Intraosseous Vascular Access

Posted by Jeffrey Guy MD EMT-P FACS at 5/29/2007 5:20 PM and is filed under uncategorized
IO access is often thought by many to be used only for pediatric patients. Hardly. IO access was designed over 80 years ago for use in adult trauma patients. Learn how this rapid and reliable technique of obtaining venous access may be used in the care of your trauma patients.

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  • 9/6/2007 4:56 PM Jason Fawver wrote:
    I like the podcasts! I do have a question: Why is hypertonic saline NOT recommended for IO infusion? Does it damage the bone marrow (i.e. what is the physiological reason why)? Thanks!

    Hypertonic saline is well tolerated given intravenously, but when fluids are administered throught the IO route the are given in an environment that is rich in cells, i.e. bone marror.   Therefore, giving hypertonic fluids IO can damage those cells.  Thanks for the question. 
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