List Archives

Sat Mar 17 16:12:20 GMT 2007

Blueflightmedic, 

when you admin the lido, we use a 20mg dose to
properly anathesise (awful spelling, I apologize)the
cavity. The pt feels some burning pain, and did you
have the IO fluid connected to a pressure device,
infusion bag or BP cuff? I have used it the EZ IO a
couple of times, and all successful. Oue medical
director and recieving facitilites are such a big fan
of it that we our standing orders to use it have
expanded to using it if a pt is having an AMI, even
though a IV access is succusful. 

dave BA NREMT-P
--- trauma at emergencyunit.com wrote:

> No offence taken :-) I believe so - I am practised
> and comfortable with the
> technique and am an instructor. The cannula was
> firmly held in the bone. At
> present I'm prepared to write it off as a bad
> experience (for both of us)
> and it hasn't put me off trying again. It's fairly
> rare for me to be using
> IO as I am comfortable with advanced vascular
> access, but it most certainly
> has its place.
> 
> Blueflightmedic.
> 
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org]
> On Behalf Of Andrew J Bowman
> Sent: 16 March 2007 20:52
> To: Trauma &amp; Critical Care mailing list
> Subject: Re: IO's?...good for?
> 
> 
> Not to question your skills, but was the IO in the
> correct spot? Meaning,
> were you trying to infuse outside of the medullary
> cavity and the resulting
> infiltrate was causing pain?  I have never seen a
> properly located IO cause
> this much discomfort.
> 
> Andrew
> 
> ----- Original Message ----- 
> From: <trauma at emergencyunit.com>
> To: "'Trauma &amp; Critical Care mailing list'"
> <trauma-list at trauma.org>
> Sent: Friday, March 16, 2007 2:48 PM
> Subject: RE: IO's?...good for?
> 
> 
> Pain - I simply couldn't get rid of it.
> 
> -----Original Message-----
> From: trauma-list-bounces at trauma.org
> [mailto:trauma-list-bounces at trauma.org]
> On Behalf Of Andrew J Bowman
> Sent: 16 March 2007 20:30
> To: Trauma &amp; Critical Care mailing list
> Subject: Re: IO's?...good for?
> 
> 
> What was the problem with not able to infuse? Too
> much pain or no flow?
> 
> Andrew
> 
> 
> 
> I drilled a tibia which made him squeak a bit, but
> what I was UNABLE to do was put anything through it.
> You are supposed to put
> 2 ml of lidocaine through to anaesthetise the
> medulla but no amount of
> lidocaine made any difference (2ml at a time)
> rendering the IO useless.
> 
> 
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IO's?...good for?