1/ It’s been a struggle to process what happened at the CDC just a few days ago. The facts are coming in: one officer died, 500 rounds fired, 200 bullets made contact with 6 CDC buildings, hundreds of staff sheltered in place for hours. The intention is undeniable: this was an attempted massacre.

Just out in @agsjournal.bsky.social! We developed and piloted an AI + care coach intervention to support ED-to-home transitions for people with dementia or cognitive impairment + their caregivers. 🧠↑ caregiver self-efficacy 📉↓ caregiver burden Read more: doi.org/10.1111/jgs....

📊 Our new study asks: Will ACGME’s 2025 proposal really boost EM resident experience? @saemonline.bsky.social ✅ 97% of programs already meet the 3000-patient volume ➡️ 3→4 yr shift barely changes volume exposure 🏥 Rural & urban programs look similar Read more: doi.org/10.1002/aet2... #EM #MedEd

Patient Volume Requirements: Evaluation of the 2025 ACGME Proposal for Emergency Medicine Residency Programs

Objectives The 2025 ACGME proposed that all EM residency programs must be 4 years and achieve a minimum of 3000 patients per resident. We characterize the current residency program patient volume pe...

doi.org

Congrats to @camerongettel.bsky.social @agem-saem.bsky.social on developing a new care transition measure for older emergency department patients! The PROM-OTED score! #SAEM25 @saemonline.bsky.social

There's a trend to adapt #emergencydepartments to better meet the unique needs of our growing population of older adults. Grateful to @ahascience.bsky.social and Mike Merschel for spotlighting this important shift! #EMSky #GeriSky @acepnation.bsky.social www.heart.org/en/news/2025...

These emergency rooms adapt to the needs of older adults

Nobody wants to have to visit the emergency department, but "age-friendly" care seeks to make the experience safer for older people.

heart.org

🧵 1/ Check out our team’s new study in @alzdemjournals.bsky.social on ED-based cognitive impairment (CI) screening and referral. What we found highlights both promise and pain points in real-world detection and follow-up for CI and dementia in the acute care setting. bit.ly/4cMO8M0

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/

Grateful to present with @camerongettel.bsky.social @manish-shah.bsky.social & others on how we are improving #dementia care in the #emergencydepartment. #Geriatrics #EMSky @agem-saem.bsky.social Register here: alz-org.zoom.us/webinar/regi...

Sue Bell became one of the first Alzheimer's patients in the U.S. to receive the drug now marketed as Leqembi. Did it make a difference?

Did a new Alzheimer's Disease drug keep this patient's brain healthier for longer?

Sue Bell became one of the first Alzheimer's patients in the U.S. to receive the drug now marketed as Leqembi. Her husband isn't sure if it made a difference.

npr.org

1/ Big week for dementia care research! Two major trials—D-CARE & IN-PEACE—just dropped in @jama.com, testing models to support people living with dementia & their caregivers. What did they find? And what does it mean for the new Medicare GUIDE model? Let’s dig in. 🧵⬇️

🎧 Worth a listen to @arjunvenkatesh.bsky.social on @saemonline.bsky.social Ask-A-Chair podcast - all things clinical practice, boarding, residency training, workforce, mentorship, and "The Big 5" in acute care research. @yale-em.bsky.social @yaleem.bsky.social soundcloud.com/user-7672198...

Arjun Venkatesh, MD, MBA, MHS - Yale University School Of Medicine

Listen to Arjun Venkatesh, MD, MBA, MHS - Yale University School Of Medicine by SAEM #np on #SoundCloud

soundcloud.com

A random list of things you can do if a federal agency attempts to cancel your grant (please add suggestions): 1. Organize. Talk to the news about the work that will not happen as a result of this. Explain how promising scientists are now out of a job and their families are affected.

A negative trial for palliative care interventions in the ED – 1) Are ED encounters truly a fertile moment for interventions outside our scope, as many seem to think? 2) Or, is it that "training", "champions", and "alerts" aren't a replacement for resources? #medsky jamanetwork.com/journals/jam...

Reminds me of “pizzas for everyone”. Dogs are great…they are not the answer to the record levels of physician burnout and attrition 😔

NPR@npr.org · 2y ago

Some hospitals are bringing in dogs to spend entire shifts with doctors and nurses. The trained canines help staff cope with the stress of their work amid high levels of burnout.

In #nhv that would be IRIS and DESK - if you have a million $ check them out! deskct.org and irisct.org

DESK | Downtown Evening Soup Kitchen (DESK)

deskct.org

Justin Jackson@justinjackson.ca · 2y ago

Let’s say you’ve magically procured $1 million a year, but there’s a catch: You can’t spend it on yourself; you can only invest it in your local community to make it better. What sorts of things would you do with the money?

1/ Aging patients often visit the ED with undiagnosed cognitive impairment. Spotting cognitive issues here can guide critical care decisions, yet feasible tools remain underused. 🧵 🔎 Check out our latest published work here led by @jamesgalske.bsky.social: bit.ly/4jojfQM

By 2060, new dementia cases per year could double to one million because of the growing population of older Americans, a study predicts.

Dementia Cases in the U.S. Will Surge in the Coming Decades, Researchers Say

By 2060, new dementia cases per year could double to one million because of the growing population of older Americans, a study predicts.

nytimes.com

1/ 🧵 Anti-amyloid therapies are changing the landscape of Alzheimer’s care, and emergency physicians will increasingly encounter their complications. A must-read review by @meganarech.bsky.social et al. in @annalsofem.bsky.social breaks it down: bit.ly/40JgC3F

🌟 Our new study published in @annalsofem.bsky.social 🌟 TL;DR - Emergency PAs/NPs face a 13.8% annual attrition rate, with women and rural clinicians most affected—highlighting workforce challenges. 50 days free access: authors.elsevier.com/a/1kSLzib7EM... 🧵 (1/5)

Starstruck seeing my name among this list of giants! So excited to learn from everyone today 🤩 Thank you so much to Farrin Manian and Mercy Hospital for organizing this event #streemedicine #homelessness #housing #EMsky #Medsky #publichealt

1/ Private equity (PE) acquisitions in healthcare have been making headlines, but what does it mean for patient care? A new study in @jama.com dives into the impact on care experience in U.S. hospitals. Let’s explore the findings. 🏥📊 #Healthcare #PrivateEquity bit.ly/4hdaHKJ

Changes in Patient Care Experience After Private Equity Acquisition of US Hospitals

This cross-sectional study compares global patient measures to determine whether patients experienced a change in care and whether hospital communication, clinical process, and environment changed fro...

bit.ly

AGEM is now on BlueSky and we have a starter pack! Please comment and we will add you to make it easier to connect to other AGEM Members! Not an AGEM member? Join us in your SAEM account so that you can access all our resources, mentoring, join our starter pack and more! go.bsky.app/7dTvCLX

🚨 New in Health Affairs Forefront: "Integrating Emergency Departments Into The CMS GUIDE Model For People Living With Dementia" by @hashemzikry.bsky.social, @abfriedman.com, Scott Dresden, & Ravi Gupta. A must-read for those in dementia care! 🧵 (1/10) www.healthaffairs.org/content/fore...

Integrating Emergency Departments Into The CMS GUIDE Model For People Living With Dementia | Health Affairs Forefront

Consistent with the approach taken by other alternative payment models, GUIDE frames the emergency department as a negative outcome to be avoided. In doing so, GUIDE ignores the reality on the ground ...

healthaffairs.org

Fantastic piece on the recruitment, training, and funding of EM resident physician-scientists by colleagues @cleebennett.bsky.social, Caroline King, and Katie Lebold. @yaleem.bsky.social @annalsofem.bsky.social www.sciencedirect.com/science/arti...

The Beginnings of an Emergency Medicine Investigator Pipeline

sciencedirect.com

An interesting study of gaps between “healthspan” (yrs of healthy life) & “lifespan” across the globe. Takeaway: the US has amongst the largest gaps, despite relatively low lifespan. And women in the US have even bigger gaps. 🛟🩺🧪😷 jamanetwork.com/journals/jam...

We need an honest look back that acknowledges both successes and failures, not a rewrite of history painting the public health response as far worse than it was. Some thoughts with @kkjetelina.bsky.social open.substack.com/pub/yourloca...

HHS picks, the House subcommittee report, and pandemic revisionism

Questions are important and needed, but we must not resort to rewriting history.

open.substack.com

The NIH is amazing. Sure, it could use some tuning-up. Peer review, funding decisions, and priorities could all be improved. But...not at the cost of abandoning high-quality health science. My thoughts are included in this article by @emilyanthes.bsky.social : www.nytimes.com/2024/12/01/h...

Long a ‘Crown Jewel’ of Government, N.I.H. Is Now a Target

The agency long benefited from broad bipartisan support. But Republican criticism has intensified, and new choices for top health posts hope to upend the organization.

nytimes.com

About 40% of dementia cases could be prevented or delayed by healthy lifestyle choices and preventive medicine. Here's a tool to gauge your brain care and track your progress.

You can reduce your risk of dementia. Here's how to get started

About 40% of dementia cases could be prevented or delayed by healthy lifestyle choices and preventive medicine. Here's a tool to gauge your brain care and track your progress.

npr.org

Many who care for family members and loved ones at home say it can be very stressful but also rich in meaning. Share your story and insights.

Are you a caregiver for an adult? How has it changed you?

Many who care for family members and loved ones at home say it can be very stressful but also rich in meaning. Share your story and insights.

npr.org