Rural Emergency Room Simulation Teaching and Education Resource


Intra-osseous devices have become an essential part of Emergency Resuscitation. The general 'rule' now seems to be that after 2 unsuccessful peripheral IV attempts, the resuscitationist should go to IO access.

We have 3 devices:
1. The traditional 'blue handled' pediatric 'bone marrow' insertion device. Although traditionally used for pediatrics, this device can actually be used in the adult tibia as well. 
2. EZ-IO Drill. This can be used in the medial malleolus, anterior tibia and proximal humeral head. Although many feel this is 'so easy' to use, there are limitations that the user should be familiar with. This is discussed in the Power Point below.
3. Pyng eFAST sternal IO device. This device is easily deployed with a high success rate. As well, some of the limitations of the EZ-IO drill discussed in the attached Power Point are circumvented with the sternal device.

The resuscitationist should be familiar with all 3 of these devices.

IO Devices.pptx IO Devices.pptx
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Type : pptx