The Deep Brachial IV

ED Letter May 2008
t's 2 am and that patient you planned on admitting to be ruled out for ACS is still sitting in your department because the RN informs you that after multiple attempts they can't get an IV. The patient has a history of IVDA and multiple previous central lines with hard scars over her neck. The patient also mentions a history of previous DVT due to a femoral central line in the past. Her EKG is does not show an acute injury pattern and she has stable vital signs, but you know that she needs IV access prior to going up stairs.

NOW WHAT?!

See this month's EMLIVE for the answer--it's a life saver!

Category:

Howto & Style

Tags:

• Emergency
• Department
• Letter
• Deep
• Brachial
• IV

[jgwiencek]

Nicely done!

[garythedo]

Thanks!

[four4vizslas]

A very good lecturer indeed. Gary is a better M.D. instructor via the internet than some classes!

I am looking at these because we are trying to bring someting in between our central line via a 4-6" Angiocath & IO drill for paramedics who are in very rural situations.

There are times when air medical transport is not possible. Some calls take well over an hour to get to - just like this the severity is not there. Any ideas?

Our local MD would like a good tutorial on femoral lines.

[hazymalik]

good stuff mate... cheers !!!

[pabloveg]

Hi! Nice videos! Very good lecturer.

Cheers.