Skip to content

Posts tagged ‘james-ducanto’

Mass casualty training

STOPS_MassCasualtyScenario_011716 from AirwayNautics on Vimeo.

Cricothyrotomy Simulation with Strategic Operations Sim Collar IMSH 2016

Cricothyrotomy Simulation with Strategic Operations Sim Collar IMSH 2016 from AirwayNautics on Vimeo.

Prehospital Airway management-Tales from the Street, ED and ICU

Lecture Prehospital Airway Management Oct 10 2015 UW Madison Difficult Airway Course Ver 2 from AirwayNautics on Vimeo.

Emesis is the Nemesis!


Vomiting Simulator Provides New Approach to Difficult Airway Management Training


Supraglottic Airways: Their Evolution as Tracheal Tube Introducers by Dr Jim DuCanto

Dr Jim DuCanto

Dr Jim DuCanto

Read more

Crashing heart failure patient, no CPAP? no problem! Macgyver it!

Read more

Suction Assisted Supraglottic Airway Insertion by Dr Jim DuCanto

Read more

Dr Jim DuCanto on his SMACC US experience

The following is an excerpt from feedback that Jim provided me after SMACC Chicago. He kindly gave permission to share his thoughts with you all.


It was a transformative experience. I was walking around that conference with my head spinning, so great was the energy of these people and their passion. It was like an out-of-body experience—I have not ever felt anything like that. To have colleagues in EMS and Emergency Medicine happy to meet me and talk about airway management like that was a bit overwhelming— But it all works out when you learn that what makes it all better is when you finally wake up and take a positive, leadership role in your interactions with colleagues and staff. Simply don’t allow room for negativity. We can do this at work, and we can also do this in life.

Giving the Ted-style lecture was intimidating at first, but I simply had to be honest with myself—I was asked to provide the talk because of the knowledge, innovation, passion and willingness to teach that I have shown through PHARM and EMCRIT. I belonged there, and I was going to do the best job possible.

I centered myself with my breathing, and took stock of where I was: The Arie Crown Theater, a major venue for theatrical performances in Chicago. I had been there once as a youth to see a play—I never thought I would be there on stage. I breathed into my heart and my center, and envisioned that my father, a prominent Chicago lawyer, now passed on 2 and a half years, was sitting in the audience. At worst, I could give the lecture to his visiting spirit.

Rich introduced me in a respectful, affectionate manner, in effect, declaring to me and the crowd how much respect and warmness he had for me—it was a perfect introduction. I sought to start the lecture on a lighthearted note, using the opening notes of “Stairway to Heaven” to give the history of “stuff” kind of a Renaissance Faire feel. Then I scrolled the iPhone over to the guitar solo that song is known for to describe the modern day…. Anyway, that was fun.

I gave the lecture as if I was speaking to my best and most interested students, and also my best friends. I know I blew people’s minds with some of the videos. Maybe what they walked away with was that there is no reason to get excited, even though the patient is dying. I am sure that video will give many the confidence to face the hopeless with a lot more dignity, and a bit more courage. What I did not say at the end of my lecture (which I did state at the end of Rich’s course), was that sometimes you are going to be called on to help people die. When that time comes, you will know it—my instructions are for everyone to pull together and work as a team and kill the patient together (I know that’s a bit crass, but that gets the point across—you attend the patient to the end (not committing a heinous act).

Giving that workshop was fun! I’ve given boat loads of workshops, and this one was good because of the students! Our planning and implementation were great, but if the students don’t connect, put out the effort, ask questions and take chances, the seminar would otherwise be flat and boring. I knew Tim Leuwenberg would be absolutely lit on fire by running the SALAD sim—he was a natural, and it gives him (as well as all of us) the ability to re-define the simulations moving forward in a manner that challenges and stimulates us intellectually as well as professionally.

When I returned back to my lab to put everything away and wash the SALAD mannequin, I had this odd feeling that I didn’t really belong in private practice—I belonged where the young and vibrant students and attendings are. It took a few days for this feeling of remorse, as it were, to wear down, but it gave me the opportunity to look at myself at where I am, and potentially where I may go. The truth is..I am in the perfect place right here, right now. I have employment, the administration of the hospital has given a colossal simulation space in the office building (was formerly their sleep lab, now decommissioned) and they are looking to me to help run simulation for their physician staff. I am also Quality Officer of the hospital at present (until the end of the year).

The colleagues I met in person had a huge impact on me. Reuben Strayer, has bonded with me on a mutual interest in ketamine-driven sedation for airway management. Andy Sloas and I are the newest BFF’s on intubation through SGA’s. Sam Ghali share interests on all sorts of stuff. Chris Carroll is building tongue mannequins, somewhat with my input. I’m helping the college student, Mitch Page, build mannequins. The saga of the SALAD simulation continues with Mike Abernathy and Mike Steurwald at UW Madison.

Overall, I hope to continue to collaborate and participate with you and Yen and the whole of the FOAM movement. I have a few concepts that need vetting, like:

1. If an CICV situation exists, would mechanical chest compressions potentially open the airway to allow endoscopy from above if VL and video stylet endoscopy is used (like a rigid bronch through epiglottitis)? Allow you to follow the bubbles?

2. Can a technique involving using a rigid suction catheter to deliver a bougie be useful, as bougies are too difficult to rely upon with hyper curved VL’s? Use the suction catheter to deliver the bougie. And the suction catheter can decontaminate or deliver oxygen.

and more..

Thanks Mihn! The saga continues!

Train like you fight

Laryngobeer Bottle-Opener Mannequin from AirwayNautics on Vimeo.

Suction Assisted Laryngoscopy Airway Decontamination

Suction Assisted Laryngoscopy Airway Decontamination UW Madison Mar 2015 from AirwayNautics on Vimeo.

Movie captures the important lessons of a simulation session based upon using a rigid suction catheter (Yankauer and other variant) to decontaminate the airway of a modified Laerdal Difficult Airway Simulator mannequin. The technique described in this simulation is known as the “SALAD” technique–Suction Assisted Laryngoscopy Airway Decontamination.
The central tenant of the SALAD technique is to make the rigid suction catheter the “tent-pole” of airway management–the suction catheter is utilized in all phases of laryngoscopy to facilitate the quick and proper placement of the laryngoscope blade on the first pass attempt, in lieu of older methods such as opening the patient’s mouth with a scissor-type gesture of the right forefinger and thumb. The result is speed and efficiency coupled with the ability to decontaminate the airway during routine and emergency airway management. In this same manner, the SALAD method can facilitate the insertion of Supraglottic Airways as well, including the Laryngeal Tube. Modern suction catheters beyond standard hospital-issued Yankauer suctions are discussed and demonstrated as well as portable suction systems are demonstrated.

Ventilate with a plastic bag by Dr J DuCanto

PHARM PODCAST 99 : TamingTheSRU and friends!!

Read more

Assembled capnography by Dr DuCanto

GlideRite Stylet & King Vision VL by Dr DuCanto

Rural General Practice

Thoughts and experiences on the journey to enlightenment



EM in Focus

time to get focused on your patients.


In memory of Dr John Hinds

Dr. Smith's ECG Blog

In memory of Dr John Hinds


"Live as if you will die tomorrow; Learn as if you will live forever"

Songs or Stories

Sharing the Science and Art of Paediatric Anaesthesia


In memory of Dr John Hinds

Liz Crowe

Wellbeing Counsellor and Educator


In memory of Dr John Hinds

EM Basic

Your Boot Camp Guide to Emergency Medicine

Medical Admission Note

In memory of Dr John Hinds


Ramblings from a gasdoc with interests in #anaesthesia, #intensivecare, #echo, #PHEM and #FOAM

pulmcrit – EMCrit

In memory of Dr John Hinds

Miss Chardy

Laughter in the Outback

The Collective

A Hive Mind for Prehospital and Retrieval Med

Bits & Bumps

Obstetrics and Gynaecology FOAM


Why FOAM it alone?

In memory of Dr John Hinds


Or "How I'm Learning to Stop Worrying and Love Emergency Medicine"


A great site

Genevieve's anthology

Writings to amuse, teach, inspire and entertain.

JR Paramedic

In memory of Dr John Hinds

Monash Anaesthesia

In memory of Dr John Hinds


A topnotch site


Bringing the boring to emergency medicine


Navigating resuscitation

Doctor's bag

by Dr Edwin Kruys

EM nerd

In memory of Dr John Hinds

The Chart Review

In memory of Dr John Hinds

ETM Course

Emergency Trauma Management Course

The Doctor's Dilemma

Modern Medical Musings from Dr Marlene Pearce

Sim and Choppers

A blog combining medical education, simulation and helicopter retrieval medicine


Reflections of a Rural GP

Auckland HEMS

Unofficial site for prehospital care providers of the Auckland HEMS service

Rural Doctors Net

useful resources for rural clinicians


Searching for the big picture in intensive care

Nomadic GP

Adventures of a Rural Locum


Free Open Access Medical Education for Paramedics

Not just a GP

Why GP is the greatest job in the world

the short coat

In memory of Dr John Hinds


Bringing the Boring to EM

When your shift turns to shit? Keep moving, keep caring!

KI Doc

Kangaroo Island doctor blogging about Rural Medicine in Australia


pulling apart cases from the ED...

Little Medic

Learning everything I can from everywhere I can. This is my little blog to keep track of new things medical, paramedical and pre-hospital from a student's perspective.


Get every new post delivered to your Inbox.

Join 12,056 other followers