PHARM Podcast 20 : Femoral Vein Access the root of all EVIL? with Dr Mathew Pirotte
I debate Mathew on femoral vein access in resuscitation. WARNING OF VIDEO OF INTRAOSSEOUS INSERTION THAT MAY DISTURB SOME VIEWERS
On this episode, I interview Dr Mathew Pirotte of Chicago, Illinois. Before you continue, go check out his excellent award winning presentation “WHY YOU SHOULD NEVER DO A FEMORAL LINE“. Thankyou to Dr Seth Trueger for suggesting and hosting the screencast!
I asked Mr EmCrit himself, Dr Scott Weingart and check out his response on EmCrit Live show #2
MY Article references cited during interview (refer to Mathew’s screencast for his article references):
Now on to the Podcast
Right Click and Choose Save-as to Download the Podcast.
BELOW IS A VIDEO OF AN EZIO NEEDLE INSERTION INTO MY RIGHT TIBIA DURING AN EMERGENCY COURSE I WAS TEACHING ON. THIS MAY BE DISTURBING TO SOME SO BE WARNED!
Lessons I learnt and wish to share:
1. The pain of insertion is minimal, no worse than donating blood.
2. The pain of infusion is significant and does not require much volume of fluid (I did not request lignocaine for procedure as is recommended for alert patient use, so as to test this aspect)
3. If it hurts that much, it cant be all that good for your limb. Be careful and minimise fluid volume and infusions via IO
4. After stabilisation, seek alternative vascular access ASAP and aim to remove IO at earliest opportunity
5.EZIO needle once adequately inserted into bone is a very secure line. See how much force my colleague requires to remove it.