ResusNation #80
Is That A Mouse in Your Mouth?
Who knew mice could moonlight as medical marvels? Ancient Egyptians certainly did, popping dead mice into their mouths to ease toothaches. Yes, you read that right—mice as dental care! It sounds bizarre, but back then, it was considered a practical solution for a painful problem.
And they weren’t the only ones with a soft spot for squeaky remedies. In Elizabethan England, folks took things a step further, believing that cutting a mouse in half and applying it to warts would make them disappear. If that wasn’t quirky enough, they also baked or fried mice into pies—culinary multitasking at its finest!
But the mouse-madness didn’t stop there. These little critters were also enlisted to tackle whooping cough, measles, smallpox, and even bed-wetting. While today’s medicine has thankfully evolved, it’s both amusing and cringe-worthy to imagine the lengths people went to for a cure. Eek!
On that note, let's get straight into the newsletter...
Welcome to the 80th edition of ResusNation!
When The Attending Steps In...
I'm going to be honest, this week's clip of the week was just a bit of humor. This video was dedicated to supervising physicians who step in at the most critical point in a procedure. I've been on both ends of this and while it is often necessary, it never feels good for the trainee. If you're a trainee, don't take it personally though...it's all about patient safety.
Watch the full video here and leave a comment.
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The Unruly Trauma Patient: To Sedate or Intubate?
What do you do when your trauma patient is too agitated to assess? In this episode, Dr. Fred Gmora takes us into the high-stakes world of emergency medicine, where the decision to sedate or intubate can mean the difference between life and death. He breaks down his approach to managing the unruly trauma patient, emphasizing the importance of rapid sedation with ketamine, maintaining spontaneous respiration, and always resuscitating before intubation. Tune in to hear his expert advice on navigating one of the most challenging scenarios in the ER.
Check out this video now and watch the entire ResusX: Golden Hour conference for more content Dr. Gmora and our other all-star faculty!
🚨 Limited Workshop Spots Remaining! 🚨
Hey Resuscitation Rockstar...the countdown has begun! In just three weeks, we're launching ResusX:ReUnion – the most electrifying resuscitation event of 2024. Whether you're joining us virtually or in person, prepare for a mind-blowing medical conference that will redefine your expectations!
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UltraRounds: Resuscitative Workshop: This two-day workshop will help you elevate your ultrasound skills to help with bedside diagnosis and resuscitaiton
Lit Distillery Workshop with the legendary Salim Rezaie: Come review 25 of the most recent resuscitation articles and learn to distill them with the REBEL himself.
🗓️ Mark your calendar: September 16 & 17
Two full-days of hands-on, expert-led workshops with a learner-to-faculty ratio that'll make you feel like a VIP!
⚡ Act Fast: These workshops are hotter than a defibrillator paddle and selling faster than propofol at an anesthesia conference!
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The Ducanto Catheter Sucks, But It's Not What You Think
When it comes to the airway, having good suction is non-negotiable. This study compared the suction effectiveness of three catheters - the DuCanto catheter, Yankauer catheter, and a standard suction catheter - across liquids of varying viscosities. Here are the main takeaways:
- Performance: The DuCanto catheter consistently outperformed both the Yankauer and standard catheters in suctioning liquids of all tested viscosities.
- Design advantages: Beyond superior suction, the DuCanto catheter's laryngoscope-like shape aids in blade placement during the SALAD (Suction Assisted Laryngoscopy and Airway Decontamination) technique. Its large bore also facilitates bougie delivery.
- Limitations: The study was conducted in a controlled lab setting, which may not fully represent real-world clinical conditions. It didn't test the catheter's performance with solids, and the clinical significance of higher suction rates remains uncertain.
- Cost consideration: The DuCanto catheter is more expensive (around $4) compared to a Yankauer (under $1).
- Clinical implications: While further clinical trials are needed, the results suggest that the DuCanto catheter could be a valuable addition to airway management toolkits, especially for emergency intubations.
The researchers of this study conclude that despite the need for more real-world evidence, the DuCanto catheter's superior performance and additional benefits make it a promising tool for managing challenging or contaminated airways.
Read the full post here and comment at below if you use the DuCanto catheter and let us know your thoughts.
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