Alex Psirides

Co-director @WellingtonICU. Aeromedical retrieval @lifeflightnz. Once ventilated a chimpanzee.

[Alex Psirides @psirides]

Antibiotic spectra made simple(r). Version 2, now updated with new bugs & drugs.
PDF here: https://t.co/gwOZSa9mfM
#FOAMed

[Alex Psirides @psirides]

@imedverse PDF here: https://t.co/k8hplNcodL

[The Royal Australasian College of Physicians @TheRACP]

The latest episode of Pomegranate Health #podcast has landed. This time we talk about the line between life and death: cardiac arrest and CPR. Listen now #cardiology @HeartLungCirc @psirides @drkathrynmannix
https://t.co/wjVoS0ea6a

[Alex Psirides @psirides]

@mancunianmedic @DrLKVaughan I guess just because the minister wants it to happen doesn’t mean it will. I hope I can stand by these words in 10 years time….

[Alex Psirides @psirides]

@mancunianmedic @DrLKVaughan There’s also a much stronger union with all 3 - the RDA & STONZ for trainees and ASMS for consultants - appropriately protective of the rights of their members. Career encroachment will likely be aggressively challenged.

[Alex Psirides @psirides]

@HanaHearted @DrLKVaughan No he didn’t. It was a fucking joke. Please keep me out of your culture wars.

[Alex Psirides @psirides]

By ‘before I go’ I mean to Bluesky where things just seem nicer. I’m not terminally ill.

Same name.

https://t.co/6e6C0JssxL

[Alex Psirides @psirides]

One final post before I go. The Managing Deteriorating Patients book has been translated into Portuguese so it’s now available in 4 languages and still, despite offers otherwise, completely free: https://t.co/CqaBCoZht5

[Alex Psirides @psirides]

So go download it in your second or third language too. 80,000 people seem to have made the effort so why haven’t you?

[Alex Psirides @psirides]

@DrAkhilRaghavan Thanks! Latest version always here: https://t.co/k8hplNcodL

[Alex Psirides @psirides]

Oh, and this.

[Wellington ICU @WellingtonICU]

Interested in joining our senior medical team in Wellington? We have a rare opportunity available for an ICU specialist, working full-time for our service. FCICM & MCNZ registration required

More details & the ability to apply online here: https://t.co/K7EGHSXzRl

[Alex Psirides @psirides]

It’s been 7 years but I think I’ve found a worthy successor.

[Alex Psirides @psirides]

A better definition of burnout I have yet to read

[Alex Psirides @psirides]

The cognitive dissonance in NAP7 makes my head hurt. Especially ‘duration of CPR >1hr’ in a patient who was not for CPR.

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

🔓Peri-operative decisions about cardiopulmonary resuscitation among adults as reported to the 7th National Audit Project of the Royal College of Anaesthetists

@JerryPNolan @jas_soar @adk300 @IainMoppett @drrichstrong @emirakur @doctimcook

🔗https://t.co/v86thBRv0H

[Carl Shuker 🌻 @CarlShuker]

@psirides Smart people, especially nurses, say we need to work on our culture. We can’t compete with Australian money, but we can on workplace culture – where people feel respected, and able to work at their full scope. This we can achieve.
22/26

[Carl Shuker 🌻 @CarlShuker]

@psirides (Sidenote: yep, Brexit. Before 2016/17 the NHS relied on EU nurses. After Brexit, this source disappeared and increasingly unscrupulous NHS recruiters turned in many cases to countries on the WHO “red list” – countries with domestic workforce shortages. Africa, Pacific.)

[Carl Shuker 🌻 @CarlShuker]

@psirides The majority of these nurses putting their documents together to get to Australia are internationally qualified. There is a flow of nurses from the Global South to the UK NHS, then to Aotearoa, then right on to Australia in search of better conditions. It’s hopscotch.
21/26

[Carl Shuker 🌻 @CarlShuker]

@psirides And many of our new nurses are not staying. Australian data show large increases in ANZ nurses granted registration in Australia in the last two years. Nearly tripling in 2022/23.
20/26

[Carl Shuker 🌻 @CarlShuker]

@psirides But they aren’t coming directly from India – it appears the vast majority are leaving terrible conditions in the NHS.
19/26

[Carl Shuker 🌻 @CarlShuker]

@psirides Where did they come from? (And importantly, for later, where do they go?)
Data show the majority of new IQNs entering ANZ are originally trained in India, *not* the Philippines as once used to be the case.
18/26

[Carl Shuker 🌻 @CarlShuker]

@psirides However, in 2022/2023, the numbers of internationally qualified nurses (IQNs) entering Aotearoa suddenly soared after our borders opened.
17/26