplant and may get out of the hospital early! Thank you so much for saving her life! #kindness

The changes at CDC are alarming and threaten our nation’s public health infrastructure. Adding preventable stress to our health care system is unacceptable. Read the joint statement from leading physician organizations via the link below. 🔗 https://bit.ly/3V1KMMX

New work out in JAGS (@agsjournal.bsky.social) today led by Sarah Nessen and Anita Chary: Nurse or Technician Insights Into Cognitive Evaluations in the Emergency Department dx.doi.org/10.1111/jgs....

Breaking news: The Supreme Court has cleared the way for the Trump administration to cut nearly $800 million in National Institutes of Health grants for the study of diseases in minority, gay and transgender communities.

A JAMA study examined how US children’s health across a broad spectrum of indicators has changed from 2007 to 2023. Lead author Christopher B. Forrest, MD, PhD, from @childrensphila.bsky.social shared key insights from the findings with several media outlets. 🧵 ja.ma/44NrNKz #MedSky

In a democracy, government employees can voice respectful dissent to their leadership. But today, EPA leadership retaliated against its own employees for expressing disagreement w/ the admin’s actions & policy directions. Punishing gov't employees for this expression is an alarming development. 🧵

It is ironic that they cut the budget for nursing homes so they could increase the budget to arrest many of the people who work in nursing homes. A bit overkill on the nursing home attacks, really.

For older adults, the longer someone stays in the emergency department, the worse the experience can get for them, with higher risks of delirium and death. jamanetwork.com/journals/jam...

New work on nursing and tech perspectives on cognitive impairment screening in the ED, led by Penn CECPR Fellow Sarah Nessen, and in collaboration with Baylor EM's Anita Chary and others: agsjournals.onlinelibrary.wiley.com/doi/10.1111/...

The democracy that's being dismantled is our American democracy. The research and medical and educational institutions that are being destroyed are American institutions. Not uniquely American, but they're American. I'm an American, and this is my country they're breaking. It's okay to say that.

Some reasons I signed the #BethesdaDeclaration: 1️⃣ I couldn’t be complicit in harming people anymore 2️⃣ I want my kids to see how to stand up to bullies 3️⃣ They are coming for us anyway - keeping our heads down won’t save us. Why did you sign? actionnetwork.org/forms/add-na...

In Ancient Greece, #delirium was known as "phrenitis," a term coined by Hippocrates. "... the patient may leap from their bed, speak wildly of unseen terrors."

Most school shooters don’t get guns from strangers. They get them from home. We can change that—by locking up firearms and demanding safe storage. Because one locked gun could save a life. #ProtectOurChildren Do you own a gun? ✅ Lock It Up. ✅ Store Ammo Separately.

1/ 🚨 ED care transitions are critical for older adults, but no standardized tools have been available to measure patient-reported outcomes. Here we share the development and validation of the PROM-OTED tool to address this gap. Access in @aem-journal.bsky.social: pubmed.ncbi.nlm.nih.gov/40155783/

OSU banned departments from considering race in admissions two years ago -- we aren't allowed to know applicants' races, and diversity (of any kind) was removed from all rubrics. So to come after us now shows how useless & futile it is to comply.

New report shows that NIH grants fueled $95 billion in economic activity and 407,782 jobs in 2024. That's not to mention the countless lives that biomedical research has saved. Show me a better investment than that. www.forbes.com/sites/michae...

Just got an email from the Fulbright Association. As of right now, funding has been cut off to 12,500 US citizens currently abroad and and more than 7,400 foreigner scholars and students in the United States

Proud of our largest emergency medicine organization, ACEP, for advocating for scientific research and NIH funding #acep #medicalresearch www.acep.org/news/acep-ne...

My Lenten theme this year: “Get into good trouble” - Sen. John Lewis

Yep. I am having trouble as well...

Nice paragraph here about the importance of NIH funding. From 200-2019, 386/387 new medications approved by the FDA were at least partially funded by NIH research. www.theguardian.com/us-news/2025...

and for those of you who enjoy clean water AND words, might we suggest sewerdle.neorsd.org

🧵 If you’re applauding the abolishment of the Department of Education, you need to do a little research. You have ZERO clue what the DOE actually does. Here’s a reality check on what the Department of Education actually does: (1/14)

5. Finally - Every dollar spent by taxpayers on NIH grants brings approx $2.50 in immediate economic returns 🤷‍♀️ never mind the longer term benefit of science & innovation. It’s made possible through infrastructure supported by indirects. This Friday night decision will (yet again) hurt Americans.

February Spotlight featuring: Justine Seidenfeld, MD, MHS Risk factors/stratification approaches for delirium screening: a geri ED guidelines review Co-authors: Dr. Sangil Lee, Dr. Luna Ragsdale, Dr. Christian Nickel, Dr. Shan Liu, Dr. Maura Kennedy shorturl.at/Pol6F @saemonline.bsky.social

BREAKING NEWS: CDC orders mass retraction and revision of submitted research across all science and medicine journals. Banned terms must be scrubbed. Goes beyond MMWR +other CDC pubs. Applies to research already submitted to top medical journals. Take a look. open.substack.com/pub/insideme...