Martin F Casey, MD, MPH
@mfcasey.bsky.social
Supremely lucky husband + girl dad x3, EM physician, clinician-researcher with interests in deprescribing & medication safety
Happy to share my most recent study! Among older adults presenting to the ED after a fall, 82.5% had potentially or likely inappropriate antithrombotic use—aspirin topped the list.
agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
ED visits are a key opportunity to reassess these meds.
agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
ED visits are a key opportunity to reassess these meds.
Appropriateness of Antiplatelets and Anticoagulants Among Older Adults Experiencing Falls
Prevalence of Medication Appropriateness Index (MAI) Subdomains by Medication. The chart demonstrates the rates of each subdomain for each antithrombotic as well as the overall rate of likely or pote...
agsjournals.onlinelibrary.wiley.com
September 29, 2025 at 3:20 PM
Happy to share my most recent study! Among older adults presenting to the ED after a fall, 82.5% had potentially or likely inappropriate antithrombotic use—aspirin topped the list.
agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
ED visits are a key opportunity to reassess these meds.
agsjournals.onlinelibrary.wiley.com/doi/10.1111/...
ED visits are a key opportunity to reassess these meds.
Reposted by Martin F Casey, MD, MPH
We talk with Todd Semla & Mike Steinman about their new recommendations of Alternative Treatments to the AGS Beers Criteria published recently in JAGS. #medsky
We start with Todd's new pothole analogy😂
👉 Full episode: bit.ly/GeriPalEp369
😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social
We start with Todd's new pothole analogy😂
👉 Full episode: bit.ly/GeriPalEp369
😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social
August 14, 2025 at 8:32 PM
We talk with Todd Semla & Mike Steinman about their new recommendations of Alternative Treatments to the AGS Beers Criteria published recently in JAGS. #medsky
We start with Todd's new pothole analogy😂
👉 Full episode: bit.ly/GeriPalEp369
😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social
We start with Todd's new pothole analogy😂
👉 Full episode: bit.ly/GeriPalEp369
😀 hosts @alexsmithmd.bsky.social | @ewidera.bsky.social
1/ 🚨 New study alert! 🚨 Excited to share GEDG's latest on managing severe agitation in older adults. Antipsychotics or sedatives can lead to serious adverse events. Benzodiazepines, especially midazolam, pose the highest risk. Quetiapine shows fewer adverse events.
April 25, 2025 at 6:46 PM
1/ 🚨 New study alert! 🚨 Excited to share GEDG's latest on managing severe agitation in older adults. Antipsychotics or sedatives can lead to serious adverse events. Benzodiazepines, especially midazolam, pose the highest risk. Quetiapine shows fewer adverse events.
Reposted by Martin F Casey, MD, MPH
If you have to take a daily pill to reduce your risk of heart disease, wouldn't it be easier get your meds at the pharmacy 4 days/yr instead of 12?
We made a simple tweak in the default order that made things easier for patients and reduced disparities... 🧵👇#nudge
jamanetwork.com/journals/jam...
We made a simple tweak in the default order that made things easier for patients and reduced disparities... 🧵👇#nudge
jamanetwork.com/journals/jam...
Change in Default Prescription Length and Statin Prescribing Behavior
This quality improvement study examines the association of changing the default supply for statin prescriptions to 90 days with clinician prescribing behavior.
jamanetwork.com
April 7, 2025 at 4:22 PM
If you have to take a daily pill to reduce your risk of heart disease, wouldn't it be easier get your meds at the pharmacy 4 days/yr instead of 12?
We made a simple tweak in the default order that made things easier for patients and reduced disparities... 🧵👇#nudge
jamanetwork.com/journals/jam...
We made a simple tweak in the default order that made things easier for patients and reduced disparities... 🧵👇#nudge
jamanetwork.com/journals/jam...
Reposted by Martin F Casey, MD, MPH
SR: emergency department initiatives to improve med. safety in older adults.
Interprofessional teams (pharmacist-led med reviews, geriatrician teleconsultations), clinician education and decision-support tools contribute to increased #deprescribing & reduce PIM use:
jamanetwork.com/journals/jam...
Interprofessional teams (pharmacist-led med reviews, geriatrician teleconsultations), clinician education and decision-support tools contribute to increased #deprescribing & reduce PIM use:
jamanetwork.com/journals/jam...
Emergency Department Programs to Support Medication Safety in Older Adults
This systematic review and meta-analysis evaluates whether any emergency department–based medication programs for adults aged 65 years and older are associated with lower adverse process or clinical o...
jamanetwork.com
March 25, 2025 at 5:07 PM
SR: emergency department initiatives to improve med. safety in older adults.
Interprofessional teams (pharmacist-led med reviews, geriatrician teleconsultations), clinician education and decision-support tools contribute to increased #deprescribing & reduce PIM use:
jamanetwork.com/journals/jam...
Interprofessional teams (pharmacist-led med reviews, geriatrician teleconsultations), clinician education and decision-support tools contribute to increased #deprescribing & reduce PIM use:
jamanetwork.com/journals/jam...
Reposted by Martin F Casey, MD, MPH
✨Congratulations✨to our 2025 AGEM annual excellence award winners! 🤩
@saemonline.bsky.social
#emergencymedicine #saem #agem #geriatricmedicine #emergencydepartment
@saemonline.bsky.social
#emergencymedicine #saem #agem #geriatricmedicine #emergencydepartment
March 15, 2025 at 2:04 PM
✨Congratulations✨to our 2025 AGEM annual excellence award winners! 🤩
@saemonline.bsky.social
#emergencymedicine #saem #agem #geriatricmedicine #emergencydepartment
@saemonline.bsky.social
#emergencymedicine #saem #agem #geriatricmedicine #emergencydepartment
Excited to share the latest research on enhancing medication safety for older adults in emergency departments! Our systematic review and meta-analysis provide insights into effective ED-based medication programs for those aged 65 and above. Read the full article here: jamanetwork.com/journals/jam...
Emergency Department Programs to Support Medication Safety in Older Adults
This systematic review and meta-analysis evaluates whether any emergency department–based medication programs for adults aged 65 years and older are associated with lower adverse process or clinical o...
jamanetwork.com
March 17, 2025 at 2:47 PM
Excited to share the latest research on enhancing medication safety for older adults in emergency departments! Our systematic review and meta-analysis provide insights into effective ED-based medication programs for those aged 65 and above. Read the full article here: jamanetwork.com/journals/jam...
Reposted by Martin F Casey, MD, MPH
Concerning data from the Public Health Agency of Canada: benzodiazepines are increasingly present in toxic drug supplies & are contributing to more deaths in Canada. They were present in 30% of opioid-related toxicity deaths in 2023, compared to 12% in 2018. More info:
www.canada.ca/en/public-he...
www.canada.ca/en/public-he...
March 17, 2025 at 2:09 PM
Concerning data from the Public Health Agency of Canada: benzodiazepines are increasingly present in toxic drug supplies & are contributing to more deaths in Canada. They were present in 30% of opioid-related toxicity deaths in 2023, compared to 12% in 2018. More info:
www.canada.ca/en/public-he...
www.canada.ca/en/public-he...
Amazing work by ASAM! Putting together the first meaningful clinical guideline on BZD tapering for all doctors, including ED physicians who routinely manage pts experiencing BZD-sequalae ... www.asam.org/quality-care...
Benzodiazepine Tapering
ASAM Clinical Practice Guideline on Benzodiazepine Tapering.
The American Society of Addiction Medicine (ASAM) will open the public comment period for its Clinical Practice Guideline on Benzodiazepi...
www.asam.org
March 12, 2025 at 5:00 PM
Amazing work by ASAM! Putting together the first meaningful clinical guideline on BZD tapering for all doctors, including ED physicians who routinely manage pts experiencing BZD-sequalae ... www.asam.org/quality-care...
Reposted by Martin F Casey, MD, MPH
Science is under attack by this administration. @choo.bsky.social and I explore the extent of these attacks, but are left with one question: why?
www.bmj.com/content/bmj/...
www.bmj.com/content/bmj/...
www.bmj.com
March 10, 2025 at 2:27 PM
Science is under attack by this administration. @choo.bsky.social and I explore the extent of these attacks, but are left with one question: why?
www.bmj.com/content/bmj/...
www.bmj.com/content/bmj/...
Reposted by Martin F Casey, MD, MPH
shocking to see an editor of @jama.com argue that public opinion determines what is settled science
NO
if people say the world is flat, its still settled science that its not
more research = veiled attempt to validate vaccine hesitancy
🙏 please everyone, even in a room of children, be an adult 🙏
NO
if people say the world is flat, its still settled science that its not
more research = veiled attempt to validate vaccine hesitancy
🙏 please everyone, even in a room of children, be an adult 🙏
March 7, 2025 at 1:21 PM
shocking to see an editor of @jama.com argue that public opinion determines what is settled science
NO
if people say the world is flat, its still settled science that its not
more research = veiled attempt to validate vaccine hesitancy
🙏 please everyone, even in a room of children, be an adult 🙏
NO
if people say the world is flat, its still settled science that its not
more research = veiled attempt to validate vaccine hesitancy
🙏 please everyone, even in a room of children, be an adult 🙏
Some NIH study sections will resume grant reviews, but final funding decisions are still in limbo… maybe some progress… sigh www.statnews.com/2025/02/24/s... via @statnews.com
Some NIH study sections will resume grant reviews, but final funding decisions are still in limbo
While some NIH study sections will resume, advisory council meetings, which make final funding decisions, seem to still be held up.
www.statnews.com
February 25, 2025 at 1:52 PM
Some NIH study sections will resume grant reviews, but final funding decisions are still in limbo… maybe some progress… sigh www.statnews.com/2025/02/24/s... via @statnews.com
Reposted by Martin F Casey, MD, MPH
February Spotlight featuring:
Justine Seidenfeld, MD, MHS
Risk factors/stratification approaches for delirium screening: a geri ED guidelines review
Co-authors: Dr. Sangil Lee, Dr. Luna Ragsdale, Dr. Christian Nickel, Dr. Shan Liu, Dr. Maura Kennedy
shorturl.at/Pol6F
@saemonline.bsky.social
Justine Seidenfeld, MD, MHS
Risk factors/stratification approaches for delirium screening: a geri ED guidelines review
Co-authors: Dr. Sangil Lee, Dr. Luna Ragsdale, Dr. Christian Nickel, Dr. Shan Liu, Dr. Maura Kennedy
shorturl.at/Pol6F
@saemonline.bsky.social
February 6, 2025 at 5:47 PM
February Spotlight featuring:
Justine Seidenfeld, MD, MHS
Risk factors/stratification approaches for delirium screening: a geri ED guidelines review
Co-authors: Dr. Sangil Lee, Dr. Luna Ragsdale, Dr. Christian Nickel, Dr. Shan Liu, Dr. Maura Kennedy
shorturl.at/Pol6F
@saemonline.bsky.social
Justine Seidenfeld, MD, MHS
Risk factors/stratification approaches for delirium screening: a geri ED guidelines review
Co-authors: Dr. Sangil Lee, Dr. Luna Ragsdale, Dr. Christian Nickel, Dr. Shan Liu, Dr. Maura Kennedy
shorturl.at/Pol6F
@saemonline.bsky.social
Reposted by Martin F Casey, MD, MPH
Even if the administration allows meetings to resume, there is already a huge backlog of applications and far fewer federal officials to process the backlog.
2025 will go down as a dark year for American science. We need to keep speaking out about this.
#NIHMatters #ScienceMatters
2025 will go down as a dark year for American science. We need to keep speaking out about this.
#NIHMatters #ScienceMatters
February 20, 2025 at 11:54 PM
Even if the administration allows meetings to resume, there is already a huge backlog of applications and far fewer federal officials to process the backlog.
2025 will go down as a dark year for American science. We need to keep speaking out about this.
#NIHMatters #ScienceMatters
2025 will go down as a dark year for American science. We need to keep speaking out about this.
#NIHMatters #ScienceMatters
Reposted by Martin F Casey, MD, MPH
Most importantly, Americans won't benefit from the cutting edge science #NIH funds to find cures for cancer, Alzheimer's disease, obesity, and more.
This will affect the quality of care in hospitals in academic medical centers and elsewhere.
Many of our quality programs are grant funded.
3/
This will affect the quality of care in hospitals in academic medical centers and elsewhere.
Many of our quality programs are grant funded.
3/
February 20, 2025 at 11:54 PM
Most importantly, Americans won't benefit from the cutting edge science #NIH funds to find cures for cancer, Alzheimer's disease, obesity, and more.
This will affect the quality of care in hospitals in academic medical centers and elsewhere.
Many of our quality programs are grant funded.
3/
This will affect the quality of care in hospitals in academic medical centers and elsewhere.
Many of our quality programs are grant funded.
3/
Reposted by Martin F Casey, MD, MPH
What does this mean practically?
In the shortterm, it means scientists will have to lay off research staff and may need to find other jobs.
In the longterm, it will deincentivize younger folks in biomed to seek careers as scientists and those that do persist will lack mentors.
2/
In the shortterm, it means scientists will have to lay off research staff and may need to find other jobs.
In the longterm, it will deincentivize younger folks in biomed to seek careers as scientists and those that do persist will lack mentors.
2/
February 20, 2025 at 11:54 PM
What does this mean practically?
In the shortterm, it means scientists will have to lay off research staff and may need to find other jobs.
In the longterm, it will deincentivize younger folks in biomed to seek careers as scientists and those that do persist will lack mentors.
2/
In the shortterm, it means scientists will have to lay off research staff and may need to find other jobs.
In the longterm, it will deincentivize younger folks in biomed to seek careers as scientists and those that do persist will lack mentors.
2/
Reposted by Martin F Casey, MD, MPH
The funding freeze is NOT over.
Biomedical grants can't get reviewed or funded because of a "loophole" the current administration is exploiting.
The NIH timeline for reviewing and funding was already LONG, now this process is frozen indefinitely.
1/
Biomedical grants can't get reviewed or funded because of a "loophole" the current administration is exploiting.
The NIH timeline for reviewing and funding was already LONG, now this process is frozen indefinitely.
1/
Nature Story "Revealed: NIH research grants still frozen despite lawsuits challenging Trump order"
(with non-paywalled link)
archive.ph/7h6Im
(with non-paywalled link)
archive.ph/7h6Im
archive.ph
February 20, 2025 at 11:54 PM
The funding freeze is NOT over.
Biomedical grants can't get reviewed or funded because of a "loophole" the current administration is exploiting.
The NIH timeline for reviewing and funding was already LONG, now this process is frozen indefinitely.
1/
Biomedical grants can't get reviewed or funded because of a "loophole" the current administration is exploiting.
The NIH timeline for reviewing and funding was already LONG, now this process is frozen indefinitely.
1/
Reposted by Martin F Casey, MD, MPH
On Friday night, HHS ordered CDC to take down all flu vaccine campaign materials from its website. Materials are starting to come down.
For example, a campaign explaining that flu shot can reduce flu severity from "wild to mild" is now offline. Left image is from Friday, right is now
Meanwhile...
For example, a campaign explaining that flu shot can reduce flu severity from "wild to mild" is now offline. Left image is from Friday, right is now
Meanwhile...
February 16, 2025 at 5:30 PM
On Friday night, HHS ordered CDC to take down all flu vaccine campaign materials from its website. Materials are starting to come down.
For example, a campaign explaining that flu shot can reduce flu severity from "wild to mild" is now offline. Left image is from Friday, right is now
Meanwhile...
For example, a campaign explaining that flu shot can reduce flu severity from "wild to mild" is now offline. Left image is from Friday, right is now
Meanwhile...
Happy to share my new review article on 'Pain management in the older adult'. Includes important info on how to grade pain in the cognitively impaired, approaches to multimodal analgesia & dosing to minimize anticipated harms ... authors.elsevier.com/a/1kcho_GhwI...
authors.elsevier.com
February 17, 2025 at 5:03 PM
Happy to share my new review article on 'Pain management in the older adult'. Includes important info on how to grade pain in the cognitively impaired, approaches to multimodal analgesia & dosing to minimize anticipated harms ... authors.elsevier.com/a/1kcho_GhwI...
Reposted by Martin F Casey, MD, MPH
“a 27-year-old patient recently died from widespread thyroid cancer — a disease that might have been treatable had he not delayed seeking care for months out of fear his undocumented status would be discovered.”
February 5, 2025 at 2:50 PM
“a 27-year-old patient recently died from widespread thyroid cancer — a disease that might have been treatable had he not delayed seeking care for months out of fear his undocumented status would be discovered.”