Quote:
|
Originally Posted by Sdiver
Here's another look at the set up.
http://www.bctechinc.com/portfolio.p....vidacare.html
It's just a mini hand held "drill". Like SS stated, it just screws the needle into the bone.
SS,
Of the 16 PTs that you've seen come into your Trauma bay, that have the IO inserted, I was wondering if the field crews tried starting IVs the standard way, (ie...arm, foot, JV)...or did they see that the PT needed fluid ASAP and went straight for the EZ IO?...and if they did attempt the standard routes, how many times did they attempt before going for the EZ IO?
Also, once the PTs are in the ER/ED, did the trauma Docs start a main line, or were they satisfied with the IO and just kept fluids running in through that route? |
They were in patients that they tried 1-2 on each side then went for IO except one with a penetrating injury, "collapsed" veins (no palp BP in field) and one with 70-80% 3rd degree burns and no peripheral access. We do place high flow central lines if needed and by policy remove the IO by the time they leave the Trauma bay unless the poop is coming back at us from the fan, then we move to the OR and use them in the OR until the anesthesiologist finds an alternative or I'll place one into an iliac or femoral in my operative field...
ss
__________________
'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
|