Belinda Delardes

[Tony Walker ASM @agwalker01]

Nice study from @DrSimonCraig @BelDel_ @Ziad_Nehme1 and team looking at Victorian prehospital acute paediatric asthma treatment. Most patients were treated with inhaled bronchodilators only and clinically improved by the time they arrived in hospital.
https://t.co/MvlZTMDkQY

[A/Prof Brian Haskins PhD @BrianHaskinsPhd]

Belinda Delardes’s poster at the @ARC_resus #SOL2023 which investigated the effect of the longest chest compression pause duration on survival from OHCA.
#SOL2023 @ARC_resus @victoriauninews @LaTrobeRHS @VACAR_AV @Monash_SPHPM @AmbulanceVic @ACParamedicine @PEC_ANZ

[Kathryn Mannix @drkathrynmannix]

@bikerwise @DrLindaDykes We discussed exactly that at @cpdme symposium this morning. We recruit healthcare students from a society that doesn't understand dying, then train them to prevent deaths.
Recognising, supporting & accompanying the last part of life should be a core component of training.

[Belinda Delardes @BelDel_]

@Shanno5shannon @yellowspanner @Bel Depends, you signing up to assist? 🙃

[Belinda Delardes @BelDel_]

@yellowspanner @Shanno5shannon Patients also have an attachment to their regular GP. There's a real hesitancy to see a new GP which is strange because seeing a new ED doctor doesn't seem to create the same apprehension.

[Ambulance Victoria Research @VACAR_AV]

New now @ParamedicineJ: Most patients ref'd to a GP by paramedics followed up with a GP within 72h.
#Paramedic practices that increased the likelihood of follow-up included giving specific time frames and assisting in booking the appointment.
@BelDel_

https://t.co/IspQPYTYft

[Belinda Delardes @BelDel_]

@MyaCubitt @_NMay @projecttwiddles If the project ever expanded I'm sure we could make some room on the ambulances for these too...

[Natalie Anderson PhD, RN @CerebralNurse]

Gender disparities in resuscitation quality & processes-of-care for out-of-hospital cardiac arrests by
@BelDel_ Time for more non-male STEMI case studies & resus manikins with breasts 😲🤯 #Everydaysexism #NZResus2022

[Natalie Anderson PhD, RN @CerebralNurse]

@fionam_miles @psirides Other phrases I'd like to see 'die':
Withdrawal of care 🙊
Ceiling/limits of care 😩
There's nothing more we can do 🚫
And please don't ask family:
"Do you want us to do everything?" 🤦🏽

#EndOfLifeCareIsCare

[Belinda Delardes @BelDel_]

@ryanparry01 https://t.co/MXt3NLf27M

Not only does this affect how successful people think CPR will be - it also affects how they think compressions should look

[Belinda Delardes @BelDel_]

@ryanparry01 https://t.co/rjGHaIVFeo

Even in "reality" medical TV series CPR is portrayed non-realistically

[Belinda Delardes @BelDel_]

@ryanparry01 https://t.co/P4JuVskfBs

& of course, CPR survival is shown as far more successful on medical dramas

[Belinda Delardes @BelDel_]

@cliffreid End of life care done well, where we can restore some dignity and calmness to a scary, overwhelming situation.

Other end of the spectrum, the unicorn VF arrest that wakes up after 1 shock. "Sorry, did I nod off?" 😂 "uhh sort of, yeah"

[Belinda Delardes @BelDel_]

@DCollingsHughes @k_bowles Was your library synced? I redownloaded, and when I put my email address in it and sync'd popped back up

[Belinda Delardes @BelDel_]

@DCollingsHughes Me, aloud at my desk like 'gRRReater than for the RRRight, LLLess than for the LLLeft'

[Belinda Delardes @BelDel_]

@DCollingsHughes

[Belinda Delardes @BelDel_]

@DCollingsHughes @Shanno5shannon @georgebellstarr I find Treat and Refer guidelines so heavily specific and conservative that they're not fit for purpose, so they're generally not used. My service has a scuba diving injury guideline that I'll literally never use but no UTI guideline for the 10 I see a month?

[Belinda Delardes @BelDel_]

@Shanno5shannon @georgebellstarr @DCollingsHughes You have no idea how often I ask grads "& what's the risk of taking this patient to hospital?" and they think its a trick question 😪. Highest level of care is not synonymous with best care

[Belinda Delardes @BelDel_]

@MelJurgens @expensivecare @monash_para @k_bowles Thanks 😊. I think having the ability to send documentation to facilitate handover to other healthcare practitioners is essential to meeting our AHPRA responsibilities. Which I frequently refer to thanks to @DCollingsHughes

[Belinda Delardes @BelDel_]

@MelJurgens @expensivecare @monash_para @k_bowles That's me 🙋‍♀️. Still working at it (PhD now). Hoping for something by the end of the year that would work for GPs as well as other services like pall care and in-reach.