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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. ResusCouncilUK‏ @ResusCouncilUK 18 Jan 2016

      Emergency Care and Treatment Plan public consultation - now open. https://www.resus.org.uk/consultations/emergency-care-and-treatment-plan/ …

      1 reply 19 retweets 16 likes
    2. John Clarke‏ @C7RKY 18 Jan 2016
      Replying to @ResusCouncilUK

      .@ResusCouncilUK This seems to go beyond just DNACPR, into other treatments? But where is pt signature to consent to those other treatments?

      2 replies 1 retweet 1 like
    3. Joanne Fraser‏ @JFr4ser 18 Jan 2016
      Replying to @C7RKY

      @C7RKY @ResusCouncilUK I don't read consent to other treatments at all on the form. I read refusal of accepted treatments, tailored to pt?

      1 reply 0 retweets 2 likes
    4. John Clarke‏ @C7RKY 18 Jan 2016
      Replying to @JFr4ser

      @JFr4ser @ResusCouncilUK I looked at "specific interventions that may or may not be wanted" & pt guide. CPR may be focus, but there's more?

      1 reply 0 retweets 1 like
    5. Joanne Fraser‏ @JFr4ser 18 Jan 2016
      Replying to @C7RKY

      @C7RKY @ResusCouncilUK yeah like non-invasive ventilation in an HDU but not ventilation or CPR. Ceilings of care appropriate to pt

      1 reply 1 retweet 1 like
    6. John Clarke‏ @C7RKY 18 Jan 2016
      Replying to @JFr4ser

      @JFr4ser @ResusCouncilUK Any procedures which *are* deemed appropriate when pt has competence would require consent though. Just concerned >

      3 replies 0 retweets 0 likes
    7. John Clarke‏ @C7RKY 18 Jan 2016
      Replying to @C7RKY

      @C7RKY @JFr4ser @ResusCouncilUK this form may be perceived as representing a pt's consent, when they've no place to sign it to confirm, tbh.

      1 reply 0 retweets 0 likes
    8. Joanne Fraser‏ @JFr4ser 18 Jan 2016
      Replying to @C7RKY

      @C7RKY @ResusCouncilUK Some of their consent is based on the fact they've presented themselves to hospital for treatment

      1 reply 1 retweet 0 likes
    9. John Clarke‏ @C7RKY 18 Jan 2016
      Replying to @JFr4ser

      @JFr4ser @ResusCouncilUK That's assumed consent or implied consent. Neither of which I'm a fan of. Esp for any significant treatment choices

      2 replies 0 retweets 0 likes
    10. Kate Masters‏ @katemasters67 18 Jan 2016
      Replying to @C7RKY

      @C7RKY @JFr4ser @ResusCouncilUK does mentioning the interventions change consent Issue from one type of consent to another?

      2 replies 0 retweets 0 likes
      John Clarke‏ @C7RKY 18 Jan 2016
      Replying to @katemasters67

      @katemasters67 @JFr4ser @ResusCouncilUK Right now, there are no definitive rules as to where that line is drawn. That's part of the problem.

      10:47 AM - 18 Jan 2016
      • 1 Retweet
      • Kate Masters
      4 replies 1 retweet 0 likes
        1. New conversation
        2. Jim Crawfurd‏ @jim_crawfurd 18 Jan 2016
          Replying to @C7RKY

          @C7RKY @katemasters67 @JFr4ser @ResusCouncilUK Unless perceived to be futile

          1 reply 0 retweets 0 likes
        3. John Clarke‏ @C7RKY 18 Jan 2016
          Replying to @jim_crawfurd

          @jim_crawfurd @katemasters67 @JFr4ser @ResusCouncilUK If perceived to be futile, nobody would be asked to consent to that treatment anyway.

          1 reply 0 retweets 0 likes
        4. Joanne Fraser‏ @JFr4ser 18 Jan 2016
          Replying to @C7RKY

          @C7RKY @jim_crawfurd @katemasters67 @ResusCouncilUK I think away from DNACPR and advanced directives is beyond intention of this form

          1 reply 0 retweets 0 likes
        5. John Clarke‏ @C7RKY 18 Jan 2016
          Replying to @JFr4ser

          @JFr4ser @jim_crawfurd @katemasters67 @ResusCouncilUK Yes, but some of us have learned to consider unintended consequences up front nowadays

          2 replies 0 retweets 0 likes
        6. Jim Crawfurd‏ @jim_crawfurd 18 Jan 2016
          Replying to @C7RKY

          @C7RKY @JFr4ser @katemasters67 @ResusCouncilUK This EPCT form makes it pretty clear that it does not replace consent etc 1/3

          2 replies 0 retweets 0 likes
        7. Jim Crawfurd‏ @jim_crawfurd 18 Jan 2016
          Replying to @jim_crawfurd

          @C7RKY @JFr4ser @katemasters67 @ResusCouncilUK 2/3 Very hard for any advanced decision to cover ever possible treatment option/context

          1 reply 1 retweet 0 likes
        8. Andrea Edmonds‏ @retiredbrain 19 Jan 2016
          Replying to @jim_crawfurd

          @jim_crawfurd @C7RKY @JFr4ser @katemasters67 @ResusCouncilUK I will post mine as an example later. Perhaps it will say something different.

          2 replies 1 retweet 1 like
        9. Kate Masters‏ @katemasters67 19 Jan 2016
          Replying to @retiredbrain

          @retiredbrain @jim_crawfurd @C7RKY @JFr4ser ADRT is signed by you and witnessed, ECTP is only signed by doctor

          1 reply 1 retweet 1 like
        10. 7 more replies
        1. New conversation
        2. Jim Crawfurd‏ @jim_crawfurd 18 Jan 2016
          Replying to @C7RKY

          @C7RKY @katemasters67 @JFr4ser @ResusCouncilUK If agreed advance plan in place then respect it, but otherwise safest to treat actively, no?

          1 reply 0 retweets 0 likes
        3. John Clarke‏ @C7RKY 18 Jan 2016
          Replying to @jim_crawfurd

          @jim_crawfurd @katemasters67 @JFr4ser @ResusCouncilUK This was more about where formal written consent, or mere implied consent applies, Jim

          0 replies 0 retweets 0 likes
        4. End of conversation
        1. New conversation
        2. Jim Crawfurd‏ @jim_crawfurd 18 Jan 2016
          Replying to @C7RKY

          @C7RKY @katemasters67 @JFr4ser @ResusCouncilUK Consent in emergencies very difficult. Especially if patient has lost capacity by then.

          1 reply 0 retweets 0 likes
        3. John Clarke‏ @C7RKY 18 Jan 2016
          Replying to @jim_crawfurd

          John Clarke Retweeted John Clarke

          @jim_crawfurd @katemasters67 @JFr4ser @ResusCouncilUK Emergency situations are a while other ball game, I agree.https://twitter.com/C7RKY/status/689167765677207552 …

          John Clarke added,

          John Clarke @C7RKY
          Replying to @JFr4ser
          @JFr4ser @katemasters67 @ResusCouncilUK If pt is competent enough to discuss DNACPR form, they're competent to assess treatment options, no?
          1 reply 0 retweets 0 likes
        4. Joanne Fraser‏ @JFr4ser 18 Jan 2016
          Replying to @C7RKY

          @C7RKY @jim_crawfurd @katemasters67 @ResusCouncilUK Like organ donation is useful when pt themselves raise issue for discussion

          0 replies 0 retweets 0 likes
        5. End of conversation
        1. Kate Masters‏ @katemasters67 18 Jan 2016
          Replying to @C7RKY

          @C7RKY @JFr4ser @ResusCouncilUK which makes consent even more of a worrying issue, both in relation to this form and in wider context

          0 replies 1 retweet 0 likes
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