IO use in Hazardous Environments

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Hi John, 
    I am sure that you have seen these publications, but they certainly support what you suggest:

    
1. Anesth Analg. 2004 Jun;98(6):1753-8, table of contents. 
Intraosseous vascular access in the treatment of chemical warfare casualties assessed by advanced simulation: proposed alteration of treatment protocol
2. Ben-Abraham R, Gur I, Vater Y, Weinbroum AA. Acad Emerg Med. 2003 Dec;10(12):1407-10. 
     Intraosseous emergency access by physicians wearing full protective gear.
 
3. Biopharm Drug Dispos. 2007 Feb 21;28(3):145-150
 
    Efficacy of the bone injection gun in the treatment of organophosphate poisoning

There are also a few others looking at the difficulties of obtaining IV access in CBRN situations.

Cheers
Mark F
PS a copy of our new manual is in the post for you

 







----- Original Message ----
From: "Black, John (RNX) ORH" <John.Black at orh.nhs.uk>
To: "Trauma & Critical Care mailing list" <trauma-list at trauma.org>
Sent: Monday, 2 April, 2007 12:35:40 PM
Subject: IO use in Hazardous Environments


Is anyone exploring the potential of using adult and paediatric IO systems
for vascular access for the delivery of countermeasures at a CBRN incident
(constraints of PPE) or the management of crush syndrome (in a confined
space/USAR environment)?

Any observations/comments on or off list would be appreciated.

John Black
Oxford,UK.

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