Dr Nick Mani, MSc FRCEM

My Quality Improvement Project on Emergency Department PoCUS governance and administration been accepted for publication by @BMUS_Ultrasound @SAGE_Publishing 🙏🏾 So much blood, sweat and tears. All worth it. @RCollEM @EMTAcommittee very keen to see an improvement nationally

What is considered a high-value basic ultrasound-guided regional anaesthetic technique? #anaesthesia #regionalanaesthesia #regionalanesthesia #pain #MedTwitter doi.org/10.1111/anae.7…

It's out! Our Core Topics article on Plan A blocks in @Anaes_Journal! How far have we come in ensuring universal patient access to basic regional blocks? Read for free: …-publications.onlinelibrary.wiley.com/doi/epdf/10.11… @ESRA_Society @ASRA_Society @RegionalAnaesUK @LloydTurbitt @elboghdadly

@davidcarr333 @CVarnerEmerg @petrosoniak @EmICUcanada @BURSTurology Oh, I see

@EveryOneNoOne1 @CVarnerEmerg @petrosoniak @EmICUcanada @BURSTurology We are talking ovarian!

This does not excluded torsion. ⁦@CVarnerEmerg⁩ ⁦@petrosoniak⁩ ⁦@EmICUcanada⁩

The Zero-Miss Diagnosis, The Final Frontier: aortic dissection. Hundreds of CTs to find a handful of cases, even in Australasia where resource stewardship is Important. Nobel Prize in Medicine for whoever invents A Better D-Dimer, please. #FOAMed evidencetriage.com/p/what-does-ou…

Yay! QUADAS-3 is out! QUADAS-3: A Revised Tool for the Quality Assessment of Diagnostic Test Accuracy Studies | Annals of Internal Medicine acpjournals.org/doi/10.7326/AN…

Following many requests from colleagues worldwide for access to my recorded webinars, I’ve reactivated my dormant YouTube channel where you’ll find a dedicated playlist with 20+ full-length lectures from previous open-access sessions — all freely available — and I’ll continue adding more. Explore here: @EchoSoliman" target="_blank" rel="nofollow noopener">youtube.com/@EchoSoliman Hoping these resources continue to support global learning and collaboration in critical care echocardiography & POCUS. #EchoFirst #POCUS #EACVI

#ESP block: evidence-based… or evidence-crowded? 97 meta-analyses (2016–2025). 👉 >80% low or critically low quality (AMSTAR-2). More meta-analyses ≠ better evidence. @DecassaiMD @MadanNarayanan sciencedirect.com/science/articl…

NAP8 @RCollEM will launch on 1st March 2026 across Emergency Departments in 🇬🇧 🇨🇮 It is a national audit of RA safety, training and practice in collaboration with @RCoANews please sign up: rcem.ac.uk/nap8 Let’s improve patient safety👇🏽 youtube.com/shorts/Mep-oJE…

🫁 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-fr… Spoon fed guide on the blocks in order to help improve ventilation, improve pain, reduce opioids, and change patient trajectories.

🧬 How do PNB adjuvants affect nerve fibers? Ex vivo study shows fiber-specific effects: 💠 Dexmedetomidine: Aα/β, Aδ, C 💠 Magnesium: Aδ 💠 Epinephrine: C 💠 Ketorolac: Aα/β, Aδ ⚠️ At clinical doses, added effects with bupivacaine were limited doi.org/10.1136/rapm-2… #RAPM

Study finds nerve blocks don’t delay compartment syndrome diagnosis in kids — with careful monitoring & dilute anesthetics anesthesiologynews.com/a/LTIBAA/t #Anesthesiology #Pediatrics #PatientSafety

@POCUSUK @CO_CriticalCare

Our latest publication with Sampreeth Rao & @dan___kim entitled "Point-of-care ultrasound in the modern era of emergency medicine: a narrative review of the recent literature" 🇬🇧🇨🇦 Trends are UGRA, resus, diagnostic accuracy, tech/AI, Admin/Governance journals.lww.com/co-criticalcar…

Will these clinical trials shape medicine in 2026 (mostly focused on vaccines, gene and stem cell therapies) nature.com/articles/s4159…

💉 ESP catheters for rib fracture analgesia: do they stay in plane? CT-based study found 16/18 catheters migrated outside the ESP, mostly intramuscular or subcutaneous, with median displacement ~2–3 cm. Technique standardization is needed. 🔗 doi.org/10.1136/rapm-2…

Recommend #POCUS reading of the day. Measuring Left Ventricular Outflow Tract Signal Gradient in Hypertrophic Cardiomyopathy. ❓MR Doppler signal vs LVOT ❓ #FOAMed #echofirst 🔗 acc.org/Education-and-…

SVS/STS Aortic Dissection Classification This diagram illustrates the Society for Vascular Surgery / Society of Thoracic Surgeons (SVS/STS) classification system for aortic dissection. It categorizes dissections based on the zone of the primary entry tear, providing a standardized anatomical framework, especially useful for Type B aortic dissection reporting, endovascular planning, and outcomes comparison. Understanding where the tear starts matters just as much as how far the dissection extends. Reference: Lombardi JV, Hughes GC, Appoo JJ, et al. SVS/STS Reporting Standards for Type B Aortic Dissections. Annals of Thoracic Surgery. 2020;109:959–981