Emergency Doc ❤️ Education / Geri / POCUS / Quality / New Insights / Learning everyday.
Melbourne, Victoria
Joined April 2009
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Jonathan Cheah 🚢 retweeted
The most dangerous addiction today isn't a substance.
Research on 100,000 people confirms that heavy short-form video use is just voluntary cognitive decline. We are actively training our brains to fail at hard tasks.
If you can simply sit with a problem for 10 minutes without swiping, you have a massive competitive advantage.
Basically, boredom is the new IQ.
i quote this for all our ED trainees who want to give stuff to correct deranged INR prior to paracentesis
Jonathan Cheah 🚢 retweeted
Proud to share our state of the art review on acute upper GI bleeding 🩸🆕
1️⃣ Management algorithm
2️⃣ Endoscopic management
3️⃣ Antithrombotic management
4️⃣ Trends over time
📸: @FrontGastro_BMJ
fg.bmj.com/content/early/202…
Jonathan Cheah 🚢 retweeted
In Aust, number of women in clinical radiology (CR) hovering at 30%, radiation oncology (RO) nearly at parity, 46%. In NZ the numbers are similar, but slightly more for CR and slightly less in RO.
In 2025, 40% of @RANZCRcollege Board are women, up from none in 2022!
#RANZCR2025
Jonathan Cheah 🚢 retweeted
IMJ August 2025 #FreeAccess
Editorial: Re-defining Clinical Reasoning
bit.ly/4lA7WFb
@TheRACP @WileyHealth @PaulBridgmanMD
Jonathan Cheah 🚢 retweeted
Clinical Policy: Critical Issues in the Management
of Adult Patients Requiring Endotracheal
Intubation in the Emergency Department
Evidence based recommendations to reduce risk of peri-intubation hypoxemia and/or hypotension
from ACEP @EmergencyDocs
annemergmed.com/article/S019…
(Infographic generated by Claude.ai)
“meth is an ED problem ; it is OUR disease” also Prof Dan Fatovich shares his favorite slide showing long posting drugs showing false positives for amphetamines #acem24 ..
“A lot of people have holes in their life ; until you fix those ; you are not able to fix addiction” Professor Dan Fatovich from RPA speaking about methamphetamine at #acem24
Anastasia Mutic and @DrSimonCraig from the @PREDICT_network presenting factors influencing pediatric fever management in ANZ ; citing lack of adherence to guidelines at #acem24
Authorship misconduct: professional misconduct in editorial handling of authorship - British Journal of Anaesthesia bjanaesthesia.org/article/S0…
Jonathan Cheah 🚢 retweeted
(#3/5) Frailty (and the premorbid trajectory)
Frailty is defined as lack of physiological reserve - this can be due to many things: comorbidities, nutrition, exercise, social supports, mental health etc.
The collective effect, however, is that the prognosis following cardiac arrest, mechanical ventilation, septic shock etc. is worse ☹️(see: link.springer.com/article/10…)
What I try to determine is what has the trajectory of frailty been over the past few years.
E.g.
1 year ago independent
6 months ago cane
3 months ago wheel chair
1 month ago bed bound
This is a concerning trajectory. It is unlikely that anything in the ICU will address the underlying cause of this significant physiological decline.
Jonathan Cheah 🚢 retweeted
The greatest thinker of the 21st century:
Naval Ravikant.
He was an early investor in Uber, Twitter, and Notion.
And he famously said, “You’re not going to get rich renting out your time.”
Here are 10 of his teachings on wealth that changed my life:
Jonathan Cheah 🚢 retweeted
1. Cardiac POCUS is essential in the immediate assessment of patients with undifferentiated hypotension
Jonathan Cheah 🚢 retweeted
Femoral lines (clinical practice) paradox:
ICU/ED world: Oh no, we shouldn't do it, femorals are SO dirty. If we place them, we remove them 3 ds later because we feel guilty & administrators yell
ECMO world: let's put 2 huge cannulas in the groin & leave them there for 3 weeks
Insight 2024/2025 - The Challenges of Malaysia’s Education Reform channelnewsasia.com/watch/in…
