Cardiac Physiologist with an interest in arrhythmia, PCI, and resuscitation. Can be found in a 🏥 or 🚑, always joking/eating. All views are my own.
London, England
Joined April 2020
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- Following815
- Followers417
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Mohan retweeted
If you’re well enough to sit in an ambulance and take a photo for social media to tell everyone you’re in an an ambulance, you don’t need to be in an ambulance.
Here ends the lesson.
Mohan retweeted
Cardiac arrest isn’t a diagnosis in the same way as headache isn’t a diagnosis, jaundice isn’t a diagnosis, chest pain isn’t a diagnosis, abdo pain isn’t a diagnosis. If we keep trying to find magic bullets that treat the presenting complaint, we’re relying on luck to innovate.
Mohan retweeted
The European Resuscitation Council Guidelines 2025 are out now in Resuscitation!
🔗 Read the Executive Summary: sciencedirect.com/science/ar…
🧵 Explore all the chapters in this thread
#Resuscitation #RESUS25 #ERCGuidelines #Guidelines2025
Mohan retweeted
Avoiding unrecognised oesophageal intubation
The @RCoA & @dasairway have agreed to drop ‘no trace wrong place’
The message now is that we need to exclude oesophageal intubation by identifying SUSTAINED EXHALED CO2
This requires 4 elements
-CO2 rises & falls with respiration
-sustained (non-fading, >7 cycles)
-amplitude >1 KPa
-clinically appropriate
It replaces ‘no trace wrong place’ which is insufficient & therefore inadequate
See these two updated webpages
Sustained exhaled CO2
rcoa.ac.uk/safety-standards-…
Prevention of future deaths
rcoa.ac.uk/safety-standards-…
@AAGBI @AndyHiggsGAA @NicholasChrimes
Mohan retweeted
1/
Shock isn’t “give fluids, then pressors, then inotropes.”
That recipe misses the physiology.
Here’s how to manage shock properly: 🧵
#MedX #haemodynamics
Mohan retweeted
(0/x) How do I approach the first 2 minutes of meeting a new critically ill pt?
My approach has been forged from my learnings as a paramedic.
Here's my approach as an ICU doc 🧵
Mohan retweeted
The most important change in my practice in cardiac arrest in recent years: checking defibrillator pad position
youtu.be/jEc36zZIFbw
Mohan retweeted
Fresh from the edit - our podcast on #SPEAR and advanced resuscitation . @TheResusRoom have done a brilliant job assembling this - concept, delivery & insights from our OHCA programme at @EastAngliAirAmb and beyond… podcasts.apple.com/gb/podcas… @BartsIntervGrp @NHSBartsHealth – at Paddington, London
Mohan retweeted
Many see pre-procedural checklists solely as a tool for checking equipment
In EMRS we monitored the heart rate of clinicians during our pre-anaesthetic checklist. 100% of clinicians experienced a fall in heart rate
Here's why....
CoreCognition.co.uk
Mohan retweeted
🧵Why does low protein intake cause hyponatraemia?
Most people find this confusing.
But the underlying physiology is beautifully simple.
Let’s walk through it 👇
#Hyponatraemia #FluidBalance #MedTwitter #FOAMed
Mohan retweeted
Half of the places for the AHP Annual Conference have already been taken! Don’t miss your chance to attend one of the UK’s biggest events for cath lab professionals.
🗓️ 7–8 July | 📍 Park Plaza, Leeds
🎓 Two learning streams – Core & Advanced
🛠️ Hands-on sessions, expert speakers & team-focused learning
💼 Free for BCIS members – bursaries available for accommodation
🔗millbrook-events.co.uk/AHPAn…
@bcis_ahp
Mohan retweeted
🚨 ACCESS Clinical Development Day is nearly here!
📢 Meet our speaker lineup below
🗓️ 22 May 2025 | 🕙 10AM–4PM | RLH Education Academy
🎓 5 CPD points | In-person only
📩 Register now: eu.jotform.com/form/25091520…
🔍 Topic: Innovation in Action – Cardiac Arrest & Major Incidents
📄 Full agenda dropping this week!
#CriticalCare #CPD #ACCTS #CardiacArrest #MajorIncidents #ACCESSCDD #Innovation
Mohan retweeted
Use of transoesophageal echocardiography in the pre-hospital setting to determine compression position in out of hospital cardiac arrest - Resuscitation resuscitationjournal.com/art…
Mohan retweeted
And some supporting papers, for some extra reading! pubmed.ncbi.nlm.nih.gov/3847… and ccforum.biomedcentral.com/ar… and pubmed.ncbi.nlm.nih.gov/3951… @EAAARAID @BartsIntervGrp
Arterial lines prehospital? A really useful adjunct but only if it doesn’t delay transport. @EMManchester at #incrementum2025
stemlynsblog.org/non-invasiv…
Mohan retweeted
One of the things I don’t like is when politicians and NHS managers refer to me as a “provider” or as a “contractor”. I am a medical doctor. My colleagues are nurses, midwives, pharmacists, physiotherapists etc. The people I treat are my patients and not “service users”.
Mohan retweeted
Following years of work, and months of rigorous preparation, @LDNairamb in close support and collaboration with @NHSBartsHealth launches the UK’s first Pre-Hospital #ECMO CPR Capability!
Mohan retweeted
📚New #ICRJournal Article: "PCI in the UK: Recommendations of the BCIS"
📚 Just Published!
🔓Access it here 👉 ow.ly/K0ZW105XFVo
@ncurzen @helenroutledge2 @mmamas1973 @DrPeterOKane @optimacto @vinoda_sharma
