Alex Kumar

Consultant in Anaesthesia @KCHanaesthetics, and Pain Medicine @ChelWestFT, @PureSportMed @RemedyHealthcare

[Max Marsden @MaxMarsden83]

Was a very grateful for the opportunity to (come in late and) help these authors get this important message out about the military use of Penthrox. Thanks to @AlexJKumar and the team.

[Karim Brohi @karimbrohi]

Tomorrow we're starting our @London_Trauma System oversight reviews of each of the Major Trauma Centres and Networks in our supraregional system.

The oversight reviews are an integral part of our system governance and have led to systematic structural improvements at all of our MTCs & networks: Securing on-site specialist services, dedicated major trauma wards, workforce expansion, integrated acute rehab services & many more.

This is our third round of reviews since 2019, which we established in the absence of the national peer review system (hopefully soon to be re-established!). Oversight reviews are not the same thing though. These are supportive & collaborative reviews conducted by other members of the London Trauma System.

We look at infrastructure, activity, processes and workforce. We ask for specified audits each year but also want to hear about internal audits that have been conducted.

We also want to hear about areas of innovation, excellence and general good practice that can be shared across the four networks. This year I'm particularly looking forward to seeing the impact of our new Rapid Access to Acute Rehabilitation units and Major Trauma Psychology services.

MTCs & MTNs are not pass/failed but are rated along CQC lines: Outstanding/Good/Satisfactory/Requires Improvement etc. Specific areas of development are highlighted alongside areas of excellence.

Since 2019 we've moved from issues at all sites to Good or Outstanding across the board. Hoping to see further progress this year!

[Alex Kumar @AlexJKumar]

Great fun presenting a Workshop on translational Military Pain Management with @DrHarrietKemp @frajewatson @BritishPainSoc ASM2024 #militarypainmanagement #OpRESTORE

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

How can we improve pain management in intensive care?

@hlaycock @DrHarrietKemp et al identify some initiatives that may help!

These include:

⭐️Interdisciplinary training
⭐️Decision-making tools
⭐️Research priorities
⭐️Prioritisation schemes

🔗https://t.co/OGrMJfUfKg

[Alex Kumar @AlexJKumar]

@RNPainNet A pleasure to talk! Thanks for inviting me.

[Alex Kumar @AlexJKumar]

A common and easily treatable cause of Back Pain - Facet Joint Irritation.

#targetedpainmanagement
#integratedrehabilitation

[Alex Kumar @AlexJKumar]

The role of Pain Management in an Integrated Rehab Plan.

#painmanagement #integratedrehabilitation

[Dr. Rachel Zoffness @DrZoffness]

STRESS is a well-established pain amplifier. 🔥

Stress
💪🏼increases muscle tension
💦triggers the SNS
🫀alters endocrine, digestive, cardiac + immune function
🚨AMPLIFIES THE BRAIN'S PAIN ALARM

Pain is physical AND emotional 📣
✨Always.✨

#MedTwitter #MedEd

[ADVANCE Study @AdvanceStudy]

More exciting research published from the @AdvanceStudy! This time on #pain experienced by UK #military personnel deployed to Afghanistan. Well done @TimPnin et al.
Article in @BJAJournals: https://t.co/etGDg7auyx
Summary: https://t.co/iNzw7dZL2W
#ArmedForces #CombatInjury

[Alex Kumar @AlexJKumar]

The first of the @AdvanceStudy Pain outcomes after UK combat injury. A huge team effort. @PainResearchICL @DMS_RCDM

https://t.co/HcNjoP9w96

[Alex Kumar @AlexJKumar]

Thrilled that this has been published. A massive thanks to all the co authors who have been instrumental in getting this over the line. This work provides the starting point to improving pain management for combat injured military personnel.

https://t.co/dhhId4k5MC

[ASGBI Moynihan Academy @ASGBI_MA]

Happy 2024! 🎉 Let's make this year fantastic. Kicking off #MondayUpdate on a high note, @Asgbi_ma is thrilled to release our first #Surgeon2Resus podcast, featuring an insightful interview with @janjansenuk on the #REBOA trial.
https://t.co/h13Z5Bsmmv

[Karim Brohi @karimbrohi]

The new @RoyalLondonHosp ROTEM slave screens hard at work with a very red Code Red.

🙏@Barts_Charity @docdgn #TransformTrauma

[Karim Brohi @karimbrohi]

UK-REBOA results:

REBOA increased mortality at 90 days and at all interim time points.

REBOA increased deaths due to bleeding at 3 hours and 90 days.

REBOA substantially delayed time to definitive haemorrhage control.

💢🎈💢

#ccr23

[Karim Brohi @karimbrohi]

Management of Liver & Spleen Injuries. Our new animation for the @London_Trauma System on the management of these injuries. Principally aimed at supporting multiprofessional staff in understanding key decisions and management.

https://t.co/2fAmfWr5lT

[𝘈𝘯𝘢𝘦𝘴𝘵𝘩𝘦𝘴𝘪𝘢 @Anaes_Journal]

🔓Pre-operative sciatic nerve block for prevention of phantom limb pain after below-knee amputation.

"Although no differences in long-term analgesic outcomes were detected, a pre-operative sciatica nerve block may have short-term analgesic advantages."

🔗https://t.co/SaOgNf83w6

[The Sp⚽️rts Physio @AdamMeakins]

There are many myths and misunderstandings about our spinal discs!

So lets take a look at some facts and evidence about these commonly misunderstood structures!

A short thread 🧵

[🇬🇧 Centre for Army Leadership @Army_Leadership]

⚠️💀10 Diseases of Leadership💀⚠️

Continuing the theme of our recent posts on psychological safety & emotional intelligence, the late Professor Brigadier Richard Holmes identified the 10 diseases of leadership…..(1/4)