Happy to share my most recent study! Among older adults presenting to the ED after a fall, 82.5% had potentially or likely inappropriate antithrombotic use—aspirin topped the list. agsjournals.onlinelibrary.wiley.com/doi/10.1111/... ED visits are a key opportunity to reassess these meds.

We talk with Todd Semla & Mike Steinman about their new recommendations of Alternative Treatments to the AGS Beers Criteria published recently in JAGS. #medsky   We start with Todd's new pothole analogy😂   👉 Full episode: bit.ly/GeriPalEp369 😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social

1/ 🚨 New study alert! 🚨 Excited to share GEDG's latest on managing severe agitation in older adults. Antipsychotics or sedatives can lead to serious adverse events. Benzodiazepines, especially midazolam, pose the highest risk. Quetiapine shows fewer adverse events.

If you have to take a daily pill to reduce your risk of heart disease, wouldn't it be easier get your meds at the pharmacy 4 days/yr instead of 12? We made a simple tweak in the default order that made things easier for patients and reduced disparities... 🧵👇#nudge jamanetwork.com/journals/jam...

SR: emergency department initiatives to improve med. safety in older adults. Interprofessional teams (pharmacist-led med reviews, geriatrician teleconsultations), clinician education and decision-support tools contribute to increased #deprescribing & reduce PIM use: jamanetwork.com/journals/jam...

✨Congratulations✨to our 2025 AGEM annual excellence award winners! 🤩 @saemonline.bsky.social #emergencymedicine #saem #agem #geriatricmedicine #emergencydepartment

Excited to share the latest research on enhancing medication safety for older adults in emergency departments! Our systematic review and meta-analysis provide insights into effective ED-based medication programs for those aged 65 and above. Read the full article here: jamanetwork.com/journals/jam...

Concerning data from the Public Health Agency of Canada: benzodiazepines are increasingly present in toxic drug supplies & are contributing to more deaths in Canada. They were present in 30% of opioid-related toxicity deaths in 2023, compared to 12% in 2018. More info: www.canada.ca/en/public-he...

Amazing work by ASAM! Putting together the first meaningful clinical guideline on BZD tapering for all doctors, including ED physicians who routinely manage pts experiencing BZD-sequalae ... www.asam.org/quality-care...

Science is under attack by this administration. @choo.bsky.social and I explore the extent of these attacks, but are left with one question: why? www.bmj.com/content/bmj/...

shocking to see an editor of @jama.com argue that public opinion determines what is settled science NO if people say the world is flat, its still settled science that its not more research = veiled attempt to validate vaccine hesitancy 🙏 please everyone, even in a room of children, be an adult 🙏

Some NIH study sections will resume grant reviews, but final funding decisions are still in limbo… maybe some progress… sigh www.statnews.com/2025/02/24/s... via @statnews.com

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

Even if the administration allows meetings to resume, there is already a huge backlog of applications and far fewer federal officials to process the backlog. 2025 will go down as a dark year for American science. We need to keep speaking out about this. #NIHMatters #ScienceMatters

Most importantly, Americans won't benefit from the cutting edge science #NIH funds to find cures for cancer, Alzheimer's disease, obesity, and more. This will affect the quality of care in hospitals in academic medical centers and elsewhere. Many of our quality programs are grant funded. 3/

What does this mean practically? In the shortterm, it means scientists will have to lay off research staff and may need to find other jobs. In the longterm, it will deincentivize younger folks in biomed to seek careers as scientists and those that do persist will lack mentors. 2/

The funding freeze is NOT over. Biomedical grants can't get reviewed or funded because of a "loophole" the current administration is exploiting. The NIH timeline for reviewing and funding was already LONG, now this process is frozen indefinitely. 1/

On Friday night, HHS ordered CDC to take down all flu vaccine campaign materials from its website. Materials are starting to come down. For example, a campaign explaining that flu shot can reduce flu severity from "wild to mild" is now offline. Left image is from Friday, right is now Meanwhile...

Happy to share my new review article on 'Pain management in the older adult'. Includes important info on how to grade pain in the cognitively impaired, approaches to multimodal analgesia & dosing to minimize anticipated harms ... authors.elsevier.com/a/1kcho_GhwI...

“a 27-year-old patient recently died from widespread thyroid cancer — a disease that might have been treatable had he not delayed seeking care for months out of fear his undocumented status would be discovered.”