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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    1. John Clarke‏ @C7RKY Aug 16

      Evening all. Too busy for much tweeting atm, but just had to ask this question: Does anyone else see something a little odd about this section of @deb_cohen's written coverage of the #BawaGarba case? Can't be just me... surely?pic.twitter.com/rehgXaTXGy

      6 replies 4 retweets 4 likes
    2. Robert Wade‏ @rwade300 Aug 16
      Replying to @C7RKY @deb_cohen

      1 Haven't seen that detail about a morning resuscitation before 2 Dr #BawaGarba can obviously give her story when she cares to

      1 reply 1 retweet 1 like
    3. John Clarke‏ @C7RKY Aug 16
      Replying to @rwade300 @deb_cohen

      Now think a little further on point 1 and what else is said there. What happens if you intervene to stop doctors from resuscitating a terminally ill boy?

      1 reply 1 retweet 3 likes
    4. Robert Wade‏ @rwade300 Aug 16
      Replying to @C7RKY @deb_cohen

      Well, we know that if that's the patient of the first woman consultant in the SUI, he improved and was discharged. Mother nature or good doctoring takes its course?

      1 reply 0 retweets 1 like
    5. John Clarke‏ @C7RKY Aug 16
      Replying to @rwade300 @deb_cohen

      Indeed. That was going to be my next point. Either the boy dies - in which case you can't claim to confuse him with Jack later, or he lives - in which case would you really discharge him later that afternoon after he'd had an arrest? I call BS somewhere there.

      1 reply 0 retweets 3 likes
    6. Robert Wade‏ @rwade300 Aug 16
      Replying to @C7RKY @deb_cohen

      Good points. An arrest, a resuscitation, lie on a spectrum including a false alarm. People attending won't know for a bit. Dr BG must have been very confident, impressive and assertive in the evening to get a team to wrongly stop.

      1 reply 0 retweets 0 likes
    7. John Clarke‏ @C7RKY Aug 16
      Replying to @rwade300 @deb_cohen

      Quite. Having earlier failed to *prevent* other HCPs from saving the first boy when they weren't supposed to do so? This piece suggests there were 2 DNACPR mistakes on the ward that day. Not just Jack's. That's assuming we choose to believe what's written here, of course.

      1 reply 0 retweets 1 like
      John Clarke‏ @C7RKY Aug 16
      Replying to @C7RKY @rwade300 @deb_cohen

      Questions, questions, questions... #BawaGarbapic.twitter.com/Bq4IWXl9LF

      9:48 PM - 16 Aug 2018
      1 reply 0 retweets 0 likes
        1. New conversation
        2. DrCarmenSoto‏ @gourmetpenguin Aug 16
          Replying to @C7RKY @rwade300 @deb_cohen

          What do you find odd?

          1 reply 0 retweets 0 likes
        3. John Clarke‏ @C7RKY Aug 16
          Replying to @gourmetpenguin @rwade300 @deb_cohen

          Makes no sense to me. Surely Consultant A wouldn't discharge a terminally ill 2yr old boy marked DNACPR who had suffered an arrest that very day, only to be inappropriately saved by CPR being wrongfully carried out, despite BG's attempts to stop them? See where I'm going?

          2 replies 0 retweets 0 likes
        4. DrCarmenSoto‏ @gourmetpenguin Aug 16
          Replying to @C7RKY @rwade300 @deb_cohen

          Paeds resus isn’t usually CPR initially. Most arrests are respiratory: so would be managed by giving respiratory support initially, which can be enough to prevent the heart stopping and chest compressions aren’t needed. We don’t know what happened with the other little one >

          1 reply 1 retweet 3 likes
        5. DrCarmenSoto‏ @gourmetpenguin Aug 16
          Replying to @gourmetpenguin @C7RKY and

          <but if there was an airway blockage or the child had stopped breathing, then airway clearance & bag/mask ventilation would be the resuscitation. Most of our patients want to go home at the end of life, so would discharge - even if they’d had a respiratory event

          1 reply 1 retweet 6 likes
        6. John Clarke‏ @C7RKY Aug 16
          Replying to @gourmetpenguin @rwade300 @deb_cohen

          Fair enough. I didn't appreciate that. Although if she felt the need to intervene to stop them because of a DNACPR, does that not imply it was CPR she was stopping?

          1 reply 0 retweets 1 like
        7. DrCarmenSoto‏ @gourmetpenguin Aug 16
          Replying to @C7RKY @rwade300 @deb_cohen

          Nope. Resuscitation is ABC: airway management (can be as simple as repositioning the child, or clearing out secretions), breathing (a few breaths is sometimes enough), and THEN circulation

          1 reply 0 retweets 5 likes
        8. DrCarmenSoto‏ @gourmetpenguin Aug 16
          Replying to @gourmetpenguin @C7RKY and

          It’s the same problem isn’t it: things that are “obvious” to me aren’t that obvious (huge differences between Paeds & adult care)

          1 reply 0 retweets 5 likes
        9. John Clarke‏ @C7RKY Aug 16
          Replying to @gourmetpenguin @rwade300 @deb_cohen

          I appreciate that's your approach (now you've told me, anyway!) but a DNACPR doesn't affect any of those things. Only CPR would justify her intervening, surely?

          1 reply 0 retweets 2 likes
        10. 4 more replies

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