Can't get that IV in? Go for the Ezy I/O

Having spent several days instructing at an APLS course this week, I was reminded of the simplicity and usefulness of the Ezy I/O, intraosseous needle insertion device.  I recently used one of these in a paediatric arrest, and it really is the fastest way to obtain vascualr access.  It is definitely worth learning this technique for your day to day work, and for your exam answers.  SCE stations in the past have included procedures, and this would make a perfect SCE station (this question required that you know that it was an option, but it could easily require a demonstration).  I’m not sure I would rush to put one in a conscious child, but some are advocating using it as a first line device in sick, conscious adults.  If you think that’s a bit rough, then watch these videos. If these girls can sit through it, I’m pretty sure that septic/shocked octagenarian, or that combative GBH O.D. could tolerate it. What do you think?

 

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{slide=What tests can you do on I/O blood?|closed}
ANSWER:

Glucose

Hb

X-Match

U&E

Blood Culture

DO NOT PUT IT IN YOUR BLOOD GAS MACHINE IN ED – IT WILL CLOG

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