Intraosseous Access

[Matthew Reeds]

There are very few indications indeed for any form of IO access. As I see
it:-

 

1)     Traditional IO is out;

 

2)     BIG and FAST 1 have a role (where required) but these are in fact
very few and far between;

 

3)     These indications are access for analgesia and relevant medication
(it COULD include fluids if required e.g. for a very severe head injury to
maintain MAP) but, as I mentioned before, things have to be EXTREMELY bad
for me to give ANY fluid indeed (and even then it is only a 50-100ml bolus
of hypertonic saline titrated.)

 

 

 

Matthew Reeds

Surgery

U.K.