James DuCanto, M.D.

Excellent Summary of SALAD technique twitter.com/emswami/status…

@drkeithsiau @Mota55em I think he meant—it was a live eel—when he placed it. Semantics. It’s not alive—at the point of that CT scan.

@Mota55em How did you know that it was still alive?

Do you know the story behind this image?

@UesugiT1 I think 2027 will be our year. I will give you plenty of notice. Travelling with simulation equipment is annoying, but it is worth it!

@jducanto Really?! That would be fantastic! If you do come to Kobe, please let me know. I would be truly delighted to finally meet you in person. It would be a great honor, and I would love to see your simulations as well!

Register for The HALO Procedure Course

@elonmusk Will you make a Sea-Dragon? It’s the only way we’ll ever build that really cool space station from 2001. Or from Elysium. Just asking for a friend.

2 heavy-class rocket flights in 10 hours

The ideal day in medicine without specialists: 9am: perform an EBUS 10am: knee replacement 12pm: admit a patient with acute hyponatremia 1pm: cardiac cath on a STEMI → triple vessel disease → convert to CABG 3pm: read a blood film for schistocytes 5pm: deliver a baby

Profile facs.org/profile/522507… As a Fellow of the American College of Surgeons for over 20 years, I encourage members to act together to stop Centers for Medicare & Medicaid Services (CMS) from finalizing a 2.5% cut to work relative value units (wRVUs). This is a call to action. facs.org/advocacy/regul…

When, how, and why should we use mechanical CPR? A 🧵 from #REVIVE2026 from a presentation by Dr. Zaf Qasim

Tabish Hashmi at #REVIVE2026 Sharp wit. Real conversations. Great energy. That’s how you do it. 🔥

Semana #Revive2026 🙌🔥 No estamos haciendo visitas… estamos despertando corazones Dios ya está obrando en cada iglesia Seguimos avanzando ✨ #ColegioAdventistaSalvador #MPCS #UPS

@BrentAWilliams2 This can’t be happening…?

This is one of the dumbest posts that I've ever seen. Seriously. Specialization is one of the overwhelming strengths of American medicine.

@KristjanBackman @BrentAWilliams2 Thank you, I agree.

@BrentAWilliams2 We could all go see veterinarians! Really just adding one more animal to those they treat.

Your medical license took 11+ years to earn. It can be taken from you in 24 hours. PHP programs were supposedly designed to help doctors, but we all know that some of them have turned predatory, and have destroyed careers. On February 12, 2026, two UW resident physicians filed a class action lawsuit against the Washington Physicians Health Program to surface these concerns and hold them accountable. Gray et al. v. WPHP | Case No. 26-2-05677-3 SEA | King County Superior Court The suit alleges WPHP violated Washington’s Consumer Protection Act by forcing physicians into unnecessary treatments, compelling them to use expensive program-sponsored “preferred providers,” withholding records, and imposing requirements without evidence or due process — all while collecting fees from vulnerable doctors who simply asked for help. 😢 Some who went through these programs died by suicide. These weren’t dangerous doctors. They were vulnerable ones. And the lawsuit alleges the system punished them for it. PHP programs were created to help doctors struggling with addiction, mental health, or personal crises. But they lack oversight and accountability and are not serving struggling doctors who have no alternative and no recourse when help isn’t received. Money have never harmed a patient, they just needed help and instead their careers were just quietly destroyed and fees quietly collected. Sometimes this is the only way to ensure accountability for institutions that have been policing themselves. This is how accountability starts Learn more 👇 law.com/radar/card/wn-… Get involved 👇 kellerrohrback.com

Suicide is now the LEADING cause of death for US medical residents. We are losing 500 physicians a year. That is an entire med school class. Stop demanding "resilience" from doctors and start fixing the system. Tie executive bonuses to wellness, not just RVUs. Link to the recent episode is in the comments 👇

@MiguelP23970914 It’s amusing to see how much hair I had on my hands and fingers—!

@jducanto Yes Sir, agreed, thank you so much. 💙💙

Dear friends of X. In ACLS courses, students are trained with another way to ventilate/oxygenate a cardiac arrest patient with a BVM. I think it's always important to have other options in case the C-E technique fails: V-E grip/OPA/NPA/Modify head position/2 operators (double C-E and another operator compresses the bag = In my opinion, a better technique than a single operator)/Jaw thrust/or change the grip, for example: Chin-lift grip, as you can see in the photo. Credit: A post from our dear Hans @AirwayMxAcademy from several years ago, with the technique being explained by the great @jducanto . Personally, I've used this technique in prehospital care and it's very effective. Clarification: I always say in the courses that gloves should be used. In practical exercises, I personally don't use them so that the technique is better visualized. Thank you so much.💙

@UesugiT1 Next year, perhaps I’ll bring many of these simulations to Kobe…!

@jducanto Oh, if only I lived in the U.S., I could have participated...

@MOVIESNSTUFF3 @DrAkhilX Potency has changed the dynamic. 30 yrs ago—think of how less potent this stuff was

@DrAkhilX I smoked every day for 30 years; I never went thru this ever...So if she smoke since 16, she is still too young, like a 17-year-old. She had a problem already with herself she did not know about until the weed made it come out

What is it? Smoked cannabis almost everyday since the age of 16. Had severe scromiting ( screaming + vomiting) episodes during her spring break. Took hoth baths for relief and dwindled to 87 pounds body weight due to symptoms. 7 ER visits and a feeding tube later she was diagnosed. Image from New York Post article.

🔴Cannabinoid Hyperemesis Syndrome (CHS)- It causes cyclical vomiting in chronic cannabis users, pathognomonic for compulsive hot bathing relieving symptoms. • Pathophysiology-: CB1 receptor downregulation→ emetic response; synthetic cannabinoids implicated. • It Affects young population predominantly after years of daily high-potency THC use, morning predominance common. ∆ Clinical Presentation- CHS manifests in 3 phases: • Prodormal- Mild nausea, fear of vomiting. • Hyperemetic- intense nausea/vomiting >5x/hr, epigastric pain, dehydration. • Recovery- Symptoms resolve post-abstinence. ✓Dx- Clinical, THC-positive in urine is supportive. ∆ Mx- Acute: IV fluids, haloperidol/benzos >ondansetron, capsaicin topical, abstinence is the only cure.

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