Podcast # 430: Humeral IO

Emergency Medical Minute

Jan 30, 2019•3 min

--:--

Listen in podcast apps:

Apple Podcasts

Spotify

Download

Listen to this episode in Metacast mobile app

Don't just listen to podcasts. Learn from them with transcripts, summaries, and chapters for every episode. Skim, search, and bookmark insights. Learn more

Episode description

Author: Aaron Lessen, MD

Educational Pearls:

Choose the longest needle for the humeral IO
Internally rotate and adduct the patients hand (resting on umbilicus) for best access to the site
Aim 1 cm superior to the greater tuberosity of the humerus with the needle angled 45 degrees inferiorly
Maintaining the line is critical - keep arm internally rotated with sling, tape or whatever works

References

Kovar J, Gillum L. Alternate route: the humerus bone - a viable option for IO access. JEMS. 2010 Aug;35(8):52-9. doi: 10.1016/S0197-2510(10)70207-2. PubMed PMID: 20708143.

http://epmonthly.com/article/get-humeral-io-access/

Summarized by Travis Barlock, MS4 | Edited by Erik Verzemnieks, MD

For the best experience, listen in Metacast app for iOS or Android