Quote:
Originally Posted by 11Ber
Show:I thought it was very well put together. Not SEAL like in trying to make them all look like Billy-Bad asses; just showing what they do and how they do it. I can't lie...I had negative views of PJ's due to some prior experiences but this changes my perspective. Not saying I won't give some a little shit next go 'round but I see them in a new light. Can't wait for next week.
IO:I don't know why more people aren't into this. It is my choice for access in a severe trauma patient. Guys on the team aren't too stoked to know this but hey, "operator feels no pain."
11Ber
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Agreed, IO is underutilized. Patients in shock/hypotensive/hypovolemic are the perfect ones for IO and since we have the luxury of choosing locations above or below the diaphram, it makes it a good RAPID access for admin of anything (meds, blood, fluid, etc).
We use it more and more in the trauma center; we have the ability to place central venous catheters but while my residents and other emergency medicine docs are spending precious time trying to get a central line, I've drilled in 1 or 2 IOs and have stuff going in 3-10 minutes before they do.
The fastest central line I've placed from start to finish is probably 60 seconds or so whereas an IO is less than 10 seconds to have in and running.
ss
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'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)
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