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Thu Mar 22 12:43:12 GMT 2007

This is what we regularly do, in paeds clapped out to the point of decompensation and beyond.  We have no "proper" IO needles.  This is Africa, bru.

-----Original Message-----
From: "Sohail Muzammil" <sohailmuzammil at hotmail.com>
To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
Sent: 07/03/21 18:05
Subject: Re: IO's?...good for?

I have used the IO route with ordinary 18G needles for dehydrated kids in
Kashmir. I'm talking dehydration and diarhoea like you'll never see in the
West. It has saved at least 2 lives in my hands. Shifted to IV once the
veins filled out. Of course didn't have access to any fancy shmancy IO
needles/sets.

S Muzammil, FRCS
----- Original Message -----
From: "Simon Scothern" <Simon.Scothern at lakesdhb.govt.nz>
To: "Trauma &amp; Critical Care mailing list" <trauma-list at trauma.org>
Sent: Wednesday, 21 March, 2007 9:16 AM
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?

Alas, I am in the position to disagree with you Ken.  Never thought it
would happen, but I have to admit the fact that I have used the IO
approach with great success under difficutl tactical conditions.  As I
said in an earliere post, however, in the civilian world I think the
indications for the use of IOs in the HOSPITAL SETTING are very very
very few and far between.
Ron

>>> <KMATTOX at aol.com> 03/20/07 6:26 PM >>>
I have looked and looked.   I can find NO logical, ethical,  clinical,
or
traumatic indication for IO infusions of ANYTHING in ANY Patient at
ANYTIME.

Unless one is attempting a cruel form of child abuse, or adult  abuse.

Especially today when it is acknowledged that both for children, teen
agers,
adults, etc.,  permissive hypotension and restrictive (to no) fluid
resuscitation is better than the old way, IO completely looses its
market and  appeal.

I guess if you own stock in one of the companies that sell these
instruments
of the devil, you might use them to try to increase your market  return.

k

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IO's?...good for?