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Wed Mar 21 11:44:47 GMT 2007

As I said in an earlier post, I am involved in a trial studying the use of the EZ-IO here in Toronto. The target group is any cardiac arrest patient from any cause. I am an ALS paramedic working by myself on a zoom car providing rapid response until backed up by a full ALS or BLS transport unit. In this context I often run the code by myself for the first 3 to 5 minutes on scene with fire department first responders perfoeming CPR. That means I have to intubate, defib, get a line and push the first round of meds by myself 'til help arrives.

Yesterday, I initiated my fifth IO using the EZ-IO in 2 weeks. I got great return with aspiration and my line ran wide open with a pressure infuser. Starting the line was very fast and easy; generally much faster than starting an 18 ga IV on a peripherally shut down patient.

Dr. Mattox, can you not see this as a valuable time-saving device in such scenarios, or particularly in the tactical EMS environment?

Steve Urszenyi

[This email has been sent via a Palm Treo 700wx on the Telus Mobility network.]

-----Original Message-----
From: "Simon Scothern" <Simon.Scothern at lakesdhb.govt.nz>
To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
Sent: 07-03-21 00:16
Subject: RE: IO's?...good for?

I have to say, there have been a small number (about 3, I think) of
occasions when I've "thanked the stars" for the intraosseous needle.
These have been cases of small children with meningococcal sepsis and a
drowning. I've never used one in the context of trauma (or adults). 

Easy to learn/teach, easy to place and maintain and can be very
effective. 

I keep a couple in our emergency trolley. I'm told a tuohy needle can
serve as a good substitute, I've not been unfortunate enough to have
needed to try this technique..... 

Simon Scothern
FRCA, MRCP
ICU Clinical Director/Consultant Anaesthetist
Rotorua Hospital
Pukeroa Hill
Private Bag 3203

-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org] On Behalf Of Ronald Gross
Sent: Wednesday, 21 March 2007 1:39 p.m.
To: trauma-list at trauma.org
Subject: Re: IO's?...good for?

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IO's?...good for?