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1 EZ-IO in the Pediatric Patient 1 EZ-IO in the Pediatric Patient

1 EZ-IO in the Pediatric Patient - PowerPoint Presentation

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Uploaded On 2017-08-22

1 EZ-IO in the Pediatric Patient - PPT Presentation

This presentation is only for Pediatric specific IO site location and placement For complete IO insertion education please refer to the website wwwvidacarecom 2 T 509 Insertion sites 3 Proximal ID: 581025

proximal 509 site tibia 509 proximal tibia site humerus insertion accurate locate needle ability bone distal pediatric place chose

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Slide1

1

EZ-IO in the Pediatric PatientSlide2

This presentation is only for Pediatric specific IO site location and placement. For complete IO insertion education, please refer to the website

www.vidacare.com

2

T- 509Slide3

Insertion sites

3

Proximal

Humerus

Proximal

Humerus

Proximal Tibia

Proximal Tibia

Distal Tibia

Distal Tibia

T- 509Slide4

Proximal tibia

2 fingerbreadths below base of patella and 1 fingerbreadth medial

4

T- 509Slide5

Proximal tibia

Pinch the sides of the tibia bone between your fingers and isolate the proximal tibia

5

T- 509Slide6

Ability to locate accurate site on proximal tibia

6

If

Tibial

Tuberosity

cannot be palpated

then find base of patella

T- 509Slide7

Ability to locate accurate site on distal tibia

Place one finger directly over the medial

malleolus

Move 2 fingerbreadths proximal

Palpate anterior and posterior tibia borders to confirm the flat center aspect of the bone

7

T- 509Slide8

Proximal humerus

Should only be used in patients whose landmarks can clearly be identified

8

surgical neck

T- 509Slide9

Elbow

should remain

adducted &

posteriorly located

Place the hand over the umbilicus for humeral positioning and safety

Ability to locate accurate site on proximal

humerus

9

T- 509Slide10

Ability to locate accurate site on proximal humerus

Use the thumb to palpate up the humerus until a notch/groove is felt

Insertion site is approximately 1 cm above the site. At the most prominent point

10

T- 509Slide11

Pediatric EZ-IO insertion sites

Proximal Tibia

Distal Tibia

Proximal Humerus

11

T- 509Slide12

STEP-by-step procedure

12

T- 509Slide13

Chose appropriate insertion site

Identify the site by palpation

13

T- 509Slide14

Primary Consider tissue depth PRIOR to bone insertion

Chose appropriate needle - 15, 25 or 45 mm

Special situations

Excessive soft tissue

Excessive muscle tissue

Edema

14

T- 509Slide15

Prime EZ-Connect with Saline

Consider Lidocaine* if awake

Clean insertion site with antiseptic

Place needle on driverRemove needle safety cap

15

T- 509Slide16

Press needle set through skin until tip touches bone

At least 5 mm of the cathether must be visible

16

T- 509Slide17

Squeeze Driver trigger

Apply

gentle

, steady pressure

Immediately release trigger when sudden ”give” or ”pop” is felt -

indicates entry into the

medullary

cavity

STOP WHEN YOU FEEL THE POP

17

T- 509Slide18

Remove Driver and stylet

Use of stabilizer is strongly recommended for pediatrics

18

T- 509Slide19

Attach primed

EZ-Connect

Flush with normal saline

NO FLUSH. NO FLOW.

For patients responsive to pain,consider administering 2% lidocaine prior to flush

19

T- 509Slide20

20

T- 509Slide21

Confirm placement with at least 3 of 4 methods

Stability of catheter

Ability to aspirate

Physiological or pharmacologic changesAdequate flow rate

21

T- 509Slide22

Apply EZ-IO wristband

Do not leave catheter inserted for more

than 24

hours

NOTE!Monitor insertion site frequently for extravasation

22

T- 509