EM. MBChB, MSc Resuscitation, FRCEM. AI in ED. POCUS. Echo. London 🇬🇧

London, England
Joined September 2015
Nerve Blocks in EM 📅 8 September 2026 📍 Chelsea & Westminster Hospital, London Study day rcem.ac.uk/face-to-face-even… #EmergencyMedicine #POCUS #RegionalAnaesthesia #NerveBlocks #FOAMed #RCEM
1
97
Quick walk-through of echosuite.app This is on desktop, but the UI will automatically adapt to your smartphone as well
24
422
17
2,106
450,087
Nerve Blocks in Emergency Medicine RCEM Study Day September 2026. Many thanks to the faculty, delegates and reps for such amazing interest and dedication. 🙇‍♂️
1
1
39
In our most recent episode of @BlockIt_Hot_Pod #BILIH - @jeffgadsden & I ask @LloydTurbitt the concept behind his landmark paper on Plan A Blocks. Listen to the full episode here blockitlikeitshot.com/s3-e8-…
1
8
14
1,178
🩺 Does DNR status affect access to regional analgesia? In >760,000 fracture admissions: • Rib fractures: 24% lower odds with DNR status • Hip fractures: no association • Largest gap: least frail rib fracture patients Read here -> doi.org/10.1136/rapm-2026-10… #RAPM
2
3
5
810
This is a game changing point of care diagnostic.
23
44
5
639
74,872
Ep 285 – Resuscitative Hysterotomy with Caroline Leech at BASICs 2025 In this episode Iain Beardsell and Simon Carley talk with Caroline Leech at the BASICs Conference about resuscitative hysterotomy following maternal cardiac arrest.... stemlynsblog.org/ep-285-resu…
4
1
6
2,245
Only if education could be this interactive ❤️‍🔥 I've had a looong wish to build something genuinely useful through vibe coding, and I finally did it. A 3D human anatomy application built with @threejs using GPT 5.6 Sol. It all started with a single design image that I created using GPT Image 2.0. I then used it to generate every 3D organ image, one by one. Next, I converted each of those images into 3D models using @tripoai (and no, they didn't sponsor this 😄). After that, I opened Codex, wrote a master prompt based on the design, and gave it the prompt, the design image, and all the 3D models. Codex built the first version beautifully, but there was one big problem. Every single 3D model was nearly 120-150 MB. That obviously wasn't practical for the web and was giving a performance of 16fps. After a few iterations, Codex optimized each model down to roughly 2–5.5 MB while preserving the visual quality, reducing the total asset size from ~900 MB to just 28.6 MB. And each model loads on demand. Along the way, Codex also generated those anatomical illustrations showing where each organ sits in the human body, and even created the interactive hotspot markers that explain different parts of every organ. It handled all of that. The process wasn't exactly one shot, but it also wasn't difficult. You just have to do it step by step. It genuinely felt like building something that could make learning anatomy much more engaging. The inspiration came from @DilumSanjaya's 3D animal plant cell project. I remember seeing it and thinking, "I want to build something like this one day." And I did it :D Live: anatomy-livid.vercel.app/ Code: github.com/thebuggeddev/anat…
615
1,558
263
12,021
2,123,493
Acute Aortic Dissection ‼️ Marfan syndrome The patient arrived for a consultation only‼️ @alexsfelixecho @alex1708ander – at Kyrgyzstan
12
33
1
151
10,667
Mun Lim retweeted
New in EMJ - free open access: Endovascular resuscitation: an expert practice review A practical overview of REBOA, SAAP and ECPR for emergency physicians managing the sickest patients in shock or cardiac arrest. Please read / comment / share DOI: 10.1136/emermed-2025-215376
🤖 Made with AI
1
14
1
21
2,845
My ESP blocks never used to work. Then we realized what we were doing wrong…. Why Your ESP Block Fails (And How To Fix It) youtu.be/KTmzwR-NziE
17
54
5
180
30,605
Closing out post. 🙏 for all the commentary. ✅ Severe AS & normal EF. 1st image: first beat is a post PVC cycle, third beat a PVC. ✅ Overlay of LVOT Doppler on main CW signal in all cycles rules out MR as a possibility. ✅ Notably post PVC cycle’s ejection time is shorter than next beat (see below- black & pink arrows). SV did increase in 1st beat (larger LVOT signal on VTI- visually) associated with ⬆️ contractility (higher PG of AS). ✅ The Anrep effect, a delayed adaptive response to ⬆️ in afterload (AS), results in increased contractility and prolonged ET (average decrease in ET after AVR is ~70 msec). Anrep effect (a slow force response) works best with regular rhythms. ✅ The reason for a shorter ET after post PVC potentiation of LV contractility is unclear in this example. Would like to hear comments! As always, #echofirst crowd is magnificent. @argulian @echo_batman @NMerke @dr_benoy_n_shah @DavidWienerMD @StellEkaterina @iamritu @bwoody58
4
9
32
2,161
Mun Lim retweeted
Ultrasound Corner: Differentiating Acute Pulmonary Edema and Asthma With the Lung Curtain Swing vs Time Graph: A Novel Application of Anatomical M-Mode Evaluation of Lung Swing Read more in the February issue of the journal CHEST®: hubs.la/Q042vgcR0 #MedEd #JournalCHEST
1
25
87
6,449
*VALVE CASE OF THE MONTH* Early 40s, admitted with exertional CP and one episode of syncope Loud systolic & diastolic murmurs Here's the first PLAX view on TTE #echofirst
6
37
1
110
9,791
🫁 Rib fracture pain isn’t “just uncomfortable”, it can be quite painful and potentially harmful when undertreated. Learn how to use PoCUS-guided: ✅ Serratus Anterior Plane blocks ✅ Erector Spinae Plane blocks emottawablog.com/2026/02/rib… Spoon fed guide on the blocks in order to help improve ventilation, improve pain, reduce opioids, and change patient trajectories.
2
27
1
58
4,851
Welcome back to day 28th of #scanuary ! It's a month-long marathon of daily tweetorials about #POCUS & its uses Today we are going to discuss one of my favourite topics Acute pain management in ED How ultrasound competency is a key skill in providing good analgesia If you find the post useful, please like & retweet
1
7
10
802
Interesting to see a “new” fascial plane block that is not ESP creep into these recommendations! #RhomboidIntercostal - Worth a read to find out why that trumped Serratus! #RegionalAnaesthesia #RegionalAnesthesia #BILIH #BlockItLikeItsHot @BlockIt_Hot_Pod @jeffgadsden
Pain management after open thoracotomy 2025: procedure-specific postoperative pain management (PROSPECT) recommendations #anaesthesia #Pain #MedTwitter doi.org/10.1111/anae.70123
10
13
2,740