James DuCanto, M.D.

Anesthesiologist, Author, Educator, Inventor. You’re never too smart to do something simple.

[James DuCanto, M.D. @jducanto]

Excellent Summary of SALAD technique https://t.co/jUYg4pqVxd

[Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 @EMSwami]

Intubation Pearls @jducanto + SALAD technique (Suction Assisted Laryngoscopy for Airway Decontamination)
1) Lead w/ suction to decon
2) Place blade
3) Move suction cath to left of blade (Park suction)
4) Suction continually clears airway
#EEM2018

[James DuCanto, M.D. @jducanto]

@LeahHoustonMD Yes

[Leah Houston MD @LeahHoustonMD]

This is one of the most out of touch takes I’ve ever heard from a fellow physician.

Read the room, Congressman.

Physicians are burning out because we are being crushed by administrative burden, loss of autonomy, declining reimbursement, corporate consolidation, insurance interference, and a system that treats doctors like disposable labor while demanding endless sacrifice.

Stop blaming physicians for refusing to tolerate an increasingly dysfunctional system. The problem is not that young doctors lack commitment. The problem is that medicine has become unsustainable.

[James DuCanto, M.D. @jducanto]

https://t.co/oXH9dFq2T2

Register now!

[James DuCanto, M.D. @jducanto]

@mcuban What kind of chickens? JK, thank you for the post.

[James DuCanto, M.D. @jducanto]

@petersuvarn Extrudan (Poland) now produces a good ‘copy’ called the “DuCatheter” here is a link from Germany https://t.co/KjeUWPK6xA

[James DuCanto, M.D. @jducanto]

Excellent Summary of SALAD technique https://t.co/jUYg4pqVxd

[Anand Swaminathan MD MPH 🏳️‍🌈🇺🇦 @EMSwami]

Intubation Pearls @jducanto + SALAD technique (Suction Assisted Laryngoscopy for Airway Decontamination)
1) Lead w/ suction to decon
2) Place blade
3) Move suction cath to left of blade (Park suction)
4) Suction continually clears airway
#EEM2018

[TBS Zermatt @TBS_Zermatt]

What does emergency thoracotomy look like with two junior doctors, one nurse, no blood bank, and no ICU? Dr Katya Evans from South Africa on ED thoracotomies in resource-limited settings.

Watch the full talk at https://t.co/kgMvp5o0rB

[Kirst Thomas | badEM @SurferKirst]

How do you define yourself?
What motivates you?
Is your work love made visible?

@bad__EM #FOAMed #badEM

[Hans Huitink @AirwayMxAcademy]

✔️If a tracheal tube is accidentally placed in the oesophagus, a capnogram is the gold standard to detect this and prevent hypoxia.

⛔️ The big universal 🌎 problem: on most medical monitors the ventilator pressure curves can look very similar to capnogram curves!! (See images 1 and 2)

⚠️This is a call to action for all capnograph device companies in the world to set shaded capnograph curve as default (Image 3). Open curves look like other measurements.

People have died because of this (Image 4)

Currently, on most monitors the default cannot be changed manually.

We need a universal shaded curve for capnography to increase patient safety.

If you care about patient safety: please #retweet and #share.

@doctimcook @NaveenEipe @dasairway @wei_huafeng @cliffreid @altgm @ProfEllenO @SheilaMyatra @jducanto @NicholasChrimes @NightShiftMD @ProtectedAirway @EM_RESUS @emcrit @maffygirl @AnRocad @DaveOlvera1 @Philips @Masimo @Verathon @HamiltonMedical @storz_karl @MassGenBrigham @Siemens @Sony @Olympus_Corp @fisherpaykelAU @RUHAnaesthesia @oldandbaffled @PentaxMedical @SafeAirway @SaferSurgery @psmn999 #shadedcapnocurve #anaesthesia #patientsafety #criticalcare #ambulance

[TBS Zermatt @TBS_Zermatt]

Robbie Lendrum of London's Air Ambulance on The Physiology of Severe Trauma. Recorded at TBS25 in Zermatt.

Find the full talk on our YouTube channel: https://t.co/ooNMIhn2pZ

[TBS Zermatt @TBS_Zermatt]

Are you really ready for the big day?

Veteran mountain rescuer and flight paramedic Dave Weber breaks down why high-performing individuals and teams excel.

Watch the full talk: https://t.co/QX9C5f3o28

[the EMCrit Crew @emcrit]

Airway Triage Debate: Today, a debate with an anesthesiologist [@airwaymxacademy] on the use of his airway triage app and whether it is applicable to resus airways...

https://t.co/TIcALTCc8X

[Roxanne McMurray @roxiem804]

Finally, a better oral #airwaymanagement tool! The McMurray Airway, designed by a CRNA, tackles airway patency, leaky mask ventilation & positive pressure inefficiencies, reducing OR cancellations and bottlenecks.
🔗 https://t.co/PB0KMip59e
#PatientSafety #anesthesia

[James DuCanto, M.D. @jducanto]

@DrNeilStone Well said.

[Nick Mark MD @nickmmark]

TIL a DuCanto catheter can deliver a bougie. Obviously not what you would *plan* to do but useful if you find yourself with suction in the trachea and a contaminated airway. This is also why you need to have TWO suction catheters.

Demo at @TheAirwaySite difficult airway course:

[James DuCanto, M.D. @jducanto]

Do you remember when you joined X? I do! #MyXAnniversary

[James DuCanto, M.D. @jducanto]

@nickmmark @AirwayMxAcademy @TheAirwaySite @NaveenEipe Indeed—it is a better acronym than mine! @simon13althaus SCATI (Suction Catheter Assisted Tracheal Intubation)

[James DuCanto, M.D. @jducanto]

@cliffreid @Asiritrauma1 @IncrEMentuMconf ‘They’ have finally approved our editorial for the next issue. Glad you are home with your feet on the ground!

[Cliff Reid @cliffreid]

Back home in Sydney in time for sunrise

Thank you 🇪🇸 and thank you ⁦@IncrEMentuMconf⁩

[Hans Huitink @AirwayMxAcademy]

Airway Management

Biggest proven breakthrough last 20 years
→ Videolaryngoscopy
Biggest missed opportunity:
→ Awake intubation
Biggest conceptual shift:
→ First-pass success + peri-oxygenation + context sensitive airway management
Biggest future gain:
→ Structured airway strategy (triage-based thinking)

#anaesthesia