Mohan

Cardiac Physiologist with an interest in arrhythmia, PCI, and resuscitation. Can be found in a 🏥 or 🚑, always joking/eating.

All views are my own.

[Mohan @SMohanakumar93]

@iceman_ex Agreed and its not helped by lack of robust regulation for professions/departments.

I'll speak for physiology, buts it a profession that should be highly regulated given how easily an echo can be misreported/a CIED van be reprogrammed incorrectly yet our register is voluntary.

[Gareth Grier @gareth_grier]

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.

[Resuscitation @ResusJournal]

The European Resuscitation Council Guidelines 2025 are out now in Resuscitation!

🔗 Read the Executive Summary: https://t.co/QWoGv3nVgd

🧵 Explore all the chapters in this thread

#Resuscitation #RESUS25 #ERCGuidelines #Guidelines2025

[Tim Cook @doctimcook]

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
https://t.co/ZAdO23sHil

Prevention of future deaths
https://t.co/goxZZEcCzu

@AAGBI @AndyHiggsGAA @NicholasChrimes

[Mohan @SMohanakumar93]

@bumblebeenush @BHRUT_NHS "So why do you want to work at KGH"

*shows them this tweet* 😂

[Mohan @SMohanakumar93]

@samdharrison @stjohn_wa You'll be missed in London. Thank you Sam for all your wisdom and jokes over the years!
You've defo provided me with peace on jobs when I heard/saw you were my allocated backup.

Fyi - think they read the ECGs upside down in Australia 😜

[Ashley Miller @icmteaching]

1/
Shock isn’t “give fluids, then pressors, then inotropes.”
That recipe misses the physiology.
Here’s how to manage shock properly: 🧵
#MedX #haemodynamics

[Ross Prager @ross_prager]

(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 🧵

[Cliff Reid @cliffreid]

The most important change in my practice in cardiac arrest in recent years: checking defibrillator pad position
https://t.co/3dBBH2L9h2

[Paul Rees @DrPaulRees]

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… https://t.co/4Qe9GcYKkW @BartsIntervGrp @NHSBartsHealth

[Stephen Hearns @StephenHearns1]

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....

https://t.co/NTkBbI2OoO

[Turning the Tide @Turningthe_Tide]

🧵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 @SMohanakumar93]

@rachelgemma90 @ThomasBurton12 Might be one for @PoliceMedics

[BCIS @BCIS_uk]

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

🔗https://t.co/Cjbonxw2RJ
@bcis_ahp

[ACCESS London @ACCESS_London1]

🚨 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: https://t.co/LvJKN1trmy
🔍 Topic: Innovation in Action – Cardiac Arrest & Major Incidents
📄 Full agenda dropping this week!
#CriticalCare #CPD #ACCTS #CardiacArrest #MajorIncidents #ACCESSCDD #Innovation

[Ross Prager @ross_prager]

@CanadianKayMD @ResusTEEproject @ERC_resus @ResusCouncilUK @AHAScience @cliffreid https://t.co/AATK1W29jf

[Mohan @SMohanakumar93]

@wmcareteam RIP Charlie, you were an inspiration and welcoming face to so many. So many young people were inspired by you. You were a great clinician and we were so proud of you when you became a Dr! Never forgotten, you'll always be remembered

[Mohan @SMohanakumar93]

@EMDocJB @YorkshireAirAmb @CorpulsWorld @DrPaulRees @CarlHaentjens @HaldenHB @FilipBrande Brillant device as it allows you to provide targeted and individualised compressions settings

[LKS ASE @LksAse]

Use of transoesophageal echocardiography in the pre-hospital setting to determine compression position in out of hospital cardiac arrest - Resuscitation https://t.co/viI6xBa8uc

[Paul Rees @DrPaulRees]

And some supporting papers, for some extra reading! https://t.co/oWaZq7jl3P and https://t.co/a3b3y1m27W and https://t.co/nGJmFZDt7I @EAAARAID @BartsIntervGrp