List Archives

Wed Mar 21 12:09:10 GMT 2007

The fact that one can put some sort of tube or trocar into a site does not mean that it is good.    So what happens.   Do you really "save lives" with IO?  We used to do a bunch of foolish maneuvers in surgery which were technically possible but which DID NOT favoriably influence outcome.  We all even enthiastically used MAST but now know that those devices contributed to an increased DEATH rate.  Same is true for the EOA.      As I initially stated , I continue to look for data to show this gadget (IO) positively contributed to outcome.   

K

Sent via BlackBerry, return via KMattox at aol.com

-----Original Message-----
From: Steve Urszenyi <medic.steve at rogers.com>
Date: Wed, 21 Mar 2007 07:44:47 
To:"Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
Subject: RE: IO's?...good for?

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 & 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?

--
trauma-list : TRAUMA.ORG
To change your settings or unsubscribe visit:
http://www.trauma.org/index.php?/community/

List Archives

For your convenience, find the Trauma List Archive Below

IO's?...good for?