Purpose 
To report how social media helped in saving lives and enhancing medical education remotely during the ongoing war in Sudan where the UNESCO warned  of the world’s most severe crises to the education system and the WHO reported how the  healthcare in Sudan is hanging by a thread. Moreover, ONCA reported that 25.6 million Sudanese face acute hunger and 10.7 million are internally displaced.

Methods
We utilised social media groups named SudaRad which we have previously used for education and consultations during the COVID epidemic. This involved case of the day quiz discussions and daily free remote consultations on clinical emergencies which provided an excellent teaching opportunity. A course of live lectures on clinical radiology emphasizing simple radiographs and essential cross-sectional scans was conducted during June- July using web-based ECHO platform sponsored by SUDRO non-profit organisation. The course was endorsed as an integral part of the postgraduate medicine curriculum by Sudan Medical Specialisation Board. Attendees were asked to answer pre-course self- assessment questions which was repeated at the end of the course to assess the course impact. They were later given a questionnaire on whether the course was useful and if  they would  recommend to colleagues. A further question was about the preferred format 

Results 
Our social Groups members were displaced in 14 countries. Others were displaced internally. The life-threatening conditions sent for consultation were an excellent teaching opportunity for how to handle medical emergencies under severe conflict. We remotely diagnosed a variety of life threatening conditions including tension pneumothorax, pulmonary embolism, subdural haematomas, cerebral haemorrhage, brain infarcts, cerebral sinus thrombosis, hypoxic ischemic encephalopathy, tumours, respiratory distress and pneumonias. Tuberculosis was alarmingly frequent, and the radiologic findings were promptly escalated. 311 practitioners attended a bones and joints 3 hours course. The majority 205 of those 311 attendees were medical residents in training. The overall average entry score at the bone and joint disease was 10.2/ 20 which improved to 17.7/20 on the exit self-assessment questionnaire. The entry score for the chest course was 11.7/ 20 which improved to 16.5/ 20. The chest course was therefore repeated. Other short courses included stroke and acute abdominal conditions. Combat and battlefield radiology were not included in this course.

Conclusion
Social media was the most effective and available tool to maintain radiology education remotely during the ongoing war in Sudan. Social media were extremely helpful in saving lives by remote diagnosis of life-threatening conditions. Web based platforms were suitable for didactic lectures.