#medmastodon — Public Fediverse posts

Healthcare workers of various types are in short supply in Canada. It’s a key reason why we have backlogs in care. Lots of jobs. The province of BC on the west coast has made it much easier for healthcare workers from the US to move there. Other provinces are working on shortening the process too.
Heard about this source helping Americans learn more about moving to Vancouver Island. There was a great show on CBC Radio’s programme White Coat, Black Art hosted by Dr. Brian Goldman on this topic, interviewing the Maffins who created helpful info and sources.
There is also a group on Discord with discussions and where questions can be answered, also started by the Maffins.
#Canada #Healthcare #MedMastodon

https://engageq.notion.site/islandinfusion

Neue Substanzen, neue Konsumtrends, neue Risiken: Mit #HighonFAQts starten #CharitéBerlin und FAQ YOU eine fünfteilige YouTube-Serie zur Drogenaufklärung für junge Menschen. Wissenschaftlich fundiert, lebensnah und auf Augenhöhe.

👉 https://www.charite.de/service/pressemitteilung/artikel/detail/verstehen_statt_verurteilen_neue_youtube_serie_klaert_ueber_drogenkonsum_auf/

#MedMastodon #Forschung #Prävention #Medizin

RE: https://mastodon.social/@macesari/116794310604457010

As a reminder, please continue disseminating it!

#Delirium #Geriatrics #Care #Guidelines #CallForExperts #WHO #Ageing #Aging #OlderPersons #Health #Medications #Polypharmacy #Drugs #MedMastodon

♨️ Hot off the press: Researchers at #CharitéBerlin & FMP have developed a fundamentally new therapeutic approach to the hereditary disease #CysticFibrosis! They succeeded in repairing the causal cell defect with a #nanobody – a tiny antibody fragment – in the lab.

👉 https://www.charite.de/en/service/press_reports/artikel/detail/a_fundamentally_new_therapeutic_approach_to_cystic_fibrosis_nanobody_repairs_cellular_defect

#CharitéPaper #CharitéPediatrics #CF #CysticFibrosis #medicine #research #science #chemistry #MedMastodon #ScienceMastodon #pharmacology

♨️ Hot off the press: Forschende von #CharitéBerlin & FMP haben einen grundlegend neuen Therapieansatz gegen die Erbkrankheit #Mukoviszidose entwickelt! Es ist ihnen gelungen, den ursächlichen Zelldefekt mit einem #Nanobody – einem winzigen Antikörperbaustein – im Labor zu reparieren.

👉 https://www.charite.de/service/pressemitteilung/artikel/detail/grundlegend_neuer_therapieansatz_gegen_mukoviszidose_nanobody_repariert_zelldefekt

#CharitéPaper #CharitéPädiatrie
#CF #CystischeFibrose #Medizin #Forschung #Wissenschaft #Chemie #MedMastodon #ScienceMastodon #Pharmakologie

Reasons Behind Continuity of In-Hospital #Deprescribing Post Discharge

1. Acceptance of deprescribing by patients and usual #care providers
2. Comprehension of the deprescribing plan
3. Supportive post-discharge environment

#Geriatrics #Health #Hospital #MedMastodon

https://www.jamda.com/article/S1525-8610(26)00069-1/fulltext

The Prevalence of Central Nervous System-Active #Polypharmacy in #NursingHomes

- Highly prevalent, esp among residents with psychiatric comorbidity and in #pain
- Need for #deprescribing strategies and nonpharmacologic interventions

#Geriatrics #LTC #Care #MedMastodon

https://www.jamda.com/article/S1525-8610(26)00068-X/abstract?dgcid=raven_jbs_aip_email

"Idk, I think it's less about empathy or compassion, and more about making sure the (hopefully small) group of uncaring people who enter medicine or allied health professions are incentivised to act pro-socially.
Like, in your region, what studying conditions and working conditions are clinicians expected to tolerate? Do they receive a living wage throughout study and work? Is their livelihood for a single person or big enough they can build a household?

Do they feel comfortable being a whistleblower when something goes wrong? (Numbers-wise, mistakes will happen over time.)
How robust is the inspection or regulation? How flexible are the logistics of each sector?
How many crises at once can be weathered without change to patient care? How long will it take to build back up that 'extra' capacity / contingency margin?

Who (in what position, in which teams) is responsible (or in what order) for noticing angels of death? What about anyone with less final but still harmful motives?

How severe are the consequences for failure? How many people feel compelled to hide errors rather than remedy them? What options for remediation are accessible to all staff, including contractors?"

#MedMastodon #DoLessHarm #SystemsThinking #HarmReduction #Medical #Medicine #MD #Systems #NonExpert #LayPerson #RubberNecking #Risk #RiskAssessment #RiskManagement #Risk_Management #Audit #Efficiency #Efficacy #Flexibility #TrueCrime #Crime

Neue Ausstellung im Berliner Medizinhistorischen Museum der #CharitéBerlin: „Schleim – Geheimnisse einer unterschätzten Körperflüssigkeit“. Taucht ein in die Welt des biologischen Hydrogels, das schützt, heilt – und manchmal auch irritiert.

👉 https://www.charite.de/service/pressemitteilung/artikel/detail/neue_ausstellung_schleim_geheimnisse_einer_unterschaetzten_koerperfluessigkeit_1

#Medizin #Forschung #Schleim #BMM #Wissenschaft #Ausstellung #Biomedizin #MedMastodon

Appropriateness of #Antiplatelets and #Anticoagulants Among Older Adults Experiencing #Falls

"...High prevalence of likely inappropriate antithrombotic use among older adults presenting to the #ED with a fall..."

#Geriatrics #Care #Prevention #Health #Drugs #Deprescribing #MedMastodon

https://agsjournals.onlinelibrary.wiley.com/doi/abs/10.1111/jgs.70127?campaign=wolearlyview

#Hebammen sind für die #Geburtsmedizin unverzichtbar: Sie begleiten werdende Eltern vor, während und nach einer #Geburt. Wie sieht eine #Hebammenbetreuung an der #CharitéBerlin aus? Hört rein in die neue #Podcast-Folge von „Geburt in der Charité“! 🎙️

👉 https://www.charite.de/die_charite/themen/geburt_in_der_charite

#CharitéBerlin #GeburtInDerCharité #MedMastodon #Hebamme #Geburtshilfe

The claim is circulating that antidepressants can cause overheating and dehydration. This is a genuine public health message, but it's not so simple: diuretics, beta blockers, ACE inhibitors, antipsychotics, and some antihistamines may also interact badly with hot weather.
https://www.nytimes.com/2024/06/15/well/live/heat-weather-medication-safety.html (excerpt in a reply)

There's even doubt about antidepressants having this effect. A recent paper in eClinicalMedicine looked at all the studies they could find and concluded that there wasn't evidence of antidepressants causing overheating in hot weather - though some other medicines do.

"Current evidence supports strong anticholinergics, non-selective beta-blockers, adrenaline, and anti-Parkinson’s agents impairing thermoregulation during heat stress ... physicians should interpret with caution conventional public health messaging related to the thermoregulatory effects of some drugs (e.g., antidepressants) during hot weather."
https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(24)00465-6/fulltext

#Antidepressants #Diuretics #AnticholinergicMedications #MedMastodon #BetaBlockers #HeatWaves #Thermoregulation #OverHeating #Dehydration #SideEffects #AdverseEffects #AdverseEvents #DrugSideEffects #DrugSafety #HeatStress #HotWeather #HotWeatherSafety #PublicHealth #ACEinhibitors #Antipsychotics

🥳 Superproud of this bunch: the management team of the CoClarity #RCT. Submitted the trial protocol today.

CoClarity: A Shared Decision Support Tool to reconsider the use of Anti-Thrombotic Therapy in patients with #cancer in the last phase of life

✅ Lower risk of #thrombosis
🛑 Higher risk of bleeding
❓ When to stop?

#SDM #geriatrics #deprescribing #medmastodon

Adherence to #Guideline Recommendations on Psychotropic #Drug Use for Challenging Behavior in #Dementia

"...Of all newly started prescriptions, 17% were evaluated within the recommended 7 days after starting..."

#Geriatrics #Care #Alzheimers #Deprescribing #MedMastodon

https://www.jamda.com/article/S1525-8610(24)00897-1/fulltext?dgcid=raven_jbs_etoc_email

Towards the end-of-life, improving quality of #life may become more important than simply prolonging life.

Non-essential #medications can be detrimental for the person and public #health.

Retrospective study finds #deprescribing practices are not yet commonplace in the final 12 months of life

#Care #PalliativeCare #Geriatrics #Drugs #LessIsMore #MedMastodon #Polypharmacy

https://www.sciencedirect.com/science/article/pii/S1751991825000786

I've had a hormonal IUS before, not a copper IUD coil.
jfc insertion is painful (but apparently not for other people??!) but not having to deal with condoms or the pill or anything? for YEARS?!

And the success rate is the highest or right up there. I think the arm implant is 1 pregnancy in 2000 couples over a year or two...? Unless that's the hormonal IUS.

ALSO THERE ARE DIFFERENT DOSES AND SIZES. If you're nulliparous (have never given birth) like me, GET THE SMALLEST, holy shit.
Why the flying fuck they bunged the massive Mirena in there, I've no fucking clue. Again: some people feel "mild discomfort" and other people do just feel some mild discomfort but not pain!

But yeah, even with the insertion pain, I'm getting an IUS again soon. It's just that damn convenient and reliable, I cannot lie.

https://helloclue.com/articles/sex/bleeding-on-iud

#LongActingReversibleContraception #LARC #contraception #BirthControl #FamilyPlanning #HormonalContraception #NonHormonalContraception #HormoneIUS #CopperIUD #sex #SexEd #SexToy #SexToys #MedMastodon #MedicalHacks #MedicalCare #Medical #Meds #Medicine #Medicines #PregnancyPlanning

🥳 Thrilled to share our latest publication in #Thrombosis Research!

📖 Emily Martens led this important study on #deprescribing #antithrombotic therapy in end-of-life #cancer care

❗ Lots of practice variation across #Europe
➡️ More #evidence needed

🔗 https://doi.org/10.1016/j.thromres.2024.109205

#geriatrics #medmastodon #palliativecare

#Deprescribing antihypertensive medication in frail older adults: balancing the complexities of #polypharmacy and individualised #care

RCTs on deprescribing in a population without adverse effects of studied medication have little chance of a positive outcome

#Geriatrics #MedMastodon

https://academic.oup.com/ageing/article/53/12/afae267/7914359

Systematic #review of #guideline recommendations for older and frail adults with type 2 #diabetes mellitus | Age & #Ageing

"...proportionately less #recommendations for individuals who are frail..."

#Geriatrics #Frailty #Health #Care #Therapy #MedMastodon
https://academic.oup.com/ageing/article/53/11/afae259/7906521

What are the issues with fascial plane blocks?

• Non-robust research
• Prolific researchers have had multiple retractions
• Likely publication bias
• Outcome measures are difficult to define
• Plethora of 'novel' blocks make interpreting results difficult
• Blocks don't cover visceral pain

#Blocktober #Blocktober24 #regionalanaesthesia #regionalanesthesia #medicine #pain #healthcare #MedMastodon

https://buff.ly/4dNngtR

Too good to be true? Erector spinae block in low-resource settings: navigate with caution

#Blocktober #Blocktober24 #regionalanaesthesia #regionalanesthesia #healthcare #medicine #MedMastodon

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16426

https://x.com/Anaes_Journal/status/1844724656831385805

Check out the view from an augmented reality laryngoscope!

#AR #AugmentedReality #AirwayTwitter #anaesthesia #healthcare #medicine #MedMastodon

https://buff.ly/3UbBf5T

Check out the view from an augmented reality laryngoscope!

#AR #AugmentedReality #AirwayTwitter #anaesthesia #healthcare #medicine #MedMastodon

https://buff.ly/3UbBf5T

Check out the view from an augmented reality laryngoscope!

#AR #AugmentedReality #AirwayTwitter #anaesthesia #healthcare #medicine #MedMastodon

https://buff.ly/3UbBf5T

Check out the view from an augmented reality laryngoscope!

#AR #AugmentedReality #AirwayTwitter #anaesthesia #healthcare #medicine #MedMastodon

https://buff.ly/3UbBf5T

Postoperative analgesic effectiveness of ultrasound-guided bilateral erector spinae plane block vs. rectus sheath block for midline abdominal surgery in a low- and middle-income country: a randomised controlled trial

@UrmaleAlem9818 @Mohammed_o8860

#Blocktober #Blocktober24 #regionalanaesthesia #regionalanesthesia #MedMastodon #healthcare #anaesthesia #anesthesia #medicine #pain

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/full/10.1111/anae.16421

BKA & phantom limb pain
• preop sciatic nerve block + infusion vs
• post-BKA surgically sited perineural sciatic catheter + infusion

Results: pre-op nerve blockade does NOT cause a ⬇️ in phantom limb pain at 5 d or 6-12 m

#Blocktober24 #Blocktober #regionalanaesthesia #regionalanes #MedMastodon #healthcare #anaesthesia #anesthesia

https://buff.ly/4dYJzx7

What is your analgesic approach to try to prevent phantom limb pain in below knee amputations?

#Blocktober24 #Blocktober #regionalanaesthesia #regionalanesthesia #MedMastodon #healthcare #anaesthesia #anesthesia

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16040

Do you use oral dexamethasone to prolong your block?

Does it work for blocks other than infraclavicular blocks?

Tell us your experience! #Blocktober24

#MedMastodon #healthcare #anaesthesia #anesthesia

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16149

Are you familiar with the sonoanatomy of the anterior quadratus lumborum block?

#Blocktober24 #regionalanaesthesia #MedMastodon #healthcare #anaesthesia #anesthesia

https://buff.ly/3Nho931

Principles for management of hip fracture for older adults taking direct oral anticoagulants (DOACS): an international consensus statement

Of #Blocktober24 relevance - peripheral nerve blocks can reasonably be performed on presentation for patients with hip fracture who are receiving DOACs

#MedMastodon #healthcare #anaesthesia #anesthesia

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16226

What is an abnormally prolonged motor block after neuraxial anaesthesia in obstetric patients?

A 4-h threshold is generally applied.

Should the time differ depending on what local anaesthetic is used for the block?

#Blocktober24 #MedMastodon #healthcare #anaesthesia #anesthesia

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16442

Are you interested in the variation in practice of anaesthesia for knee arthroplasty?

• Spinal anaesthesia - primary technique of choice (95%)
• Adductor canal block - used routinely (85%)
• Surgical infiltration was usual (92%) + adductor canal block (77%)

#regionalanaesthesia #regionalanesthesia #Blocktober24 #MedMastodon #healthcare #anaesthesia #anesthesia

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16377

Hello #Blocktober24!

Today we're talking adductor canal blocks for knee arthroplasty.

A recent UK survey showed that:
• 89% favoured levobupivacaine
• > 60% of these preferred 2.5 mg/ml and a volume of 20 - 24ml

What drug, concentration & volume do you use?

#anaesthesia #anesthesia #regionalanaesthesia #regionalanesthesia #pain #MedMastodon #healthcare

https://associationofanaesthetists-publications.onlinelibrary.wiley.com/doi/10.1111/anae.16377

To celebrate #Blocktober24 we are going to be joining @Anaes_Reports in sharing some of our recent papers on #regionalanaesthesia!

Watch this space for papers on:
• RA for knee arthroplasty
• anterior quadratus lumborum blocks in colorectal surgery
• management of DOACs in hip fracture patients
• dexamethasone and infraclavicular brachial plexus blocks
• RA for the prevention of phantom limb pain after BKA

#pain #regionalanesthesia #MedMastodon #healthcare #anaesthesia #anesthesia

Clinical impact of #medication review and #Deprescribing in older inpatients: A systematic review and meta‐analysis

"...Medication review and deprescribing interventions in older hospitalized patients can significantly reduce #hospital readmissions by 8%..."

#Geriatrics #Ageing #Aging #Care #Health #Medicine #MedMastodon

https://agsjournals.onlinelibrary.wiley.com/doi/full/10.1111/jgs.19035?campaign=wolearlyview

#Sonntagsvorlesung #CharitéBerlin am 21. April: „Gesund Älterwerden. Wie geht das?“ Prof. Ursula Müller-Werdan & Prof. Nils Lahmann, Klinik für Geriatrie und Altersmedizin, informieren über Diagnostik & Therapie, Forschung & Prävention. Eintritt frei.

👉 https://www.charite.de/service/pressemitteilung/artikel/detail/sonntagsvorlesung_gesund_aelterwerden_wie_geht_das/

#Medizin #Forschung #Geriatrie #Pflege #MedMastodon

Predictors and Outcomes of Oral #Anticoagulant Deprescribing in Geriatric Inpatients With #AtrialFibrillation: A Retrospective Multicenter Cohort Study

When a comprehensive geriatric assessment guides the OAT #Deprescribing, no increased risk of #stroke or systemic embolism events is reported

#Geriatrics #Health #MedMastodon #Care #Cardiology

https://www.jamda.com/article/S1525-8610(24)00067-7/fulltext?rss=yes

Never forget that *this* is what countless people cited. Not a study but a single paragraph correspondence in a 1980 issue of #NEJM

#PublicHealth #MedMastodon #OpioidEpidemic

End of episode 3/beginning of episode 4 of #Painkillers on #Netflix, and the tears just started pouring. Anyone else watching? It doesn’t seem to matter how many stories I hear, articles or books I read, or shows I watch…nothing can fully capture the scope of what the Sackler family’s greed did. #PublicHealth #MedMastodon

New journal review : TAME

Does mild hypercapnia improve neuro outcomes post cardiac arrest?

https://osler.app.link/C5qZ5dWmCCb

#meded #medtwitter #FOAMed #FOAMcc #cardiacarrest #resuscitation #ALS #advancedlifesupport #emergencymedicine #emergencyphysician #intensivist #ICU #intensivecare #FOAMems #FOAMresus #tipsfornewdocs #criticalcaremedicine #criticalcare #medmastodon

Great new module - the emergency management of severe bradycardia

This module is just one of the incredible Advanced Life Support series. Like all Osler content and features, it's 100% free!

https://osler.app.link/7LbMHuYVtCb

#meded #medmastodon #medtwitter #FOAMed #FOAMcc #FOAMresus #FOAMems #juniordoctors #tipsfornewdocs #tipsfornewinterns #doctors #emergencymedicine #intensivecare #ICU #emergencyphysician #intensivst #resuscitation #advancedlifesupport #ALS

Outstanding module released as part of the Advanced Life Support collection - Neuroprognosis after cardiac arrest

https://osler.app.link/ZAhWOrFGLBb

#FOAMed #FOAMcc #FOAMresus #resuscitation #ICU #intensivist #intensivecare #criticalcare #ALS #cardiacarrest #advancedlifesupport #medmastodon

With 3 weeks to go until the release of Osler's FREE online Advanced Life Support training course, we're counting down our favourite ALS content

Today it's a quiz!

80 yo woman suffers a cardiac arrest in OR mid hip replacement

The following bedside echo is obtained

What does it show? What is the likely diagnosis?

https://osler.app.link/8KwfKjCeAAb

#medmastodon #meded #medtwitter #FOAMed #FOAMcc #FOAMresus #FOAMems #juniordoctors #advancedlifesupport #resuscitation #intensivecare #intensivist #ICU

Junior doctors in training are struggling - what can be done to help them

https://www.oslercpdhome.com.au/blog/junior-doctor-training-education

#meded #medtwitter #juniordocs #juniordoctors #tipsfornewdocs #FOAMed #ausmed #ausmedicine #ausdocs #ausdoctors #CPDHome #CPDHomes #CPDaccredited #CPD #medmastodon

#FrozenShoulder is often (and incorrectly) confused with #rotatorcuff #tendinopathy or #tendinitis so here is a simple #infographic to break it down to it's core! Feel free to #share#mastodon

#medmastodon #health #shoulder #UpperLimb #Physio #Physiotherapy

30 January is #WorldNTDDay. Very keen to return to more research around Neglected Tropical Diseases, now the pandemic has been blunted a little bit, and countries are looking to mainstream their covid19 management.

#globalhealth #publichealth #neglectedtropicaldiseases #research #ghana #togo #africa #health #beatntds #idmastodon #medmastodon

Reminder: ACEs Aware training series starts soon!
Webinar #1: Getting Your Practice Ready, Thursday, January 26, 12-1p.m. PST

Details: https://us06web.zoom.us/webinar/register/WN__-JZRcgQRmqdje3cLhJrAg

#ACEs #ChildhoodAdversity #ToxicStress #MedMastodon #Pediatrics @pediatrics @publichealth

@drsimonpm
#deprescribing - music to my ears. All patients or their caregivers should be required to sit with a #pharmacist and perform a CMR (comprehensive med review) . Currently in the US, Medicare puts the onus on the pharmacist to contact (cold call) the patient. This is not ideal for obvious reasons. Of course the patient could seek our help voluntarily, but most are unaware of the value of such interventions. #Pharmocogenomics #MedMastodon

❓ When is #cardiovascular preventive medication appropriate in older people?
We asked professionals and older people themselves

💊 Stopping #medication and "not starting" are to different concepts!

#geriatrics #deprescribing #polypharmacy #MedMastodon

https://t.co/Yzu7f7mRZX