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Sun Mar 18 22:54:04 GMT 2007

In the two examples quoted I'm just wondering why a jugular line was not
possible in the first [trapped with only head and shoulders accessible]
and a saphenous vein was not possible in the second [trapped with only
pelvis and legs accessible]. I'm still trying to imagine the
circumstances when someone comfortable with a range of approaches to
veins would want to use one of these gizmos.

Cheers, Ian

>>> trauma at emergencyunit.com 17/03/2007 7:09am >>>
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?