a consultant anaesthetist in North Cumbria Integrated Care Foundation trust UK. -Lead of trauma and regional anaesthesia services . -Faculty lecturer of regional anaesthesia master degree programme in University of East Anglia, UK . -Scientific committee member of African Society of regional anaesthesia . -Director of Cumbria Ultrasound Course , accredited by the Royal College of anaesthetists and Regional Anaesthesia UK. -Member faculty of airway and regional anaesthesia courses in the UK and Egypt , START course by royal college of surgeons , plus regional anaesthesia and block club teaching dir- ector in the trust.