Excellent Summary of SALAD technique

Oh no. 💔 Death is that state in which one exists only in the memory of others, which is why it is not an end. No goodbyes—just good memories. Hailing frequencies closed, sir. - Tasha Yar (Next Generation)

In 1952, an English teacher named Cecil Dormand secretly paid for a dirt-poor 11-year-old to take a drama course. He never told him and the boy didn’t find out until decades later. By then, he was a knight, that little boy’s name was Patrick Stewart. He was born into a poor family in Mirfield, a small mill town in Yorkshire and his father came home from World War II a violent man, and he was violent toward Patrick’s mother. Young Patrick learned exactly when to step between his father’s fist and his mother. An English teacher put a copy of Shakespeare in his hand and told him to get up and perform. He never stopped and left school at 15. By 19 he was completely bald... most agencies told him he'd never make it because of that. In 1987, the LA Times called him an “unknown British Shakespearean actor” when he was cast as Captain Picard. Then he became one of the most famous faces on Earth. You’ve probably heard that part. Here’s the part you haven’t: He spent decades as a patron of Refuge, sheltering women and children from domestic violence. But he never stopped trying to understand his father. He dug up a 1940 newspaper clipping that said his dad had come home with severe shell shock. He went to France and walked the ground where his father’s unit was pinned down under bombing for hours. He learned his father had PTSD, and nobody ever helped him. So Patrick became an ambassador for Combat Stress, a charity that helps veterans. In 2013, a young woman at a Texas convention told him she was a survivor of domestic violence. He asked, “My dear, are you okay?” Then he hopped off the stage, held her, and told her: “You never have to go through that again, you’re safe now.” At Dragon Con, a Make-A-Wish girl dressed as Spock came to meet him. 2,000 people were waiting for him to speak... he sat down and talked with her for 15 minutes, making all of them wait. He told her that since they were friends now, whenever she saw him on screen she could wave and say, “Hello Patrick.” After 9/11, he felt helpless, so he brought his one-man A Christmas Carol back to Broadway for a full week of charity shows. He played every character himself and donated every cent. In 2019 he did it again, and every dollar went to feeding hungry New Yorkers. In 2017, he fostered a pit bull named Ginger, who had been rescued from a dogfighting ring. She was his first dog in more than 50 years. He couldn’t bring her home to England, so he found her a family. Then he kept fostering more. When he said he was done with Star Trek so many people told him the show had gotten them through the hardest times of their lives. So he wanted to see if Picard could do it one more time. Rest in Peace, Sir Patrick 🖖

The best messages. 💜 “The oral McMurray Airways are a hit with the gang here!” — KC “I used one today for a high BMI EGD. Very impressed.” — Brian Improving basic airway management! mcmurraymed.com #AirwayManagement #Anesthesia #PatientSafety #GI #NORA

We scrub up well! #MedTwitter #StAndrews90thAnniversaryBall With @urethroplasty

From jet mechanic to anesthesia innovator: Dr. George Arndt turned a near-fatal case into a device that saves lives. His lesson? Dare to build better. anesthesiologynews.com/Comme… #Anesthesiology #MedTech #PatientSafety

A French video game and cartoon store owner has his store looted in Nice. He gets attacked from behind and then has rocks thrown at him while young rioters laugh

Classifying mask ventilation: current evidence supports the MASCAN score, not capnography #anaesthesia #MedTwitter #MedX doi.org/10.1111/anae.70402

...anything to contribute regarding the systematization of the grip`? @jducanto ???

@CardioNerds, @SocietyOfCCC, @ProtectedAirway @jameshorowitzmd @CardsNYC @JFleitmanMD, @sgquasi, @JohnGreenwoodMD, @jducanto, @Penn_CRS, @YoavKarpenshif, @OllyHamilton, @Takeokun, @JCiancarelliDO, @Moskowcrit, @dbfisch, @GallodeMoraesMD, @virenkaul

But even "routine" saturday night intubations of our trauma pts typically involve full stomachs ( burritos, Mcnuggets, beef jerky) pressurized by a pitcher or two of beer. I would always recommend a large bore suction catheter for all ED and prehospital airway interventions rather than starting with a yank and then switching over if needed

PUMA 2026 doesn't ask for more technology. It asks for order: a standardized surgical airway kit, capnography on every intubation, videolaryngoscope as first choice — not the backup for the hard case. That's buildable in any public hospital ER, budget we already have. 🔗 associationofanaesthetists-p… #Airway #PUMA @AirwayMxAcademy @jducanto @UniversalAirway @NicholasChrimes @doctimcook @dasairway

I’m so old I can remember running 911 calls without gloves. So much blood, vomit, urine and shit to wash off. If you had to scrape shit from under your fingernails repeatedly you too would rethink your position on gloves. No way I’m touching anybody now without gloves.

Great start to the day: a GI CRNA emailed that her colleague tried the McMurray Airway, loved it, and wants it for his other practices. Her gastroenterologist even thanked her for bringing in safer equipment. ❤️ This is why we do it. #mcmurraymed #Endoscopy #anesthesiology

Tinian, you say?

A patient in your care is being treated with High Flow Oxygen Therapy (HFOT) but may later transition to Continuous Positive Airway Pressure (CPAP) or Non-Invasive Ventilation (NIV). Which partner in respiratory care would give you the flexibility to adapt treatment quickly while maintaining comfort and effectiveness? Find the answer and explore our full range of Patient Interfaces at #ERSCongress, Stand Y.04 today! 📲 Explore our Patient Interfaces range: intersurgical.com/info/patie… 📧 Info@intersurgical.com #Intersurgical #RespiratoryCare

A doctor charged with negligent manslaughter through Unrecognised Oesophageal Intubation -a tragedy all round -Cayman islands -British lawyer -British medical expert -sadly inevitable that such a charge would arise somewhere eventually caymannewsservice.com/2026/0…

Yes #medtwitter not dead @HouthoffKavita @maffygirl @NaveenEipe @jducanto

An American asked me what I did for work. I told him. He said, "Yeah, but what do you do?" I told him again, slower. He said, "No, I mean what do you actually love doing." I have been asked my job a thousand times in Japan. Nobody has ever asked me a second question. I said I liked writing. I said it apologetically, the way you admit a crime. He said, "Then you're a writer." I told him nobody pays me. He said, "Didn't ask that." In my country you become a thing after permission is granted. A company. A title. A card with your name and your rank printed in the correct order. Here a stranger at a barbecue can hand you an identity while holding a paper plate. I said I wasn't sure I was good enough yet. He shrugged and said, "You'll get good. Everybody's bad first." Then he went to check the grill, because to him the matter was closed. That was fourteen months ago. I have written every day since. America, you have a terrible habit. You look at a man who has done nothing yet and describe him as the thing he might become, out loud, with total confidence, in front of witnesses. It is not accurate. But it works.

nice example of when videolaryngoscopy is used to look around a corner *without* proper positioning to allign the airway (ie not in sniffing position) you get a terrific view of the glottis, but the acute angle between the ETT and the trachea (which is diving *downward* in this perspective view) impedes tube passage this video appears to have been done with standard-geometry videolaryngoscopy, but the same error can occur with either standard-geometry or hyperangulated videolaryngoscopy. Using standard geometry videolaryngoscopy and NOT cheating by looking at the screen prematurely can prevent this error pattern (but the urge to look prematurely is strong and few can resist). (PS- if you intubate you should follow this account)

Northern Suburban Chicago Illinois EMS Services—I’ll have a train-the-trainer event September 21st at the Evanston FD