Alex Psirides

This is why nothing smells bad

God no. I haven’t even told them there are other causes of shock

*other micro-organisms are available

If you’re not yet calling streptococcal sepsis ‘strepsis’, can you even spell portmanteau?

We have laparoscopic cholecystectomy capability here as well.

"generate a map of the USA with each state named"

ChatGPT 5 is really killing it. Thanks for the update guys.

The line between life and death: cardiac arrest and CPR. The latest episode of Pomegranate Health #podcast has landed. Listen now #cardiology @HeartLungCirc @psirides @drkathrynmannix
www.racp.edu.au/pome...

When Google Scholar tells you you’ve been cited and you click on the link….

‘Systematic reviews’ that aim to extract broad conclusions from many studies are in peril Fake papers are “poisoning the well” for these gold-standard syntheses, researchers say

« Systematic reviews’ that aim to extract broad conclusions from many studies are in peril:
Fake papers are “poisoning the well” for these gold-standard syntheses, researchers say » @science.org

If you have a passing interest in the UK’s experiment with a new model of care, the Leng review into Physician Assistants (ex-Associates) was published today in all 134 pages: assets.publishing.service.gov.uk/media/687760...

Farewell, associates. Welcome back assistants On 20 November 2024, Wes Streeting, the UK’s Secretary of State for Health and Social Care, commissioned Gillian Leng to undertake an independent review of physician associates and anaesthesia associa...

OUR NEW PAPER: Comment on the Leng Review on physician associates. #healthpolicy @bmj.com

www.bmj.com/content/390/...

And recommendation 3 is odd: which other profession has an ‘advanced assistant’?

10/ And there are wider questions about how we ever got into this situation, introducing a new model of service delivery with so little thought. Some medical leaders have serious questions to answer, not least to those who have suffered as a result (both patients and PAs given false expectations)

🧵1/ Big changes are coming for the occupational group now termed physician associates (PAs) and anaesthesia associates (AAs) in England. Our new @bmj.com piece (@trishgreenhalgh.bsky.social & me) unpacks the implications of the Leng Review, commissioned by @wesstreeting. Here are our thoughts. 👇

Which also leads me to ask why the GMC are now regulating ‘assistants’?

To their credit, the MCNZ have said they are watching international (particularly UK) developments.

Current selling point is ‘doctors won’t work here but PAs will’ speaks volumes to rural inequity and wondering how they will be supervised.

New Zealand to recognise physician associates - minister A newly-regulated healthcare role is hoped to unlock more pairs of hands for medical care, and attract more overseas workers to rural practices.

Just read the review. Sadly we will learn nothing:

www.rnz.co.nz/news/nationa...

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 @psirides.bsky.social @drkathrynmannix
www.racp.edu.au/pome...

www.anzics.org/soda-bic-rct/

Huge respect for the vastly underestimated feel of vibe-based medicine. It is the future.

(It will have to be given funded research is over)

And outside Hollywood, pretty sure no first world health care system uses defib paddles any more

Plus, general advice, most men over 60 should try to travel inside the aircraft

And obviously, as always, half-assed movie CPR

#missionimpossible: A medical perspective
- Attempted use of defibrillation without a rhythm check
- Tension pneumothorax less likely from a splenic gunshot
- Management of tension pneumothorax however most excellent
- Don’t leave your decompression chamber and immediately get in an airplane

No Da Vinci Code? Surely an entry level papacy text?

My advance directives are pretty straightforward:

If I’m able to be saved, save me.

If I’m unable to be saved, don’t save me.

All you need to do is run my blood through the Can They Be Saved? machine and if the answer comes back “yes” then save me. If the answer comes back “no” then don’t bother.

🚨Medical device vulnerability: researchers found the Contec CMS800 Monitor contains a firmware backdoor.

If connected to the internet, the backdoor automatically connects to a specific IP & uploads patient info & sensor data.

It also allows remote code execution, which is potentially lethal!

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