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?
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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
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It’s the same problem isn’t it: things that are “obvious” to me aren’t that obvious (huge differences between Paeds & adult care)
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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?
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We usually write a treatment escalation plan alongside: would the child have airway management or not; sometimes it’s AB but not C; would we put a cannula in or not. Depends on each child
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Hmmm... thank you. That was very helpful. Still have an uneasy feeling attached to these events which I haven't shaken yet, but that adds huge detail I didn't know. Much appreciated
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Can’t help thinking this would have been a lot less painful for family if someone had sat down with them and gone through things earlier :(0
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I'm going to file that one under 'words that could've come out of my mouth'. :) I've regularly tweeted this out over the years & this seems like as good a chance as any to do it again. I'd make it a compulsory element of annual CPD to watch this if I couldhttps://www.youtube.com/watch?v=qmaY9DEzBzI …
End of conversation
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