A new ER physician tackles this for the first time:
I quickly leafed through an emergency textbook, out of sight from the patient (who wants to see their doctor doing that?), to confirm what I thought I knew “” wrap some gauze around your thumbs, put them on the back bottom teeth, and push down hard . . .
. . . Hmm, the textbook didn’t mention what to do when the patient screams and grabs your wrists. But eleven years of post high school education didn’t fail me; I thought some medicines for pain and muscle spasm were in order.