smacc gold final when to change what to believe for slide share
DESCRIPTION
SMACC Gold talk on how our beliefs are the most important influence on our practice. However, our beliefs are not always rational!TRANSCRIPT
![Page 1: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/1.jpg)
What to believe?
When to change
![Page 2: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/2.jpg)
![Page 3: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/3.jpg)
You
![Page 4: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/4.jpg)
![Page 5: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/5.jpg)
1. We want to do the best for our patients.2. We want to be evidence based practitioners.
3. We want our patients to get the best diagnostics and treatments4. We want to be the sort of clinicians who champion the best care.
![Page 6: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/6.jpg)
What do you believe?
![Page 7: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/7.jpg)
http://lifeinthefastlane.com/ecg-library/basics/inferior-stemi/
![Page 8: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/8.jpg)
![Page 9: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/9.jpg)
![Page 10: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/10.jpg)
![Page 11: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/11.jpg)
![Page 12: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/12.jpg)
![Page 13: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/13.jpg)
….we don’t always know what we think we know…..
….practice is defined by belief as much as evidence….
![Page 14: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/14.jpg)
Lignocaine for VT Betryllium for cardiac arrest
Endotracheal drug use in cardiac arrest.Large volume crystalloid for trauma resuscitation
Steroids in head injurySteroids in spinal injury
Magnesium in acute severe asthmaHypothermia for cardiac arrest.
![Page 15: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/15.jpg)
Half of What We Taught You Is Wrong:The Problem Is We Don't Know Which
Half
![Page 16: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/16.jpg)
We have a necessity for change
![Page 17: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/17.jpg)
Are we good at change?
![Page 18: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/18.jpg)
![Page 19: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/19.jpg)
![Page 20: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/20.jpg)
![Page 21: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/21.jpg)
https://www.mja.com.au/journal/2012/197/2/caretrack-assessing-appropriateness-health-care-delivery-australia
![Page 22: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/22.jpg)
![Page 23: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/23.jpg)
![Page 24: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/24.jpg)
Change is slowIs this important?
![Page 25: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/25.jpg)
Mortality without new treatment
Mort
alit
y
Time
16%% event rate5 years to implement1.5% benefit with txc. 4000 pts/annum
Evidence
![Page 26: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/26.jpg)
Mortality without new treatment
Mort
alit
y
Time
![Page 27: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/27.jpg)
Mort
alit
y
Time
![Page 28: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/28.jpg)
Vs. ??????
![Page 29: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/29.jpg)
Vs.
16%% event rate5 years to implement1.5% benefit with txc. 4000 pts/annum
![Page 30: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/30.jpg)
Vs.
16%% event rate5 years to implement1.5% benefit with txc. 4000 pts/annum
TXA for UK shock patients
![Page 31: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/31.jpg)
Late adopters kill patients
![Page 32: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/32.jpg)
![Page 33: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/33.jpg)
![Page 34: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/34.jpg)
![Page 35: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/35.jpg)
Early adopters kill people
![Page 36: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/36.jpg)
We don’t do what we are supposed to do.
We are slow to change.
![Page 37: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/37.jpg)
Why?
![Page 39: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/39.jpg)
ACP Journal Club March/April 2005 | Volume 142 • Number 2
![Page 40: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/40.jpg)
ACP Journal Club March/April 2005 | Volume 142 • Number 2
![Page 41: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/41.jpg)
….it is the customary fate of new truths to begin as
heresies….
![Page 42: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/42.jpg)
![Page 43: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/43.jpg)
![Page 44: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/44.jpg)
![Page 45: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/45.jpg)
![Page 46: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/46.jpg)
![Page 47: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/47.jpg)
Cognitive Dissonance
1. Change behaviour (belief)
2. Seek exceptions
3. Justify past behaviour
![Page 48: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/48.jpg)
![Page 49: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/49.jpg)
![Page 50: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/50.jpg)
![Page 51: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/51.jpg)
become motivated to change
what needs to change
make the change stick
![Page 52: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/52.jpg)
![Page 53: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/53.jpg)
Is our behaviour consistent?
![Page 54: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/54.jpg)
![Page 55: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/55.jpg)
![Page 56: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/56.jpg)
So what can we do?
![Page 57: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/57.jpg)
change is hard
![Page 58: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/58.jpg)
Do I know my history.
![Page 59: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/59.jpg)
get social
![Page 60: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/60.jpg)
consider all technologies and
therapies
![Page 61: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/61.jpg)
focus on patient related outcomes
![Page 62: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/62.jpg)
final thoughts
![Page 63: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/63.jpg)
There's only one corner of the universe you can be certain of improving, and that's your own
self.
![Page 64: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/64.jpg)
![Page 65: Smacc gold final when to change what to believe for slide share](https://reader035.vdocuments.site/reader035/viewer/2022070313/554b8819b4c9056d5f8b51a2/html5/thumbnails/65.jpg)
thanks for listening