yes this is the best tutorial and advice I have seen yet. I like the "45, 45, and 45" helps you remember for a humeral IO: 45 mm IO needle, at 45 degrees running towards the opposite hip, and insertion at 45 degree to the plane of the insertion site.
wait I'm confused, instructor places thumb at site for insertion, and then says to angle toward the center when drilling, placing the needle in a totally different spot. Starting at 05:00 time mark. Am I missing something?
I must have missed the part where the patient raises his other arm, and says, hold on, time out, I’ll have the propofol appetizer. I know, I know supposedly the needle drilling into the bone is not that uncomfortable. But anybody who says when they put pressure or suction on the bone marrow is not excruciating is just trying to get you to go through the procedure in the most expeditious way. Even though it only takes a few minutes more to give you deep sedation or general anesthesia they do have to bring in anesthesia department to monitor you.
We don't have an anesthesia department in our ambulances. We deal with emergencies. If we're drilling an IO, it's an emergency. Please try not to be so judgmental.
@@LifestarEMSTrainingCenter I didn’t mean to sound judgmental. Just speaking from my own personal point of view. If by emergency, you mean a patient who is unconscious and possibly coding, and obviously that is a different situation. But if I were the patient and I were awake aware and alert, nobody would be flushing my IO line without general anesthesia. That’s all I’m saying.
You want at least one black line visible outside the skin AFTER insertion of the needle so that the tip touches bone but BEFORE you drill. It’s to make sure you have enough needle available to penetrate through the cortex into the medullary cavity once you start drilling.
Probably the best demonstration of this I've seen, thank you.
By far the best Humeral IO education I’ve seen. Thank you!
yes this is the best tutorial and advice I have seen yet. I like the "45, 45, and 45" helps you remember for a humeral IO: 45 mm IO needle, at 45 degrees running towards the opposite hip, and insertion at 45 degree to the plane of the insertion site.
Awesome video. Very educational.
Awesome video. explained everything very nicely. :)
it is the best video to show how to do it right and rapidly
Best shoulder io I have found!!!!
Very clear and confident presentation!
Glad it was helpful!
Great instructional!
Thank you for this video
Fluffy folks, lol. Great video.
Solid gold
Thanks from Afghanistan 🇦🇫
wait I'm confused, instructor places thumb at site for insertion, and then says to angle toward the center when drilling, placing the needle in a totally different spot. Starting at 05:00 time mark. Am I missing something?
cant thank you enough.
Couldn't have rolled up the sleeve for all this?
I must have missed the part where the patient raises his other arm, and says, hold on, time out, I’ll have the propofol appetizer. I know, I know supposedly the needle drilling into the bone is not that uncomfortable. But anybody who says when they put pressure or suction on the bone marrow is not excruciating is just trying to get you to go through the procedure in the most expeditious way. Even though it only takes a few minutes more to give you deep sedation or general anesthesia they do have to bring in anesthesia department to monitor you.
We don't have an anesthesia department in our ambulances. We deal with emergencies. If we're drilling an IO, it's an emergency. Please try not to be so judgmental.
@@LifestarEMSTrainingCenter I didn’t mean to sound judgmental. Just speaking from my own personal point of view. If by emergency, you mean a patient who is unconscious and possibly coding, and obviously that is a different situation. But if I were the patient and I were awake aware and alert, nobody would be flushing my IO line without general anesthesia. That’s all I’m saying.
the instruction states to leave 5mm of the catheter visible after drilling it in. So, definitely not flush
No it doesn't
You want at least one black line visible outside the skin AFTER insertion of the needle so that the tip touches bone but BEFORE you drill. It’s to make sure you have enough needle available to penetrate through the cortex into the medullary cavity once you start drilling.
Thanks from Afghanistan 🇦🇫