PHARM Podcast 82 – Intraosseous lines and abstracts

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Today on the podcast, a quick one to promote SMACC GOLD Abstract submissions and ETM Course

Also quick tutorial on IO lines!

WARNING! DONT COPY THE DEMONSTRATION VIDEO AT HOME BY TRYING TO DRILL A NEEDLE INTO YOUR OWN BONE! THIS VIDEO WAS DONE BY QUALIFIED DOCTORS

SHOW NOTES:

  1.  Confirmation of intraosseous cannula placement based on pressure measured at the cannula during squeezing the extremity in a piglet model
  2. Feasibility of point-of-care colour Doppler ultrasound confirmation of
    intraosseous needle placement during resuscitation

Podcast ( available here and on iTunes)

Right Click and Choose Save-as to Download the Podcast.

2 Comments
  1. If you’re trying to determine if vascular access is still in place, why not use agitated saline as is done when testing for a PFO on echo?

    Take a 10ml flush and a 10cc syringe. Waste 1cc of NS, and draw in 1cc of air. Attach both to a 3-way stopcock, and to the suspect line. Move the saline back and forth between the 2 syringes to get it agitated. Inject the agitated NS into the line. Look at the 4-chamber apical view of the heart. As the bubbles reach the heart you will a change in density between the RV and LV. Thoughts?

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