Discover and read the best of Twitter Threads about #Falls
Most recents (11)
A summary thread from the great Emergency Medicine Australasia issue I finally read on the plane; @EMAJournal #foamed
Thom study in EMA: patients with unstable cervical #fractures can sit (29%), walk (63%), lack midline tenderness (27%), and have delayed presentation (20%).
Thom study in EMA: patients with unstable cervical #fractures can sit (29%), walk (63%), lack midline tenderness (27%), and have delayed presentation (20%).
@EMAJournal #emergencymedicine
surf injuries were mostly lower c-spine
NEXUS underperformed compared to Canadian C-spine.
#drowning and cervical CTs are not inextricably linked: don't automatically image unless signs of axial loading/very specific concerns
surf injuries were mostly lower c-spine
NEXUS underperformed compared to Canadian C-spine.
#drowning and cervical CTs are not inextricably linked: don't automatically image unless signs of axial loading/very specific concerns
@EMAJournal [my $0.02 on immobilising (virtually) anyone prehospitally: cervical immobilisation is a myth: collars don't actually immobilise, and 'immobilisation' doesn't actually prevent neurological injury...it *does* however harm (eg aspiration and other harms)]
Shorter #stride length is associated with higher incidence of life threatening clinical events in #olderadults
1. 14,000 people (Av age 75 yrs) were followed up for 33 months. 10% of them sustained #Falls. Stride length was shorter in fallers as compared to non-fallers.
1. 14,000 people (Av age 75 yrs) were followed up for 33 months. 10% of them sustained #Falls. Stride length was shorter in fallers as compared to non-fallers.
2. In a sub-analysis based on gender, the stride length was longer and #walking speed slower in males compared to females.
#running #fitness #healthylifestyle
#running #fitness #healthylifestyle
3. Major adverse events (MAEs) were 36% higher, physical disability 26% higher and #mortality 69% higher in older people with shorter stride length.
MAEs included physical disability, falls, dependency, institutionalization, and mortality.
#MedTwitter
MAEs included physical disability, falls, dependency, institutionalization, and mortality.
#MedTwitter
šØ911š§µIve decided to randomly log medical calls in PDX.Iāve noticed a ā¬ļø rate of Strokes, ā„ļøattacks / Cardiac issues, Falls / Dizziness, Loss of consciousness and Sudden deaths in younger than normal people. What has changed in the past 15 mo.ās that would cause this? š?
6/9/22
Portland medical calls:
7:45pm -8:43pm:: 9 month old baby- left side of body is limp, 12 year old with elevated heart rate & trouble breathing , two females have fallen and having a stroke. #VaccineSideEffects ? Is this normal? #VaccineDeaths ? š to your local dispatch.
Portland medical calls:
7:45pm -8:43pm:: 9 month old baby- left side of body is limp, 12 year old with elevated heart rate & trouble breathing , two females have fallen and having a stroke. #VaccineSideEffects ? Is this normal? #VaccineDeaths ? š to your local dispatch.
PDX 911 ācall š§µ
6/10/22
Time: 12:14pm-2:35pm
STROKE: 1
Chest pain / Cardiac: 3
Seizure: 1
Dizzy/Faint: 7
Sudden Leg pain: 2
Semi/ Unconscious: 6
DOA:
6/10/22
Time: 12:14pm-2:35pm
STROKE: 1
Chest pain / Cardiac: 3
Seizure: 1
Dizzy/Faint: 7
Sudden Leg pain: 2
Semi/ Unconscious: 6
DOA:
In July of 2021, the @CDCgov announced a decrease in US life expectancy of 1.5 years, the biggest one-year decline since #WWII. Even before COVID-19, however, the US has seen several years of declining life expectancy in the past decade. #ph260720 #COVID
cdc.gov/nchs/pressroomā¦
cdc.gov/nchs/pressroomā¦
Meanwhile, we see a widening gap in medical care between those with high and low status, leading to much larger declines in life expectancy for black and brown populations during #COVID19. How do you think these gaps came to be? #ph260720 #Healthcare
#hospitals continue to #Innovate and improve their medical care, following charters to improve health and care for the needy. However, they often fail to address the non-medical needs of their community, the āsocial determinants of healthā #ph260720 #CommunityHealth
Can #bloodpressure treatment be harmful? Our new meta-analysis suggests it is NOT linked to #falls or #fractures but may increase the risk of syncope & acute kidney injury bmj.com/content/372/bmā¦ ā see thread @RichardJMcManus @Richard_D_Riley @ebhcmedstats @JulietU_S @drandyclegg
1/ No meta-analyses of randomised controlled trials to date have quantified the association between blood pressure lowering treatment and specific adverse events such as #falls, #fractures, #syncope (fainting) or acute kidney injury #AKI
2/ In a meta-analysis of 58 randomised controlled trials, including 280,638 participants and an average of 3 years follow-up, there was no evidence of an association between antihypertensive treatment and #falls (primary outcome) or #fractures.
With 2020 almost over, it's time again to look back at some of the BEST in the #bone field: š20 papers (+extras).
Happy to hear your input! Disclosure: fully subjective ranking!
@ASBMR @AcademyEcts @Osteoporosis_NL @osteoporosisNI @mmse30 @NatalieASims
Happy to hear your input! Disclosure: fully subjective ranking!
@ASBMR @AcademyEcts @Osteoporosis_NL @osteoporosisNI @mmse30 @NatalieASims
#1 Atypical Femoral fractures @NEJM (Black DM et al.)
Risk reduces within months of @Bisphosphonate1 discontinuation. Benefit>risk in any group but less so in Asians and women <65yr
nejm.org/doi/10.1056/NEā¦
Risk reduces within months of @Bisphosphonate1 discontinuation. Benefit>risk in any group but less so in Asians and women <65yr
nejm.org/doi/10.1056/NEā¦
-side note- @ECTS_science very useful systematic review and recommendations for managing osteoporosis following AFFs.
ncbi.nlm.nih.gov/pmc/articles/Pā¦
And oral BPs may not only reduce fractures but also cardiovascular events
pubmed.ncbi.nlm.nih.gov/32717068/
@Dr_BoAbrahamsen @prieto_alhambra
ncbi.nlm.nih.gov/pmc/articles/Pā¦
And oral BPs may not only reduce fractures but also cardiovascular events
pubmed.ncbi.nlm.nih.gov/32717068/
@Dr_BoAbrahamsen @prieto_alhambra
Gathering some literature on falls, stability, reactive balance and muscle strength and thought it would be useful to share some studies - short thread below š
Please let me know of other key studies I might have missed!
#falls #muscle #balance #GeriPT
Please let me know of other key studies I might have missed!
#falls #muscle #balance #GeriPT
Slips and trips are the most common causes of falls among community dwelling older adults
pubmed.ncbi.nlm.nih.gov/9271288/
pubmed.ncbi.nlm.nih.gov/16109159/
pubmed.ncbi.nlm.nih.gov/28863352/
pubmed.ncbi.nlm.nih.gov/9271288/
pubmed.ncbi.nlm.nih.gov/16109159/
pubmed.ncbi.nlm.nih.gov/28863352/
Lower limb muscle strength has been associated with falls in older adults in some studies:
pubmed.ncbi.nlm.nih.gov/11937474/
pubmed.ncbi.nlm.nih.gov/25566068/
pubmed.ncbi.nlm.nih.gov/29329971/
pubmed.ncbi.nlm.nih.gov/29935953/
but not others:
pubmed.ncbi.nlm.nih.gov/19782579/
pubmed.ncbi.nlm.nih.gov/31136939/
pubmed.ncbi.nlm.nih.gov/15501837/
pubmed.ncbi.nlm.nih.gov/11937474/
pubmed.ncbi.nlm.nih.gov/25566068/
pubmed.ncbi.nlm.nih.gov/29329971/
pubmed.ncbi.nlm.nih.gov/29935953/
but not others:
pubmed.ncbi.nlm.nih.gov/19782579/
pubmed.ncbi.nlm.nih.gov/31136939/
pubmed.ncbi.nlm.nih.gov/15501837/
Letās talk about a secondary effect of COVID-19 that people havenāt paid enough attention to: increased #falls and fractures in older people (a thread) 1/5
Falls are a major health problem. They cause 3 million ER visits and 800,000 hospitalizations in the US each year. Three older Americans die from a fall EVERY HOUR. (2/5)
Muscle weakness and balance problems are major fall risk factors. Older people rapidly lose strength when they are inactive. And right now, millions of homebound older people can not do their regular activities. (3/5)
My grandmaās PCP recommended she stop going to gym because she may fall.
I donāt agree with this advice. Hereās why:
1/
I donāt agree with this advice. Hereās why:
1/
My grandma is a safe community ambulator when using a walker.
She has a handicap parking placard allowing her to park close to the gym.
If she doesnāt go to the gym, she admits she will likely sit around at home and watch TV, further allowing her strength to deteriorate.
2/
She has a handicap parking placard allowing her to park close to the gym.
If she doesnāt go to the gym, she admits she will likely sit around at home and watch TV, further allowing her strength to deteriorate.
2/
My grandmaās main source of social interactions occur at the gym.
She has many friends who meet her there daily. Itās a way for her to stay social and exercise. And she enjoys going!
3/
She has many friends who meet her there daily. Itās a way for her to stay social and exercise. And she enjoys going!
3/
Pues me voy a animar como dije el otro dĆa a hacer un proyecto 365, pero en vez de haciendo fotos, editando fotos mĆas antiguas, random, basadas en el mood de cada dĆa.
La Ćŗnica limitaciĆ³n que me voy a poner, va a ser el formato 1:1... A ver lo que sale xD
#365photochallenge
La Ćŗnica limitaciĆ³n que me voy a poner, va a ser el formato 1:1... A ver lo que sale xD
#365photochallenge
IĀ“ll say it also in English :)
IĀ“m gonna try a photography 365 project, but instead of taking photos, processing old random photos of mine...
Only one rule: the square format.
LetĀ“s see what I got, which will be directly affected by the mood of the day...
#365photochallenge
IĀ“m gonna try a photography 365 project, but instead of taking photos, processing old random photos of mine...
Only one rule: the square format.
LetĀ“s see what I got, which will be directly affected by the mood of the day...
#365photochallenge
Thread: Decreasing muscle mass in aging: The harmful effects and how to counteract āā
Tags: #sarcopenia #aging #ageing #HealthyAging #MSKover50 #resistance training, #weights #physicalmobility #muscle, #protein
#osteoporosis #bone #fracture #falls
Image: iofbonehealth.org/what-sarcopenia
Tags: #sarcopenia #aging #ageing #HealthyAging #MSKover50 #resistance training, #weights #physicalmobility #muscle, #protein
#osteoporosis #bone #fracture #falls
Image: iofbonehealth.org/what-sarcopenia
Thread: š½muscle in #aging āā#Sarcopenia RX, prevention āāā
#MSKover50 #resistance #physicalmobility #osteoporosis #bone #fracture #falls
Lifespan vs. Healthspan: Why We Need Muscle for #HealthyAging.
runnersworld.com/health-injurieā¦
+
Live Strong and Prosper...
link.springer.com/article/10.100ā¦
#MSKover50 #resistance #physicalmobility #osteoporosis #bone #fracture #falls
Lifespan vs. Healthspan: Why We Need Muscle for #HealthyAging.
runnersworld.com/health-injurieā¦
+
Live Strong and Prosper...
link.springer.com/article/10.100ā¦
Thread: Sarcopenia in #Aging: RX, prevention āāā
š½
Biochemical Pathways of #Sarcopenia &Their Modulation by Physical #Exercise: A Narrative Review
frontiersin.org/articles/10.33ā¦ ā¦
H/T @MathewPiasecki Tags: #MSKover50
LT: Key RE: onset & progress
RT: Rec. of @ACSMNews & @American_Heart
š½
Biochemical Pathways of #Sarcopenia &Their Modulation by Physical #Exercise: A Narrative Review
frontiersin.org/articles/10.33ā¦ ā¦
H/T @MathewPiasecki Tags: #MSKover50
LT: Key RE: onset & progress
RT: Rec. of @ACSMNews & @American_Heart
