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Old 03-13-2013, 08:40   #11
swatsurgeon
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Join Date: Jul 2004
Location: Phoenix, AZ
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Quote:
Originally Posted by Streck-Fu View Post
The kid with the GSW to the head in Monday's episode definitely reacted to the IO attempt.
Problem with the PJ's IO attempt: no gun or driver. He was pushing the IO in, not twisting it in and it won't break through the outer cortex of bone that way without A LOT of pressure and that likely would cause pain. The usual pain for insertion with either the gun or driver handle is a 3-4:10 in my experience.

I watched it several times to figure out why he had an IO failure because that is truly a rare occurance......it was not a failure of IO, it was operator error, something to learn from for him and all other providers.

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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