Alasdair MacLullich
@amaclullich.bsky.social
Physician & Professor of Geriatric Medicine @EdinburghUni.
Chair, Scottish Hip Fracture Audit.
Delirium, hip fracture.
Free chapter of new book: https://www.the4at.com/family-delirium-guide
Chair, Scottish Hip Fracture Audit.
Delirium, hip fracture.
Free chapter of new book: https://www.the4at.com/family-delirium-guide
November 27, 2025 at 7:49 AM
November 26, 2025 at 8:06 AM
Missed #delirium = longer stays, more complications, higher mortality, massive costs.
But hey, at least we saved 2 minutes by not doing a 4AT in the ED.
But hey, at least we saved 2 minutes by not doing a 4AT in the ED.
November 25, 2025 at 7:58 AM
Missed #delirium = longer stays, more complications, higher mortality, massive costs.
But hey, at least we saved 2 minutes by not doing a 4AT in the ED.
But hey, at least we saved 2 minutes by not doing a 4AT in the ED.
“Reality itself fragmented into a #delirium of shifting images, as if a fever had seized our senses and the world had become an unreliable mirage.”
Philip K Dick, Ubik (1969)
Philip K Dick, Ubik (1969)
November 22, 2025 at 12:04 PM
“Reality itself fragmented into a #delirium of shifting images, as if a fever had seized our senses and the world had become an unreliable mirage.”
Philip K Dick, Ubik (1969)
Philip K Dick, Ubik (1969)
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.
Emergency departments are where it's most missed and most dangerous.
Make it as routine as checking blood pressure.
November 20, 2025 at 7:49 AM
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.
Emergency departments are where it's most missed and most dangerous.
Make it as routine as checking blood pressure.
November 19, 2025 at 8:06 AM
November 12, 2025 at 8:06 AM
“Nobody used the word delirium. I thought I’d lost my mind.”
— Delirium survivor
➡️ Always provide clear information, including telling the patient they have delirium, during the episode. Then explain & de-brief afterwards.
— Delirium survivor
➡️ Always provide clear information, including telling the patient they have delirium, during the episode. Then explain & de-brief afterwards.
November 7, 2025 at 7:53 AM
“Nobody used the word delirium. I thought I’d lost my mind.”
— Delirium survivor
➡️ Always provide clear information, including telling the patient they have delirium, during the episode. Then explain & de-brief afterwards.
— Delirium survivor
➡️ Always provide clear information, including telling the patient they have delirium, during the episode. Then explain & de-brief afterwards.
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.
Emergency departments are where it's most missed and most dangerous.
Make it as routine as checking blood pressure.
November 6, 2025 at 7:49 AM
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.
Emergency departments are where it's most missed and most dangerous.
Make it as routine as checking blood pressure.
😞 Social isolation and loneliness in older people.
🇨🇦 From the Canadian Coalition for Seniors' Mental Health.
#DementiaCare #MedTwitter
🇨🇦 From the Canadian Coalition for Seniors' Mental Health.
#DementiaCare #MedTwitter
November 5, 2025 at 8:06 AM
😞 Social isolation and loneliness in older people.
🇨🇦 From the Canadian Coalition for Seniors' Mental Health.
#DementiaCare #MedTwitter
🇨🇦 From the Canadian Coalition for Seniors' Mental Health.
#DementiaCare #MedTwitter
"He saw visions of his ancestors, they were calling him, he could not understand."
Love in the Time of Cholera, Gabriel García Márquez
#delirium
Love in the Time of Cholera, Gabriel García Márquez
#delirium
November 1, 2025 at 12:04 PM
"He saw visions of his ancestors, they were calling him, he could not understand."
Love in the Time of Cholera, Gabriel García Márquez
#delirium
Love in the Time of Cholera, Gabriel García Márquez
#delirium
October 31, 2025 at 7:53 AM
October 30, 2025 at 7:49 AM
October 29, 2025 at 8:06 AM
"In the deepest slumber—no! In #delirium—no! In a swoon—no! In death—no! even in the grave all is not lost. Else there is no immortality for man."
The Pit and the Pendulum by Edgar Allan Poe
October 25, 2025 at 11:04 AM
"In the deepest slumber—no! In #delirium—no! In a swoon—no! In death—no! even in the grave all is not lost. Else there is no immortality for man."
The Pit and the Pendulum by Edgar Allan Poe
“My brain was the enemy; it told me the nurses were killers.”
— Delirium survivor
Psychological care of delirium starts with reality anchoring: “You’re safe, you’re in hospital, I’m your nurse.”
— Delirium survivor
Psychological care of delirium starts with reality anchoring: “You’re safe, you’re in hospital, I’m your nurse.”
October 24, 2025 at 6:53 AM
“My brain was the enemy; it told me the nurses were killers.”
— Delirium survivor
Psychological care of delirium starts with reality anchoring: “You’re safe, you’re in hospital, I’m your nurse.”
— Delirium survivor
Psychological care of delirium starts with reality anchoring: “You’re safe, you’re in hospital, I’m your nurse.”
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.
Emergency departments are where it's most missed and most dangerous.
Make it as routine as checking blood pressure.
October 23, 2025 at 6:49 AM
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.
Emergency departments are where it's most missed and most dangerous.
Make it as routine as checking blood pressure.
October 22, 2025 at 7:06 AM
All these informal terms - avoiding saying "delirium" - makes care FAR less effective.
Use #DELIRIUM.
Use #DELIRIUM.
October 21, 2025 at 6:58 AM
All these informal terms - avoiding saying "delirium" - makes care FAR less effective.
Use #DELIRIUM.
Use #DELIRIUM.
A feeling of loneliness or isolation is commonly reported in people experiencing #delirium.
Don't leave them feeling like this. Speak kindly, explain what is happening, involve family.
Don't leave them feeling like this. Speak kindly, explain what is happening, involve family.
October 17, 2025 at 6:53 AM
A feeling of loneliness or isolation is commonly reported in people experiencing #delirium.
Don't leave them feeling like this. Speak kindly, explain what is happening, involve family.
Don't leave them feeling like this. Speak kindly, explain what is happening, involve family.