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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. Dr. Heidi K Feldman‏ @Hkevoefeldman Sep 11
      Replying to @MikeStone2_EoL @KitzingerCelia and

      They would most likely ask: Is she breathing. Case entry questions are standard even in centers that do not use Priority Dispatch

      1 reply 0 retweets 2 likes
    2. Mike Stone‏ @MikeStone2_EoL Sep 11
      Replying to @Hkevoefeldman @KitzingerCelia and

      As I've just tweeted - you wouldn't think a person who was breathing was in CPA, would you: so my Welfare Attorney caller would say 'if I thought she was breathing, I wouldn't suspect she was in cardiopulmonary arrest' [at any rate - I would say that].

      1 reply 0 retweets 1 like
    3. Dr. Heidi K Feldman‏ @Hkevoefeldman Sep 11
      Replying to @MikeStone2_EoL @KitzingerCelia and

      If a person is breathing but collapsed you’d check to make sure it’s not agonal breathing. Callers can refuse to help - 999 job is to get location and send help. If someone is dead then 999 seeks that confirmation too.

      3 replies 0 retweets 1 like
    4. Mike Stone‏ @MikeStone2_EoL Sep 11
      Replying to @Hkevoefeldman @KitzingerCelia and

      As I pointed out, under our law I can have appointed a layperson to decide whether or not a possible treatment such as CPR should take place, but it is asking a bit much for a layperson to understand 'agonal breathing'. Especially with a collapsed loved-one.

      1 reply 0 retweets 0 likes
    5. Dr. Heidi K Feldman‏ @Hkevoefeldman Sep 11
      Replying to @MikeStone2_EoL @KitzingerCelia and

      They would not ask a layperson if there is agonal breathing - typically breathing that is “funny” is an indication. I’m a trained EMD and have been working in call centers for 3 years. Stay tuned for publications with @LizStokoe and @rein_ove

      1 reply 1 retweet 2 likes
    6. Mike Stone‏ @MikeStone2_EoL Sep 11
      Replying to @Hkevoefeldman @KitzingerCelia and

      Well, as I've said - my lay caller can't detect any breathing. And it should be appreciated, that I'm introducing English law into my scenario - we have a law with these 2 sections in it. And my caller is a layperson who is the 'donee of a lasting power of attorney granted by P'.pic.twitter.com/uyLqojuest

      1 reply 0 retweets 0 likes
    7. Dr. Heidi K Feldman‏ @Hkevoefeldman Sep 11
      Replying to @MikeStone2_EoL @KitzingerCelia and

      Law or no law - if the caller refuses CPR then they refuse. It happens all the time. Calling 999 for help is not the same as being prepared to call 999 and administer medical care.

      3 replies 0 retweets 4 likes
    8. Mike Stone‏ @MikeStone2_EoL Sep 11
      Replying to @Hkevoefeldman @KitzingerCelia and

      At the core of it was this - the 999 Staff couldn't seem to grasp that the eventual death at the end of a 4-day terminal coma, DOESN'T require an immediate call to anyone: from my perspective, I couldn't fathom why on earth they seemed to think it DID require 'immediate action'.pic.twitter.com/oWTISptwYS

      2 replies 2 retweets 4 likes
    9. Stroppy Ambo Woman‏ @Stroppyambo Sep 11
      Replying to @MikeStone2_EoL @doctorcaldwell and

      This is such a horrible situation. GP reception probably shouldn't have said 999. 999 are starting from perspective of immediate intervention to save life - it requires a leap to go from that to recognition of expected death. That leap requires (imo) both training & experience.

      3 replies 2 retweets 7 likes
    10. Kathryn Mannix‏ @drkathrynmannix Sep 11
      Replying to @Stroppyambo @MikeStone2_EoL and

      I repeat: do we need a dedicated number for expected deaths? It would offer immediate, calm and emotionally-appropriate advice, avoid those 999 calls clogging the system and enable people supporting deaths at home to be reassured and supported.

      11 replies 5 retweets 28 likes
      John Clarke‏ @C7RKY Sep 11
      Replying to @drkathrynmannix @Stroppyambo and

      The more I think about that idea, the more I like it.

      12:50 PM - 11 Sep 2018
      • 4 Likes
      • Jennifer Richards Trisha Elliott Celia Kitzinger Kathryn Mannix
      1 reply 0 retweets 4 likes
        1. New conversation
        2. Mike Stone‏ @MikeStone2_EoL Sep 13
          Replying to @C7RKY @drkathrynmannix and

          Think harder, John - I don't like it 'as the complete answer' (telling the relatives 'definitely DO NOT call 999 when your loved-one dies' would help, with a number they should call) and you know I've thought about this one, for much longer than you have.

          1 reply 0 retweets 1 like
        3. John Clarke‏ @C7RKY Sep 13
          Replying to @MikeStone2_EoL @drkathrynmannix and

          Indeed you have Mike. I didn't read this as a 'do not call 999' scenario per se, but rather as an alternative to call if avoiding an emergency response from over eager paramedics armed with a defibrillator was desirable. I see the debate has developed since this tweet though.

          2 replies 0 retweets 0 likes
        4. Mike Stone‏ @MikeStone2_EoL Sep 14
          Replying to @C7RKY @drkathrynmannix and

          This - screengrabbed from a PDF I wrote yesterday - is I think the most compelling reason why we should avoid an equivalent 'single number' for EoL. Does this make sense, John, Kathryn and the rest of you?pic.twitter.com/uEEAhJ5C29

          1 reply 0 retweets 0 likes
        5. Kathryn Mannix‏ @drkathrynmannix Sep 14
          Replying to @MikeStone2_EoL @C7RKY and

          I understand your concern. But in the event, those conversations (the 'death rehearsal') will/should still take place. A single, locally-agreed number, perhaps to DN base, can still be used for all queries and at death. Simplicity is important to avoid panic 999 calls. 1/

          2 replies 0 retweets 0 likes
        6. Kathryn Mannix‏ @drkathrynmannix Sep 14
          Replying to @drkathrynmannix @MikeStone2_EoL and

          A single number may not='blanket' response. For exmpl, in NE, a pall care advice line for clinicians has a single number, but the provider service is shared between teams on a weekly rota; the caller always reaches a specialist: the work is shared, the number remains the same 2/

          2 replies 0 retweets 0 likes
        7. Mike Stone‏ @MikeStone2_EoL Sep 14
          Replying to @drkathrynmannix @C7RKY and

          Kathryn, both of my parents died at home, and I was a carer. Myself, I would prefer to know when I make the call, who I'm expecting to be on the other end: 'my GP', a cover GP, etc. Then 'I know, what they should already understand' when I'm talking to the person.

          1 reply 1 retweet 1 like
        8. Mike Stone‏ @MikeStone2_EoL Sep 14
          Replying to @MikeStone2_EoL @drkathrynmannix and

          Should we Twitter Poll this? Would family carers during end-of-life, prefer to know who was going to answer their phone call, when they make the call?

          1 reply 0 retweets 0 likes
        9. Celia Kitzinger‏ @KitzingerCelia Sep 14
          Replying to @MikeStone2_EoL @drkathrynmannix and

          The 'cover GP' at my mother's surgery clearly did NOT already understand what my mother's wishes were. When I called after my mother had a stroke, this (unknown) GP attempted to persuade/coerce me to calling an ambulance + was hostile+unsupportive when I said she didn't want one

          2 replies 2 retweets 4 likes
        10. 9 more replies

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