Alex Psirides

Antibiotic spectra made simple(r). Version 2, now updated with new bugs & drugs. PDF here: wellingtonicu.com/Drug/PDF/Welli… #FOAMed

@imedverse PDF here: drug.wellingtonicu.com/appendices/app…

Antibiotics - spectrum of activity via @psirides #MedEd #MedX

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 ow.ly/13i250Wo7L6

@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….

@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.

New Zealand has now fallen! PAs to be regulated as precursor to expansion. Massive extension of prescribing rights for non-doctors. New types of lesser trained associates to be introduced. All in the name of modernising NZ's healthcare system. beehive.govt.nz/release/physic…

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

By ‘before I go’ I mean to Bluesky where things just seem nicer. I’m not terminally ill. Same name. bsky.app/profile/psirid…

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?

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: rrthandbook.org

@DrAkhilRaghavan Thanks! Latest version always here: drug.wellingtonicu.com/appendices/app…

Taken from Appendix 5, Wellington ICU Drug Manual, Wellington, New Zealand Originally posted by @psirides Also have a look at this👇 acrobat.adobe.com/id/urn:aaid:sc…

🌟 ANTIBIOTIC SUSCEPTIBILITY - Simplified

Oh, and this.

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

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

@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

@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.)

@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

@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

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

@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

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