IO's?...good for?

[trauma at emergencyunit.com]

No offence taken :-) I believe so - I am practised and comfortable with the
technique and am an instructor. The cannula was firmly held in the bone. At
present I'm prepared to write it off as a bad experience (for both of us)
and it hasn't put me off trying again. It's fairly rare for me to be using
IO as I am comfortable with advanced vascular access, but it most certainly
has its place.

Blueflightmedic.

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Andrew J Bowman
Sent: 16 March 2007 20:52
To: Trauma & Critical Care mailing list
Subject: Re: IO's?...good for?


Not to question your skills, but was the IO in the correct spot? Meaning,
were you trying to infuse outside of the medullary cavity and the resulting
infiltrate was causing pain?  I have never seen a properly located IO cause
this much discomfort.

Andrew

----- Original Message ----- 
From: <trauma at emergencyunit.com>
To: "'Trauma &amp; Critical Care mailing list'" <trauma-list at trauma.org>
Sent: Friday, March 16, 2007 2:48 PM
Subject: RE: IO's?...good for?


Pain - I simply couldn't get rid of it.

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Andrew J Bowman
Sent: 16 March 2007 20:30
To: Trauma &amp; Critical Care mailing list
Subject: Re: IO's?...good for?


What was the problem with not able to infuse? Too much pain or no flow?

Andrew



I drilled a tibia which made him squeak a bit, but
what I was UNABLE to do was put anything through it. You are supposed to put
2 ml of lidocaine through to anaesthetise the medulla but no amount of
lidocaine made any difference (2ml at a time) rendering the IO useless.


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