Top Tweets for #Blocktober26
It’s the final week of #Blocktober26! A shoutout to Duke #Anesthesiology's own Dr. Jeff Gadsden as he wraps up a month of regional anesthesia education, tips and clinical pearls. Don't miss out on these last few days of masterclass content @jeffgadsden.

#blocktober26 #Blocktober
Warhawk
Warhawk is a Heavily WIP CS2 map I have been working on. It takes inspiration from Overpass & Ancient (verticality & height variance) while leaning into a sniper tower within it's design.
More images below.
Gameplay:
https://t.co/IQH2aaRYFg

Puzzle Temple level blockout
inspired by tomb raider and uncharted series, this level will combine multiple gameplay types: exploration, platforming, combat and a huge spatial puzzle
#blocktober26 #blocktober #leveldesign #gamedesign

Here's a snippet of the timelapse of a level i worked on for a mobile Third/firstperson shooter game. it's a map based on the makoko slums in lagos nigeria #blocktober26 #blocktober #LevelDesign #gamedev
DUSK:Nairobi is a thrilling First Person Shooter game set in Nairobi Kenya. A classified bioweapon experiment has breached containment in the heart of Nairobi, threatening a global zombie cataclysm. The prototype is out link down below👇
https://t.co/SxntYHqCtP
#blocktober26

working on some new blockouts for this year's #Blocktober
bit late to the party but hoping to catch up in the next two weeks
#leveldesign #blocktober26 #gamedev
@amit_pawa @RegionalAnaesUK @DrRobbieErskine @HouthoffKavita @shanercpower @maffygirl @Wilkinsonjonny @curromir @KalagaraHari @NaveenEipe If you're not familiar with the costoclavicular block, here's a video that outlines the anatomy, how to do it, and some helpful tips... #Blocktober26
https://t.co/rpQAb8rkc4
@amit_pawa @RegionalAnaesUK @DrRobbieErskine @HouthoffKavita @shanercpower @maffygirl @Wilkinsonjonny @curromir @KalagaraHari @NaveenEipe But there are considerations for WHERE to put the local during costoclav blocks. I don't like jabbing needles into neural structures, so I do this (👇), where the local quite clearly is outside the sheath. Not everyone agrees though...what do you do?? #Blocktober26
@amit_pawa @RegionalAnaesUK @DrRobbieErskine @HouthoffKavita @shanercpower @maffygirl @Wilkinsonjonny @curromir @KalagaraHari @NaveenEipe If you think about it, this approach is actually VERY similar to a supraclavicular brachial plexus block...makes sense because the US beam is essentially aiming at the same territory, just from different sides of the clavicle... #Blocktober26

@amit_pawa @RegionalAnaesUK @DrRobbieErskine @HouthoffKavita @shanercpower @maffygirl @Wilkinsonjonny @curromir @KalagaraHari @NaveenEipe No, no, this is not going where you think. 😊 Who out there likes the costoclavicular approach to the infraclav block? Proponents say they love it because the cords are all clustered on one side of the artery, rather than dispersed around it. #Blocktober26

Hello and happy 21st of #Blocktober26! If you're like me, you love a good infraclavicular block (and if you're not, why not?). There ARE several different approaches to infraclav though...

Honoured to join #AMBER2026 as International Faculty, sharing insights on On-Arrival Blocks.
The next frontier in RA may not be a new block, but rethinking when we do it. Redefining the pathways to pain relief #blocktober26
Grateful to Prof. Dmytro Dmytriiev for this opportunity

But EBP is only one tool (albeit an effective one). Another solution to headache is to reverse the cerebral vasodilation that occurs in some of these headaches syndromes. How do we do that? By blocking the sphenopalatine ganglion. Anyone doing this regularly? #Blocktober26
https://t.co/jvuQ8t9Pb3
@amit_pawa @RegionalAnaesUK @NavBahal @galusweegie @UF_Anesthesia @garyschwartzmd @DrRobbieErskine @michyaries888 @UCSFAnesthesia @MKwesiKwofie But if you DO have a headache (or more appropriately, if your patient does), there are things we can do beyond offering acetaminophen or ibuprofen. After all, I'm rarely without a needle in my hand so..... #Blocktober26

It's the 19th day of #Blocktober26 and I hope your Monday morning isn't starting off with too many headaches..

@amit_pawa @EMARIANOMD @elboghdadly @RegionalAnaesUK @docmorne @DrJeniMD @EngySaid_MD @ajrmacfarlane @galusweegie @Nadia_Hdz_MD @michyaries888 @pritanand @BlockIt_Hot_Pod @deepak_neuro @rosie_hogg @DrNavSidhu @NavBahal @PeterMerjavy @DrRobbieErskine @DrTuhinM Gastric POCUS is an easy skill to learn and has definitely changed my management on a weekly basis. If you're unfamiliar with it, grab yourself a coffee and spend 9 minutes watching this: #Blocktober26
https://t.co/rPUuernqkL

@amit_pawa @EMARIANOMD @elboghdadly @RegionalAnaesUK @docmorne @DrJeniMD @EngySaid_MD @ajrmacfarlane @galusweegie @Nadia_Hdz_MD @michyaries888 @pritanand @BlockIt_Hot_Pod @deepak_neuro @rosie_hogg @DrNavSidhu @NavBahal @PeterMerjavy @DrRobbieErskine @DrTuhinM Do you routinely do a gastric US scan on everyone who is on a GLP?? To be honest, we have some inconsistently in our practice. Some will scan everyone (I’m in that camp), others will assume that if they’ve done 24 hrs of clears, they’re good to go. 🧐 #Blocktober26

G'day it's the 17th of #Blocktober26 -- hope you're all enjoying some weekend fun! Today we're going to talk about another increasingly common clinical scenario that can be tricky...

@jeffgadsden @amit_pawa @RegionalAnaesUK @Duke_Anesthesia @NavBahal @DrRobbieErskine @DrJeniMD @KartikBSonawane @ajrmacfarlane @HouthoffKavita @NaveenEipe @selvan_ramsamy @MadanNarayanan @PeterMerjavy @KalagaraHari @dr_rajgupta @educanestesia @nelkassabany @dr_melissabyrne @dr_tgro @snouzin @lipidguy @TomJelic @NagdevArun @UCSFAnesthesia @shaskinsMD @pritanand @MKwesiKwofie @Ropivacaine @michyaries888 That’s very kind of you, sir! 😊
I’ll bring the needle, a syringe and the drug @Ropivacaine - you choose the wilderness! 😄
#Blocktober26
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