IO's?...good for?

[Pret Bjorn]

I know that the vendors say you can use proximal tibial IO in adults; but I
can't help but think that the cortex is thick enough in grown-ups to make it
a tough shot.  

Were you able to aspirate anything?

Pret

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of trauma at emergencyunit.com
Sent: Monday, March 19, 2007 2:57 PM
To: 'Trauma & Critical Care mailing list'
Subject: RE: IO's?...good for?

Thirties, I suppose.

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Pret Bjorn
Sent: 19 March 2007 00:47
To: 'Trauma & Critical Care mailing list'
Subject: RE: IO's?...good for?


How old was this patient?

Pret Bjorn, RN
Bangor, ME USA


-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of trauma at emergencyunit.com
Sent: Friday, March 16, 2007 2:56 PM
To: 'Trauma & Critical Care mailing list'
Subject: RE: IO's?...good for?

Have used Cook a few times - work but slow to insert. Used BIG once and the
trocar jammed in the cannula (and I have heard multiple reports of others)
and EZIO twice - both times on people stuck under 4x4s and only partially
accessible. The first person was unconscious and I only had access to head
and shoulders so put one in the humeral head. Easy, useful. The second was a
conscious biker with the 4x4 resting on his crash helmet so all I could get
at was knees downward. 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. 

So it's a bit of a mixed result, to be honest.

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Charlene M Morris
Sent: 16 March 2007 15:32
To: Trauma &amp, Critical Care mailing list
Subject: Re: IO's?...good for?


Honeslt, we rarely use IOs. You are at a big city ED with a peds unti, so
many need them more than some.

In ACLS, we all *learn* to use these yet most paramedics and ED docs I know
do not use them often. Keep us posted on your experiences!

C M Morris
Stonewall, NC


On 3/16/07, Joe Nemeth <joe.nemeth at mcgill.ca> wrote:
>
>
> our ED is thinking of purchasing high-end fancy-shmancy IO needles....
>
> opinions/experiences on the necessity of these toys in tertiary care
> ED please?
>
> joe
> McGill University
> MOntreal
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