Belinda Delardes

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. bmjopen.bmj.com/content/13/6/e…

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

@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.

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

@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.

@Shanno5shannon Why does it need to be the patients regular GP?

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_ bit.ly/3YMGE2U

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

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

@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

@ryanparry01 pubmed.ncbi.nlm.nih.gov/28993522/ Not only does this affect how successful people think CPR will be - it also affects how they think compressions should look

@ryanparry01 ncbi.nlm.nih.gov/pmc/articles/P… Even in "reality" medical TV series CPR is portrayed non-realistically

I’d be interested in a follow up study of CPR portrayal in TV shows. A handful of compressions, some mouth-to-mouth, and then an exasperated “come on!” should equal immediate and complete recovery (despite cause). Very, very unrealistic expectations for family.

@ryanparry01 pubmed.ncbi.nlm.nih.gov/26296584/ & of course, CPR survival is shown as far more successful on medical dramas

@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"

Hey paramedics What are your favourite types of job/tasking?

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

@k_bowles @BelDel_ This is the current plan😆

My EndNote just destroyed itself and now I don't know how many references I lost, there are no longer any groups and no attached pdfs of articles... So that's my day so far. #phdlife

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

I am in my 7th year of tertiary education. I still cannot fluently remember what the 'greater than/ less' than symbol is telling me, without stopping for a second and working it out. #phdlife #statisticsisnotmyfriend #isecretlyloveit #nerd #ImposterSyndrome

@BelDel_ This also counts for low acuity jobs right? 😆

It's there anything more embarrassing for a paramedic than working with one of your best mates and unintentionally hitting a curb while driving?

@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?

@Shanno5shannon @georgebellstarr @BelDel_ It's such a mixed bag here. We're getting more comfortable not transporting but still lack any clear guidance/ training on it so it's ad-hoc at best without any real clear alternative pathways etc. Slowly it's changing. We do use telehealth with EDs to leave pts behind now.

@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

@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

@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.

1/n I've heard a few times over the years that many paramedics think that their patient care records (PCRs) are primarily for internal audit purposes and aren't read by other clinicians. So - A thread on EMS PCRs...