emschick1985
Medic
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How many would rather IO someone or would you rather hit the jugular? I prefer external juge and feel as if the IO isn't as good for med administration. Any take on this?
In cases where I need fast access and an IV isn't immediately screaming, "stick me", I always drill an IO.
Why do you "feel" an EJ is superior to an IO? Any evidence you'd care to share?
The problem with lidocaine for conscious IOs is you have to give it slowly then let it sit for a while for it to be effective otherwise it doesn't do a whole lot.
M
Most I've seen done in the leg, which is farther from the heart, and going thru the bone it just seems like it'd be a slower route... I have seen a video on IO being flushed thru a humeral IO and it got to the heart very rapidly!! I don't have a scientific evidence to back up my theory, just seems like and external jugular would infuse more rapidly. Anyone else have any input??[/QUOTE
Like you said, medication and fluid administration through tibial IO placement has been proven to be rapid and effective. With low complication rates, ease of access, and rapid placement, who wouldn't like using EZ-IO?
I'm with DEmedic. Critical patients who don't have immediately obvious veins conducive to IV placement are getting an IO. I have nothing against EJ placement in many patients, but they have a higher complication rate and can interfere with someone working on the airway as well.
If I can wait a few minutes for lidocaine to sit there, I can spend a few more minutes looking for a good vein.
But status seizure, unstable tachycardia, cardiac arrest, RSI… I go right to the IO after a cursory look for a suitable vein.
At least for a cardiac arrest in the field, always EJ. You can kneel at the head, turn it to the side, stick the EJ, straighten the head out, place your advanced airway, and voila, everything ALS is from the neck up. No worrying about compressors on either side getting caught up in your tubing and pulling your line.
At least for a cardiac arrest in the field, always EJ. You can kneel at the head, turn it to the side, stick the EJ, straighten the head out, place your advanced airway, and voila, everything ALS is from the neck up. No worrying about compressors on either side getting caught up in your tubing and pulling your line.