Cite this post as:
Scott Weingart, MD FCCM. How Not to be a #ResusWANKER. EMCrit Blog. Published on July 1, 2016. Accessed on April 26th 2025. Available at [https://emcrit.org/emcrit/how-not-to-be-a-resuswanker/ ].
Financial Disclosures:
The course director, Dr. Scott D. Weingart MD FCCM, reports no relevant financial relationships with ineligible companies. This episode’s speaker(s) report no relevant financial relationships with ineligible companies unless listed above.
CME Review
Original Release: July 1, 2016
Date of Most Recent Review: Jul 1, 2024
Termination Date: Jul 1, 2027
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Loved the lecture! One note re food at clinical workstations: Federal regulations actually do NOT prohibit clinical staff from eating at the workstation. Hospital administrators have abused/misinterpreted an OSHA statute about infection control to make this a blanket rule in clinical areas. Here’s the text of the actual rule: “Food and drink shall not be kept in refrigerators, freezers, shelves, cabinets or on countertops or benchtops where blood or other potentially infectious materials are present.” So as long as you don’t keep blood/urine etc at your workstation, you’re free to eat there from a OSHA’s perspective. Here’s a letter from… Read more »
hey buddy, great to hear from you! yep, well aware of the letter–admins actually use its contents as justification, stating that since all areas of the ED are exposed to tubes/specimens/etc. that this is actually condoning rather than condemning the ban. Would need to actually tape border the area and declare it as a no labs zone to satisfy the JC inspectors (which is prob. what we will wind up doing in my current unit).
Hello Scott, my name is Carlo Alberici, I’m a Prehospital Resuscitationist and I’m also a member of the Italian Society for Emergency Medicine (SIMEU – Società Italiana di Medicina di Emergenza-Urgenza). Let me begin by complimenting you on your lecture on ResusWankers (I too am a fan of the late John Hinds and I loved his SMACC lecture concerning “wankers”). In fact, during my shifts I frequently encounter these people as you would call them “S Hitters”. At first they may seem annoying but looking back at every emergency intervention they do help me reflect on how I approached each… Read more »
thanks so much for sharing that Carlo!!!
Top stuff, charismatic and insightful. Cognitive load and decision fatigue for us squeezed middle-grades is a major problem in the E.D. With little consultant shop-floor presence, career middle-grades bear the brunt of the front-line minute-to-minute decisions. Pressure to see numbers as well as support increasingly spoon-fed juniors is a difficult balance to maintain. Especially if you are seen as approachable and sensible, you tend to be favoured over other colleagues, increasing your cognitive load. My pet hate is the “ECG pushers” who give you not one but TWO ECG’s for the same patient. Not only are you expected to pick… Read more »
Fantastic presentation, and a fitting tribute to John Hinds. I especially loved what you said about giving aggressive care to the sickest patients, which is something I often come up against as the one of the most junior members of the team. My name is Chileshe Mabula and I am a JRMO (Junior Resident Medical Officer, equivalent to a first year intern), in Chipata, Eastern Zambia. I’m interested in your thoughts about keeping Operating Theatres “sterile” (I know surgeons aren’t your favourites :). Do you feel it’s detrimental to play music or chat in that setting . . .should there… Read more »
So there is huge debate in the surg/anesth world on this very topic. My take–music is assoc with entering flow state in folks, and you def. would love to have your surgeon in flow. I think leaving the music off until the pt is induced, all set, and good to go makes sense. At that point, turn it on based on the surgeon’s preference. If something goes wrong, kill the music.
Just loved the Resus Wanker episode. So easy t relate to. It seems the presence of these people is worldwide. Hi from Sydney Oz
Thanks Scott,
Loved this talk as ever.
When will W-Anchor T-shirts / Resus Wanker posters & checklists going to be available for purchase?
Myself I guess I score about 3/7 on a good day but exposed to all 7 wankers most shifts.
I’m sure John would had loved whole talk. RIP
Regards
Ed Egan FACEM
Emergency Physician
Murwillumbah & Royal Tweed Hospitals
Flight Doctor, NNSW Retrieval Service
thanks buddy!
Great lecture. I don’t think it will be possible to hear it in my country – probably to many #resus wankers.
I’ve sent a link to my friends. I thought a lot about what you have said and that’s true – thanks for sharing. 🙂
Absolutely brilliant talk. I think this talk may define your career, Scott.
J.Kim
EM
Thanks, buddy!
Hi Scott, love your work, big fan! Just wondered, do you have any advice to avoid falling into the “Wrong but Strong” trap? It’s frightening that it happens to everyone, yet we are not warned about the phenomenon before hitting the wards. It’s a big thing that scares me personally (that I could be doing it) and of course, you don’t know what you don’t know – it would seem prevention and awareness is better than cure?? Love to hear your thoughts. Thanks!! Natalie, NZ based UK Grad, currently moving between ED and Rural Medicine, and also a bit of… Read more »