For some reason people replying to my postings are coming direct to my
email address and not the list.
Gautam wrote:
> I've experinced lack of crunch from an older baby's prox tibia before
> (can't remember how old exactly, but a few months). In that case, the IO
> needle was celarly embedded in something solid (allbeit a bit like
> plasticine at this age) rather than flopping around in the sub cut
> tissues, and could be aspirated, so I went ahead and used it (with good
> effect). I think the cortex at this age must be more like half-baked
> clay than brittle wood. The upper tibia is recommended partly because
> you can't really miss (famous last words).
I had the same - needle stood up, was obviously in something softer than
normal bone and aspirated small amounts of blood but was unable to
infuse (two different needles under high pressure with 50 ml syringe via
3 way tap).
> >The 4th attempts were made in the distal femur.
> I've never seen this done, although i know its an option. Could you tell
> me which approach you use?
The one in the Immediate Care book - a couple of centimetres proximal to
the end of the femur in the mid line. Normal crunch and function.
> Dr G Ray
> Staff Grade
> A&E
> Sussex
> Reply to [log in to unmask]
--
Robbie Coull
BASICS Immediate Care Doctor/ALS Instructor
Locum General Practitioner, Highlands and Islands, Scotland
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