Alex Psirides @psirides.bsky.social · 10/06/2026But I guess comparing outcomes within ANZ given the geographical & system complexity is only slightly more useful than comparing to outcomes in other countries where differences are likely much larger. 110
Alex Psirides @psirides.bsky.social · 10/06/2026They seem to suggest ANZ outcomes are better than those from other ambulance services internationally. 110
Alex Psirides @psirides.bsky.social · 10/06/2026For all-comers from ANZ ambulance services via the Aus-ROC dataset, there's a mean ROSC of 28% at hospital arrival with 13% (range across EMS = 9.9% to 20.7%) surviving to hospital discharge or day 30 www.sciencedirect.com/science/arti...sciencedirect.comThe epidemiology of out-of-hospital cardiac arrest in Australia and New Zealand: A binational report from the Australasian Resuscitation Outcomes Consortium (Aus-ROC)The Australasian Resuscitation Outcomes Consortium (Aus-ROC) out-of-hospital cardiac arrest (OHCA) Epistry (Epidemiological Registry) now covers 100% … 100
Alex Psirides @psirides.bsky.social · 10/06/2026There's an ICNARC paper from a similar time (link.springer.com/article/10.1...) with UK data stating 42.9% of patients survived to ICU discharge, 28.6% survived to hospital discharge 200
Alex Psirides @psirides.bsky.social · 10/06/2026There've been a few ANZICS data trawls for OHCA over the years I'm aware of. This (from 2015) cites 45% in-hospital mortality (in 40k patients admitted to ANZ ICUs): pmc.ncbi.nlm.nih.gov/articles/PMC... 100
Alex Psirides @psirides.bsky.social · 10/06/2026Fig 2 agrees with you. I wonder if there are significant differences between our healthcare systems in who gets admitted after OHCA? Or the enrolment criteria for LOGICAL have less external validity for your institution? 100
Reposted by Alex PsiridesJohn Scalzi @scalzi.com · 25/04/2026OR JUST WRITE THE THING YOURSELF FOR FUCK'S SAKE IT WILL TAKE LESS TIME THAN WHATEVER THE FUCK THIS IS mashable.com/article/sinc...mashable.comSinceerly is an AI tool to 'un-AI' your writingA new ouroboros in the tech world has emerged. 14357091327
Alex Psirides @psirides.bsky.social · 13/04/2026This review of one of the most beautiful places in Kyoto - a 1300 year old Shinto temple complex - is merciless. 031
Alex Psirides @psirides.bsky.social · 12/04/2026That seems to have been replaced with signs requesting my politeness in all I do. Which is generally my default anyway so I feel quite at home. 100
Reposted by Alex PsiridesMike Drucker @mikedrucker.bsky.social · 02/04/2026This is what social media is meant to be about. 484392888
Reposted by Alex Psiridesjosh farkas 💊 @pulmcrit.bsky.social · 23/03/2026Surviving Sepsis 2026 is here & it's even more loony tunes than I was expecting. They're promoting pre-hospital ABX & preemptive broad-spectrum IV antibiotics for intubated patients. This insane fever dream is an antimicrobial stewardship nightmare. Embarrassment for SCCM. #EMIMCC 114415
Reposted by Alex PsiridesPete Husky @petehusky.bsky.social · 10/03/2026Time to pass a law that any party spokesperson of media outlet that opines with hindsight reckons on pandemic management has to show this chart in the background at all times #nzpol 5355164
Alex Psirides @psirides.bsky.social · 05/03/2026White cell counts are automated so presumably shouldn’t be subjected to human bias. Unless they were completely made up. 010
Alex Psirides @psirides.bsky.social · 05/03/2026Wasn’t that human digit preference though? It’s seen throughout vital sign data too: onlinelibrary.wiley.com/doi/10.1111/...onlinelibrary.wiley.com<em>Emergency Medicine Australasia</em> | ACEM Journal | Wiley Online LibraryVital signs are often considered objective indicators of patients' health. Our study found evidence for terminal digit and boundary biases in the vital signs data of a tertiary hospital. This finding... 200
Reposted by Alex Psirides😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 04/03/2026from jamanetwork.com/journals/jam...jamanetwork.comEconomic and Health Consequences of Selling a Kidney in IndiaContext Many countries have a shortage of kidneys available for transplantation. Paying people to donate kidneys is often proposed or justified as a way to benefit recipients by increasing the supply ... 391
Reposted by Alex Psirides😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 04/03/2026here’s a sentence stated matter-of-factly that is sure to ruin your day: 2355
Alex Psirides @psirides.bsky.social · 03/03/2026Plus, I’m foreign. Norwegians seem nicer than ICE. 120
Alex Psirides @psirides.bsky.social · 03/03/2026There’s just something about their special blend of egg whites and oil that make them the world’s pre-eminent condiment-based clinic. 030
Alex Psirides @psirides.bsky.social · 03/03/2026I don’t know why I’d never thought to call it that. Now I will always call it that. Thank you! 120
Alex Psirides @psirides.bsky.social · 02/03/2026Guess I’m catching a plane to Norway when my aorta dissects. 252
Alex Psirides @psirides.bsky.social · 02/03/2026Surely not? Just look at the source of their data! 121
Alex Psirides @psirides.bsky.social · 26/02/2026It’s about 1 in 4 from the MET NZ study: pubmed.ncbi.nlm.nih.gov/27246940/ Not so much EoLC but treatment limitation as one of the MET outcomes. The 30 day mortality was 20%. MET criteria are inadvertent dying detection tools. 011
Reposted by Alex Psiridesmidgieeeek! @midgie.bsky.social · 19/01/2026cool name why’s it called that 113769881
Alex Psirides @psirides.bsky.social · 09/01/2026That graph is incompatible with my 23 year experience of living in Welly which, coincidentally , @caulimovirus.bsky.social and I were just discussing in person. How the hell is Auckland _more_ windier?! Or is it just more windier 10m above the ground? 110
Alex Psirides @psirides.bsky.social · 11/11/2025I’ve got a strong suspicion that WBC data ain’t random. 142
Alex Psirides @psirides.bsky.social · 16/09/2025God no. I haven’t even told them there are other causes of shock 010
Alex Psirides @psirides.bsky.social · 16/09/2025If you’re not yet calling streptococcal sepsis ‘strepsis’, can you even spell portmanteau? 030
Alex Psirides @psirides.bsky.social · 10/09/2025We have laparoscopic cholecystectomy capability here as well. 010
Reposted by Alex PsiridesChuck Noblet @chucknoblet.bsky.social · 08/08/2025"generate a map of the USA with each state named" 2872235364
Alex Psirides @psirides.bsky.social · 08/08/2025ChatGPT 5 is really killing it. Thanks for the update guys. 000
Reposted by Alex PsiridesThe RACP @theracp.bsky.social · 23/07/2025The 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... 162
Alex Psirides @psirides.bsky.social · 20/07/2025When Google Scholar tells you you’ve been cited and you click on the link…. 010
Reposted by Alex PsiridesFlorian Naudet @floriannaudet.bsky.social · 15/12/2024« 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.orgscience.org‘Systematic reviews’ that aim to extract broad conclusions from many studies are in perilFake papers are “poisoning the well” for these gold-standard syntheses, researchers say 26941
Alex Psirides @psirides.bsky.social · 16/07/2025If 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...assets.publishing.service.gov.uk 111
Reposted by Alex PsiridesTrish Greenhalgh @trishgreenhalgh.bsky.social · 16/07/2025OUR NEW PAPER: Comment on the Leng Review on physician associates. #healthpolicy @bmj.com www.bmj.com/content/390/...bmj.comFarewell, associates. Welcome back assistantsOn 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... 58036
Alex Psirides @psirides.bsky.social · 16/07/2025And recommendation 3 is odd: which other profession has an ‘advanced assistant’? 121
Reposted by Alex PsiridesMartin McKee @martinmckee.bsky.social · 16/07/202510/ 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) 1169
Reposted by Alex PsiridesMartin McKee @martinmckee.bsky.social · 16/07/2025🧵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. 👇 36649
Alex Psirides @psirides.bsky.social · 16/07/2025Which also leads me to ask why the GMC are now regulating ‘assistants’? 100
Alex Psirides @psirides.bsky.social · 16/07/2025To their credit, the MCNZ have said they are watching international (particularly UK) developments. 100
Alex Psirides @psirides.bsky.social · 16/07/2025Current selling point is ‘doctors won’t work here but PAs will’ speaks volumes to rural inequity and wondering how they will be supervised. 120