Early Use Of Intraosseous Cannulation In Emergencies: Drilling Home The Message Sally Evans Critical Care Nurse Educator Bendigo Health.

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© The Author(s) Published by Science and Education Publishing.
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Presentation transcript:

Early Use Of Intraosseous Cannulation In Emergencies: Drilling Home The Message Sally Evans Critical Care Nurse Educator Bendigo Health

No conflict of interest

Photos from Bendigo Health archives

Intraosseous cannulation “Rather, ten times, die in the surf, heralding the way to a new world, than stand idly on the shore” Florence Nightingale ( ) Photo from Flickr

Photo from Bendigo Health archives

Photo by Sally Evans

Photo from Bendigo Health archives

Photo by Sally Evans

Photo from Flickr

Photo by Sally Evans

Photo from Flickr

Does IO = IV?

American J Emerg Med (1) ‘Does intraosseous equal intravenous? A pharmacokinetic study’ D Von Hoff, J Kuhn, H Burris & L Miller

Arch Pathol Lab Med. 2010; 134 ‘A New Study of Intraosseous Blood for Laboratory Analysis’ L Miller, T Philbeck, D Montez, C Spadaccini

Emergency Medical Journal 2014 ‘Saving the critically injured trauma patient: a retrospective analysis of 1000 uses of intraosseous access’ Philippa Lewis & Chris Wright

Emergency Medical Journal 2014 ‘Rapid sequence induction of anaesthesia via the intraosseous route: a prospective observational study’ Authors: E B G Barnard, R J Moy, A D Kehoe, V S Bebarta, J E Smith

J Vasc Access (3) ‘Intraosseous vascular access is safe, effective and costs less than central venous catheters for patients in the hospital setting’ Authors: M Dolister, S Miller, S Borron, E Truemper, M Shah, M Lanford, T Philbeck

J Vasc Access (published online 8/07/2014) ‘Factors affecting the frequency of vascular access via intraosseous cannulation performed by paramedics in Johannesburg’ Authors: C Vincent-Lambert, A Carpenter

Emerg Med J 2012 (29)

Recommendations for practice Policies & procedure guidelines Competency based training programs Incorporate into ALS assessments Regular training sessions Use of simulation equipment and scenarios Strong leadership Discussions with pre-hospital colleagues

Case Study follow up IO was removed prior to ED discharge Documentation of discomfort at site Unable to discuss with the patient personally Lost to follow up

Regional Critical Care Conference April 17 and The Capital Theatre View Street, Bendigo Thank you

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