EZIO - IO Insertion Skill Station

This is based on New York State's Critical Care EMT Pediatric Intraosseous Infusion Station 4-C. In the station, the IO insertion is done manually, but with the availability of the IO drill/IO gun, we thought that a more updated version would be appropriate. Please keep comments constructive and respectful. Sorry, no bloopers this time, but enjoy the video, "Struggling with the IV/IO".

Category:

Education

Tags:

• emt
• ems
• io
• ezio
• io drill
• new york state
• nys
• skills
• critical care

[sugarcult0805]

what do you mean put the gauze next to it just open the package and leave them rolled up and tape them or actually wrap the IO in that gauze.......EMT student just wondering thats all

[BlueJFilms]

@sugarcult0805 That is a good question. If you pretend that the IO is a penetrating object, which it is, you want to stabilize it. You can do it with roller gauze or a special IO stabilizer.

[mycroft007]

Do you administer lidocaine prior to bolus infusion? That's the way our protocols are written to minimize the pain associated with the flush that breaks up that network of bone.

[BlueJFilms]

@mycroft007, Our protocols do not allow us to put IOs into alert patients, so we do not have the protocol for lidocaine (the reason I did not include it in the video). But to answer your question...yes. The lidocaine is pushed before you push the bolus of torture (aka normal saline).

[chuckccfd9]

All looks good, I was tought to give the rest of the 10cc flush hard and fast and then asipirate a little to confirm placement.

[INF116]

The army uses something similar to this called the fastone...its an IO access device that is used in the sternum...it uses manual pressure for insertion... saw one applied to a a medic for the sake of presentation....ouch

[jennimedic]

LMAO-and learning. LOVE IT!

[jastraugmxde]

You are so great when it comes to creative intros!!! Keep them coming