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Wee FaceTime to Dad before my night shift. End of the call he said "right, off you go and do good things for sick people."
I actually can't think of a better way to describe Emergency Medicine.
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Euan Watt retweeted
311 NZ households now hold more wealth than the bottom 2.5 million New Zealanders combined. Do you think that is fair? – at Rotorua District, New Zealand
Euan Watt retweeted
I gave my best years to medicine. Missed birthdays, bedtime stories, first steps, last moments. Swallowed the lie of our ‘indispensability.’
The truth?
Medicine will take everything if you let it. And it will never love you back. Don’t regret it like me.
Euan Watt retweeted
Disclaimer:: I am not a surgeon, but did have to do an emergency cric on a patient with massive hematemesis, a soiled bloody airway, who was coding. I've played this out in my mind mentally so many time and made the decision to cut before I hit the door. MY practical experience:
Euan Watt retweeted
The classic NZ thing will still happen though.
The ferries will reach the end of their life in two years, the Govt will realise the only way to get new ferries is to buy new ferries & rebuild the docks, they’ll make that call due to the 2026 election.
And it’ll cost $4billion.
Euan Watt retweeted
This is an incredibly bad idea, courtesy of an unqualified entrepreneur who doesn't know enough to recognise how little he understands about diagnosis and screening.
The marriage of Dunning-Kruger and greed is string in this one. And dangerous.
#medtwitter
The chest drain is the example I always use. We have got to be careful in NZ that we don’t start down this slippery slope where service provision trumps all training opportunities for trainees.
Have seen this EXACT scenario play out once or twice this side of the world too…
“Strong and stable” indeed… 🙄 #nzpol
With mining interests anticipating a boom on the West Coast under the new government, we asked newly elected local MP Maureen Pugh whether logging of native trees could follow
Whena's full story: youtube.com/watch?v=2t_bOoiw…
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How it started, versus how it's going...
Incredibly grateful for all the support and mentorship from so many people over the years. An unbelievable 15 year journey, all the way from @aberdeenuni to @acemonline ! 🥳🍾
Euan Watt retweeted
One of the biggest frustrations in EM/A&E is other specialties telling us what our job is. How many guidelines and advice sheets end with ‘if concerned go to A&E’. It’s time to reclaim our specialty. Before it dies.
Not sure how I stumbled across this, but it is somewhat telling that it was published a year ago and had not appeared on my radar.
Hypertension doctors have issued a position document on the management of hypertensive crises. @BIHSoc_Events
nature.com/articles/s41371-0…
Euan Watt retweeted
Whatever the result in this #RWCFinal rugby has destroyed itself as a spectacle with ridiculous rules and interpretations plus a TMO sitting in front of a TV controlling things via slow motion replay. Gone are the days of entertaining, free flowing rugby union.
Euan Watt retweeted
One of the ways of ensuring our emergency department patients get looked after to the best of our ability is to find ways for the shift to suck less for your team
My strategy is simple: caffeinate and educate
Every shift
Whatever’s happening
No exceptions
Euan Watt retweeted
Here's a reflection on how the management style of the emergency physician in charge (EPIC) can mean the difference between life and death
(Long 🧵)
Euan Watt retweeted
If someone is asking for your help…they want your help.
It’s not the time to decide whether they SHOULD be asking for your help - Do this on the back end in the form of respectful feedback.
Euan Watt retweeted
Undifferentiated abdominal pain still causes diagnostic uncertainty as an ED consultant with 6 years of Med School and 12 years post qualification. That might be a reflection on me, but saying that 2 years training is enough to understand the nuance required is wild. (1/2)
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Fascinating reading the number of replies on this thread from people who truly don’t understand the diagnostic process & Bayesian Reasoning…
Maybe another example of other specialists weighing in on how EM should do their job, without actually understanding what we do? 🤷♂️
Most interesting part of this article:
ED physicians ordered the fewest number of CTA scans during the study period at 11%, followed by resident physicians 23% and nonphysician providers 67%.
We’ve known this to be an issue for quite some time…
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