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Alex Psirides

@psirides.bsky.social
162 followers 85 following 55 posts

Co-director & Intensivist at wellingtonicu.com. National RRT/MET. Aeromedical retrieval. Once ventilated a chimpanzee. Didn’t end well.

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Alex Psirides @psirides.bsky.social · 10/06/2026
But 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.
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Alex Psirides @psirides.bsky.social · 10/06/2026
They seem to suggest ANZ outcomes are better than those from other ambulance services internationally.
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Alex Psirides @psirides.bsky.social · 10/06/2026
For 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.com
The 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% …
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Alex Psirides @psirides.bsky.social · 10/06/2026
There'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
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Alex Psirides @psirides.bsky.social · 10/06/2026
There'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...
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Alex Psirides @psirides.bsky.social · 10/06/2026
Fig 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?
KM curves for LOGICAL study in NEJMCriteria for enrolment in LOGICAL study from NEJM
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Alex Psirides @psirides.bsky.social · 10/06/2026
How many do you follow up for 180 days?
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John Scalzi @scalzi.com · 25/04/2026
OR 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.com
Sinceerly is an AI tool to 'un-AI' your writing
A new ouroboros in the tech world has emerged.
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Alex Psirides @psirides.bsky.social · 19/04/2026
Jeez what’s your resting resp rate?
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Alex Psirides @psirides.bsky.social · 19/04/2026
pH 6.9? You need some
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Alex Psirides @psirides.bsky.social · 13/04/2026
This review of one of the most beautiful places in Kyoto - a 1300 year old Shinto temple complex - is merciless.
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Alex Psirides @psirides.bsky.social · 12/04/2026
That’s pretty much it.
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Alex Psirides @psirides.bsky.social · 12/04/2026
That 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.
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Alex Psirides @psirides.bsky.social · 12/04/2026
We need more expectation-setting signs like this
Mildly air conditioned car
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Mike Drucker @mikedrucker.bsky.social · 02/04/2026
This is what social media is meant to be about.
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josh farkas 💊 @pulmcrit.bsky.social · 23/03/2026
Surviving 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
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Pete Husky @petehusky.bsky.social · 10/03/2026
Time 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
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Alex Psirides @psirides.bsky.social · 05/03/2026
White cell counts are automated so presumably shouldn’t be subjected to human bias. Unless they were completely made up.
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Alex Psirides @psirides.bsky.social · 05/03/2026
Wasn’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 Library
Vital 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...
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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 04/03/2026
from jamanetwork.com/journals/jam...
jamanetwork.com
Economic and Health Consequences of Selling a Kidney in India
Context 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 ...
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😱 Spooky SpectreKILLoquy 🔪 🩸 @caulimovirus.bsky.social · 04/03/2026
here’s a sentence stated matter-of-factly that is sure to ruin your day:
Forty-seven participants noted that their spouse had also sold a kidney. The other 221 married participants (159 female participants and 62 male participants) were asked why they sold rather than their spouse. The most common responses by female participants were that their husbands were the breadwinners (30%) or were ill (28%). The most common responses by male participants were that they sold volunt@ ily (52%) or that their wives were ill or pregnant (19%). Two female participants stated that they had been forced by their husbands to sell a kidney.
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Alex Psirides @psirides.bsky.social · 03/03/2026
Plus, I’m foreign. Norwegians seem nicer than ICE.
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Alex Psirides @psirides.bsky.social · 03/03/2026
There’s just something about their special blend of egg whites and oil that make them the world’s pre-eminent condiment-based clinic.
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Alex Psirides @psirides.bsky.social · 03/03/2026
I don’t know why I’d never thought to call it that. Now I will always call it that. Thank you!
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Alex Psirides @psirides.bsky.social · 03/03/2026
Yeah I’d choose Norway over bankruptcy.
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Alex Psirides @psirides.bsky.social · 02/03/2026
Guess I’m catching a plane to Norway when my aorta dissects.
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Alex Psirides @psirides.bsky.social · 02/03/2026
Surely not? Just look at the source of their data!
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Alex Psirides @psirides.bsky.social · 26/02/2026
It’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.
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midgieeeek! @midgie.bsky.social · 19/01/2026
cool name why’s it called that
bbc news story about a 3rd shark attack in 2 days at “popular swimming spot Shark Beach”
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Alex Psirides @psirides.bsky.social · 09/01/2026
That 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?
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Emmy Cumslutress @coyotegirl.online · 01/01/2026
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Alex Psirides @psirides.bsky.social · 11/11/2025
I’ve got a strong suspicion that WBC data ain’t random.
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Alex Psirides @psirides.bsky.social · 20/09/2025
This is why nothing smells bad
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Alex Psirides @psirides.bsky.social · 16/09/2025
God no. I haven’t even told them there are other causes of shock
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Alex Psirides @psirides.bsky.social · 16/09/2025
*other micro-organisms are available
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Alex Psirides @psirides.bsky.social · 16/09/2025
If you’re not yet calling streptococcal sepsis ‘strepsis’, can you even spell portmanteau?
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Alex Psirides @psirides.bsky.social · 10/09/2025
We have laparoscopic cholecystectomy capability here as well.
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Chuck Noblet @chucknoblet.bsky.social · 08/08/2025
"generate a map of the USA with each state named"
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Alex Psirides @psirides.bsky.social · 08/08/2025
ChatGPT 5 is really killing it. Thanks for the update guys.
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The RACP @theracp.bsky.social · 23/07/2025
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...
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Alex Psirides @psirides.bsky.social · 20/07/2025
When Google Scholar tells you you’ve been cited and you click on the link….
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Florian 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.org
science.org
‘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
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Alex Psirides @psirides.bsky.social · 16/07/2025
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...
assets.publishing.service.gov.uk
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Trish Greenhalgh @trishgreenhalgh.bsky.social · 16/07/2025
OUR NEW PAPER: Comment on the Leng Review on physician associates. #healthpolicy @bmj.com www.bmj.com/content/390/...
bmj.com
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...
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Alex Psirides @psirides.bsky.social · 16/07/2025
And recommendation 3 is odd: which other profession has an ‘advanced assistant’?
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Martin McKee @martinmckee.bsky.social · 16/07/2025
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)
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Martin 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. 👇
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Alex Psirides @psirides.bsky.social · 16/07/2025
Which also leads me to ask why the GMC are now regulating ‘assistants’?
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Alex Psirides @psirides.bsky.social · 16/07/2025
To their credit, the MCNZ have said they are watching international (particularly UK) developments.
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Alex Psirides @psirides.bsky.social · 16/07/2025
Current selling point is ‘doctors won’t work here but PAs will’ speaks volumes to rural inequity and wondering how they will be supervised.
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