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

Joined May 2011
1,456 Photos and videos
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Excellent Summary of SALAD technique x.com/emswami/status/9967927…

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
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James DuCanto, M.D. retweeted
It’s goodbye from the Intersurgical team as #Euroanaesthesia2026 comes to a close! It’s been a pleasure connecting with so many of you over the past few days and discussing how our solutions can support your respiratory care needs. If you missed us at the event or would like more information, please visit our website or get in touch — we’d love to hear from you. 📲 intersurgical.com 📧 info@intersurgical.com We look forward to seeing you for #EA27 in Copenhagen, Denmark! #Intersurgical #RespiratoryCare #EA26 #ESAICcongress
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James DuCanto, M.D. retweeted
Join us on stand A72 at the International Conference on Emergency Medicine (ICEM) over the next couple of days to explore our range of Resuscitation and Emergency Medicine solutions, tailored to meet your clinical needs, including: ✅i-gel® supraglottic airways family ✅i-view™ video laryngoscope ✅Universal Stylet Bougie (USB™), plus more! Explore the range online: 📲 intersurgical.com/info/emerg… 📧 info@intersurgical.com #Intersurgical #Respiratorycare #ICEM2026
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James DuCanto, M.D. retweeted
It was a pleasure to support the recent ABHI Global Ambitions Forum, where Stephen Williams, Intersurgical Group Sales Director, was invited to deliver a keynote speech. The forum brought together a range of international trade experts to share practical advice and insights with SMEs exploring global growth and expansion. As a business with a strong international presence, we were proud to contribute to the discussions and share experiences of operating across global markets. Thank you to ABHI for the invitation and for bringing together such a valuable forum to support businesses pursuing international growth. #Intersurgical #RespiratoryCare @uk_abhi
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James DuCanto, M.D. retweeted
Airway co-incidents are things that happen simultaneously during airway management that suddenly increase cognitive load. If not managed quickly this may lead to complications. For example: suction malfunction during failed intubation. Or empty VL battery and the patient starts vomiting ⚠️ Do not underestimate airway co-incidents. Huitink #EA26 Rotterdam @jducanto @NicholasChrimes @DaveOlvera1 @cliffreid @NightShiftMD @NaveenEipe
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James DuCanto, M.D. retweeted
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.
Unless our Medical Schools do a better job of screening admission candidates, we won’t have any Doctors. If you don’t want to practice FULL time for at least 20-25 years, pick another profession.
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James DuCanto, M.D. retweeted
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 youtu.be/WeLQeMb2e-A
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James DuCanto, M.D. retweeted
How do you define yourself? What motivates you? Is your work love made visible? @bad__EM #FOAMed #badEM
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James DuCanto, M.D. retweeted
✔️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
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James DuCanto, M.D. retweeted
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: youtu.be/NwdMqurRgj8?si=jfs4…
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James DuCanto, M.D. retweeted
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: youtu.be/e_Ed9aZJ90k?si=uAto…
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James DuCanto, M.D. retweeted
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... emcrit.org/425
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James DuCanto, M.D. retweeted
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. 🔗 mcmurraymed.com #PatientSafety #anesthesia
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James DuCanto, M.D. retweeted
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:
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Do you remember when you joined X? I do! #MyXAnniversary
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James DuCanto, M.D. retweeted
Back home in Sydney in time for sunrise Thank you 🇪🇸 and thank you ⁦@IncrEMentuMconf
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James DuCanto, M.D. retweeted
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
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James DuCanto, M.D. retweeted
Beautiful. Thanks to everyone who made @IncrEMentuMconf happen The perfect way to wrap up an amazing three days of connection, compassion, irreverent laughter and excellence in resuscitation John was felt all the way through this @DocJohnsMum
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James DuCanto, M.D. retweeted
Airway checklists compared to airway guidelines. Airway guidelines tell you what is right. Airway checklists ensure you actually do it right- every time. Airway checklists - like those used in the Airway Triage App - tend to outperform traditional airway guidelines when it comes to real-world patient safety, mainly because they translate theory into reliable action during working days under time pressure. The difference isn’t about content (both may be evidence-based), but about how humans actually perform in critical situations. Here’s the key reasoning: 1. Cognitive load vs. cognitive offloading Airway emergencies are high-stress, time-critical, and error-prone. •Guidelines (e.g. Difficult Airway Society Guidelines) require: •Interpretation •Recall •Decision-making under stress •Checklists: •Offload memory demands •Provide step-by-step prompts •Reduce reliance on working memory (which collapses under stress) 👉 In crisis situations, people don’t fail because they don’t know - they fail because they can’t execute reliably. 2. Standardization of behavior Guidelines allow variation. Checklists enforce consistency. •Guidelines: “Consider X, Y, Z” •Checklists: “Confirm X → Do Y → Prepare Z” This reduces: •Omission errors (e.g. forgetting backup plans) •Variability between providers •“Expert-dependent safety” 3. Timing and workflow integration Checklists are designed for when decisions actually happen. The Airway Triage App integrates: •Pre-assessment and pre-induction checks • Post-intubation checks •Crisis triggers (e.g. CICO recognition) and rescue drills Guidelines are often: •Linear documents •Not optimized for real-time navigation 👉 Checklists match the temporal flow of airway management, not just the logic. 4. Team communication & shared mental model Checklists improve team performance, not just individual performance. •Create a common language •Make plans explicit and clear (Plan A/B/C/D with transition points) •Facilitate closed-loop communication This aligns with principles seen in high-reliability organizations like aviation (e.g. NASA and airline cockpit crews). 5. Error trapping and forcing functions Checklists actively prevent errors, not just advise against them. Examples: •“Have you prepared front-of-neck access?” •“Is suction working?” •“Is help called?” These are forcing functions-they make it harder to proceed unsafely. Guidelines rarely enforce this level of safety redundancy. 6. Usability at the point of care A mobile checklist (like the Airway Triage App): •Is immediately accessible •Uses visual cues, voice guidance, colors, and branching logic •Supports rapid navigation Guidelines: •Often PDF-based or memory-based •Not optimized for bedside usability 7. Evidence from other fields Checklist superiority is well established: •Atul Gawande showed dramatic reductions in complications with the WHO Surgical Safety Checklist •World Health Organization checklist reduced mortality and morbidity across settings The same human factors apply directly to airway management. Bottom line Airway guidelines tell you what is right. Airway checklists ensure you actually do it right - every time. That’s why checklist-based systems like the Airway Triage App are more effective at improving patient safety, team performance, and reliability for planning and under stress. Airway Triage App is a non-profit patient safety project of the Airway Management Academy. Available on the app stores. @dave1olvera @jducanto @NaveenEipe @maffygirl @VirtueOfNothing @doctimcook @cliffreid @NicholasChrimes #airwaytriage
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