Peter Cheng (@cephasplus) header
Peter Cheng (@cephasplus) profile picture

Emergency Physician, POCUS keen and part of the Trainee Education team at Northern & Box Hill hospitals

Melbourne, Victoria
Joined August 2011
Photo by Peter Cheng (@cephasplus)Photo by Peter Cheng (@cephasplus)Photo by Peter Cheng (@cephasplus)Photo by Peter Cheng (@cephasplus)Photo by Peter Cheng (@cephasplus)Photo by Peter Cheng (@cephasplus)Photo by Peter Cheng (@cephasplus)Photo by Peter Cheng (@cephasplus)
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Mike, your enthusiasm is off the charts! 😆 your gonna make it 👍🏻
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Replying to @DrEricLevi
@DrEricLevi Close contact? No worries. Tonight, my wife will be following the slick advice broadcasted by Australia’s Booger Doctor on how to dig her nose to get the best (and hopefully negative) results. #ismellarat @theprojecttv
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Here’s the proof 😇
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Replying to @TheRock
@TheRock I have a colleague who is an inspiration to the people she works with (she is an Emergency Doctor in the busiest ED in Victoria, Australia). In this COVID time, we were hoping you - an inspiration of hers - would have a moment to say Hi to her. It would MAKE her day.
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Opening up at 80% can mean: (A) having our freedoms back and returning to life as normal, or (B) living under constant threat of infection and thereafter fighting to stay alive in ICU (assuming there is a bed for you) Get your shot. Before it’s too late.
"There is a cohort of people that is going to suffer greatly in the coming months and it shouldn't happen. It doesn't need to happen." Watch the Head of our ED A/Prof Mark Putland's passionate message to the media on @TheTodayShow this morning.
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Case the other day: 66F with RUQ abdo pain + fever = cursory look revealed RLL shred sign and effusion. CXR later confirmed it.
Yep me too - and single shot lung bases if upper abdo pain, with a quick glance at IVC and subcostal heart in a very brief screen for grossly dysfunctional heart.
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Replying to @DrEricLevi
Close contact in my centre defined as 2 hours in the same space or 15 min face to face. If N95 worn no quarantine. Agree surgical mask seems inadequate as some staff have tested positive with that PPE level.
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Then this happens and virus gets on your face !
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Replying to @kyliebaker888
This is a great idea. Yet another thing to stock pile 🤭
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"social isolation is not an act of fear - it's an act of love." You show you care when you don’t put others in harm’s way by spreading the virus. Your freedom is less important than the life of another person. Let’s flatten this curve together. apple.news/A0CNB88l0RjOa-z8d…
which is why @butterflyIQ makes sense. What about your shop? How many EPs can scan LUS?
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This is sensible since most abnormalities are basal, peripheral and bilateral
I am thinking that for our less sick patients that we have them sitting with back to us, and we scan primarily from the back, reaching around from back 2 front only if the back is normal or we need a heart view. This way both machine and sonographer stay out of cough trajectory.
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Decision to buy from hospital exec 😳 cos of 1) backing by respiratory unit 2) Chinese recommending the use of LUS in addition to CT for risk stratification 3) recent fund injection. Other EDs should consider!
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Replying to @JMRothberg
@JMRothberg thinking of buying some #butterflyIQ probes to tackle the probable #COVID19 surge in our ED. Portable, easier to clean but is it up for the challenge? What is the experience compared with a bigger machine? @lukemphillips @kyliebaker888 @zedunow
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It doesn’t get any simpler than this! Great stuff!
3/ Continue compressions & echo Oxygen away All else stand clear Charge defibrillator Hands off compressions Rhythm check/Record echo Echo off Deliver shock or Dump charge
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Replying to @DrEricLevi
Eric, go back to your roots. Dig deep. You’re a great surgeon and don’t let anyone else cut you down.
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Has anyone heard of or introduced this protocol in their cardiac arrest echos? @EMAJournal @kyliebaker888 @zedunow onlinelibrary.wiley.com/doi/…
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Game changer in resus but how many can execute this easily in Australasia?
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