Regional anaesthesia in the ED
Improving uptake and standardisation of nerve block provision. Focus on access, governance, safety monitoring, and outcomes measurement.
Research & QI
Quality improvement.
Quality improvement.
Clinical research.
NIHR Principal Investigator. Active QIP lead. MSc candidate at QMUL. Research aligned with real clinical problems at the ED bedside.
Focus areas
Where the work is concentrated.
Resuscitation and cardiac arrest
Hypothermic arrest pathways, ECMO decision-making, and post-resuscitation care. Alignment with RCUK 2021 special circumstances guidelines.
QI methodology in UK clinical settings
Designing QIPs that change clinical behaviour: PDSA cycles, measurement science, governance, and sustainability.
Medical education effectiveness
High-yield teaching for time-pressured ED environments. SNAPPS model, simulation debriefing, and building clinical reasoning in early-career doctors.
Active projects
Current work.
Active · Phase 2Quality Improvement Project
Universal Regional Nerve Blocks in the Emergency Department
Conquest Hospital ED, Hastings
Aim: NRS ≥2 reduction within 30 minutes in ≥80% of eligible patients through a standardised nerve block pathway by December 2026.
Phase 1 — Complete
Baseline staff questionnaire. Three gaps identified: confidence variation, no proforma, no post-block monitoring.
Phase 2 — Active
Proforma implementation, staff training, NerveCentre integration, EPMA prescribing pathway.
Phase 3 — Planned
Outcome measurement, re-survey, PDSA cycle two.
QIPNerve blocksRCEM
ActiveNIHR Clinical Research
PIC Bone Study: Paediatric Bone Injuries
NIHR — Conquest Hospital ED site
National study examining outcomes and management of paediatric bone injuries across UK hospital sites. Site-level Principal Investigator responsible for data governance, recruitment, and NIHR reporting.
NIHRPIPaediatrics
Publications
In preparation
In preparation
Planned
Planned
Written outputs.
Current research is in preparation for submission.
Nerve Block Proforma and Governance Framework for Emergency Department Use
Emergency Medicine Journal · 2026 · Original Article
Universal Regional Nerve Block Pathway in the ED: A QI Report
BMJ Quality Improvement Reports · 2026 · QI Report
Hypothermic Cardiac Arrest — ECMO Escalation Decision Framework
Resuscitation · 2026 · Clinical Review
The Bifascicular Block in Emergency Presentations
Emergency Medicine Journal · 2026 · Clinical Review
Collaborations
Institutional partners.
National Institute for Health Research
PIC Bone Study — Principal Investigator
Royal College of Emergency Medicine
QIP programme, educational governance
Queen Mary University of London
MSc Emergency & Resuscitation Medicine
Conquest Hospital ED, Hastings
Clinical research site, QIP governance