Cramming It In: IO


I just happened to be reading through my back copies of The Journal of Infusion Nursing and came across this great article on the value of the early IO’s. The Consortium on Intraosseous Vascular Access in Health Care Practice put out their consensus statement titled Recommendations for the use of intraosseous vascular access for emergent and nonemergent situations in various health care settings: a consensus paper.

This consensus has been supported by all sorts of emergency, critical care, and paediatric nursing associations.

I firmly believe that we dont use IOs enough and they agree. If you are having difficulty getting access a sick patient (paediatric or adult), think hard about placing an IO. Remember any drug you can give IV can go IO, and the recommended locations are the proximal humerus, proximal tibia, or distal tibia.

IOs are NOT just for dying kids, they are for difficult access on nearly any sick patient. We have lots of tricks- ultrasound guided IVs, intra jugular, central lines, and IOs. Think about IO’s early.

All the papers say these IOs arent more painful than IVs, and to prove it Im going to let one of our lucky house officers cram one into my tibia. – Andy

J Infus Nurs. 2010 Nov-Dec;33(6):346-51.

BONUS: check the video