𝗥𝗲𝘀𝘂𝘀𝗠𝗲𝗱

A great 18 minute summary of my experience from the Langone Critical Care Cardiology Symposium in 2024, NYC youtu.be/h_QFZjmdkNQ

Couple comes in for their annual review. $2.8 million. Well invested. Solid Pension. Completely on track. I ask the question I ask everyone. "How is your daughter doing?" Mom's face changed first. Their daughter is 39. Hasn't asked for anything. Never complained. But she's been in the same apartment for six years. Daycare alone is $1,800 a month. Down payment feels impossible. Dad said "we always figured she'd get it eventually." I pulled up a simple chart. Statistically they live to 88. She inherits at 56. Maybe 60. At 60 her own retirement is eight years away. The money that could change everything at 39 arrives when her finish line is already close. Neither of them had ever seen it framed that way. The annual gift exclusion is $19,000 per parent per child. They can move $38,000 a year to her. No gift tax. No estate implications. Over ten years that's $380,000 transferred while they're healthy enough to watch it matter. Dad looked at his wife. "Why are we waiting?" Most families leave everything at death because nobody showed them the math of giving it while they're alive.

Countdown to game time!!! #MarchMadness #NCAA #Duke #GreenvilleSC

Why do we give older people drugs that make their mental functioning worse? Ms Davies, 80, came in with pneumonia. Within a day she was lethargic, not eating, barely responding. The team put it down to the infection. The term 'delirium' was never mentioned. But somebody had also started her on a benzodiazepine overnight for "mild anxiety." Nobody connected the two. On the ward round I noticed her responsiveness kept shifting - partly alert one moment, not responding the next. Both the drowsiness and the fluctuation suggested delirium. Screening test positive. We stopped the benzodiazepine, and continued the treatment for the pneumonia with antibiotics, fluids, and oxygen. The next day she later she was sitting up in her chair eating. She was able to participate in physiotherapy. The lesson here isn't complicated. If you start a sedative in an older person and they get more confused, stop the sedative. Don't add another drug on top. Check your prescribing before you check anything else. #delirium #medicationsafety

St. Patrick’s Day started as a religious feast day honoring Saint Patrick — the guy famous for bringing Christianity to Ireland… and, according to legend, kicking all the snakes out. (Still waiting on him to come back and handle hospital staffing issues.) Originally, it was a pretty quiet, reflective day in Ireland. Then the Americans got involved. Now we’ve got: • Rivers dyed green (looking at you, Chicago) • Parades the size of small cities • People wearing green to avoid getting “clinically assaulted” by coworkers And somehow… this became a holiday where: “Celebration” = questionable decisions + group texts you regret tomorrow Meanwhile, in healthcare… There’s no parade. No green river. Just a full waiting room and someone asking, “Hey… quick question…when is the next TNCC class?” So while the world is chasing luck today, we’ll just say this: 🍀 Real luck = Not scrambling for certifications Not canceling shifts for classes Not chasing down paperwork at the last minute That’s not luck. That’s planning. And maybe… just maybe… doing it from your couch with ResusMed. Happy St. Patrick’s Day — stay safe, wear green, and try not to get “pinched” by your schedule.

Post-intensive care syndrome after critical illness: incidence and predictors in a nationwide cohort tinyurl.com/mvbe5buu #icurehab #A2Fbundle

⭐ META-ANALYSIS: Hospital delirium --> devastating long-term outcomes 253 studies, 137,000+ pts: • 5.4x dementia risk • 2.8x institutionalisation • 2.5x mortality • 1.7x readmission ⚠️ Delirium = a serious acute problem AND a risk warning. ➡️ All pts deserve robust delirium assessment

Delirium is not just a clinical diagnosis—it’s a frightening experience for patients and families and a challenge for every clinician who cares for them. World Delirium Awareness Day 2026 reminds us that better recognition, prevention, and compassion matter. #WDAD2026

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.

The 4AT can be scored in patients who cannot speak or are too unwell to undergo cognitive testing. No patients are Unable To Assess (UTA) with the 4AT. This improves uptake and accuracy in diagnosis. See the 4AT website for more details.

Most delirium is caused by acute triggers originating outside the brain. But there are some primary brain causes, and there are also some psychiatric mimics. This diagram shows this. The first thing is to make the diagnosis of delirium, but then to carefully consider systemic and non-systemic causes, as well as the admittedly rarer psychiatric mimics. #neurology #psychiatry #WDAD2026

Thank you, @iDelirium_Aware for uniting the global delirium community and leading #WDAD2026. A special thank you to the key planning committee members and partners! @minipixie26 @A_MacLullich @ChrisGabor_DCN @NydahlPeter @EDA_delirium @ANZDA_delirium Watch and share the Voices of Delirium: deliriumday.com #WorldDeliriumAwarenessDay #Delirium #VoicesofDelirium

I’m reaching out to my network for help identifying a highly experienced Obstetrics Registered Nurse SME. We are looking for a very experienced OB RN, with strong emergency or critical care obstetrics insight, to assist with reviewing, editing, and refining an exciting Emergency Nursing Obstetrics project! We are especially interested in someone with deep clinical Obstetrics experience. Prior experience in education, curriculum development, or content review would be a bonus. If you know someone who would be a strong fit, please tag them below or send me a direct message.

Today is World Delirium Awareness Day. Delirium is common, serious, and too often missed. Early recognition matters. The sooner healthcare teams identify changes in attention, awareness, cognition, or behavior, the sooner they can evaluate underlying causes, intervene appropriately, and improve outcomes for patients and families. The official World Delirium Awareness Day campaign for Wednesday, March 11, 2026 emphasizes raising awareness, identifying those at risk, knowing the signs, and supporting better care. At ResusMed, we encourage clinicians, educators, and leaders to take time today to learn more about delirium, its impact, and the importance of recognizing it early. Helpful educational resources are available through the official World Delirium Awareness Day website. Learn more: deliriumday.com On a personal note, I am also available, at no charge, to speak with critical care teams about my own experience with delirium and Post-Intensive Care Syndrome (PICS). PICS can affect cognition, mental health, and physical function after critical illness, and these conversations can help connect the clinical science with the very real patient experience. #WorldDeliriumAwarenessDay #WDAD2026

Connectors Slow Flow!

"For many intensive care unit (ICU) survivors, the journey to recovery does not end with hospital discharge. Approximately 54% of patients experience new or worsening impairments in physical, cognitive, or mental health.1 These symptoms are collectively known as post–intensive care syndrome (PICS). Although PICS is not a formal diagnosis, it can be a useful framework to raise awareness and promote research about the long-term sequelae of critical illness." jamanetwork.com/journals/jama/…

RT @AmerDelirium: 🌍 World Delirium Awareness Day is coming — March 11, 2026 This year’s theme: Voices of Delirium Across the world, clin…

My educated guess is that it effects far greater numbers in the Critically ill patient subset

Great Lecture at Geriatric Emergency Medicine Symposium 2026 on When the Beat Drops: Pacemaker Emergencies in the Aging Heart by @rmenonmd

Delirium Awareness!

Another Slide from a handout Geriatric Emergency Medicine Symposium 2026, Don’t Steamroll Grandma: Geriatric Risk in the ED [Eileen Chu, MD, MS]