Nothing in life is ever guaranteed, there is always anatomical anomalies
operator skills, unknown anticoagulation, and problems with stenosis from
previous line insertion to consider.
Andy Webster
Registrar in Emergency Medicine
Sir Charles Gairdner Hospital
-----Original Message-----
From: Accident and Emergency Academic List
[mailto:[log in to unmask]] On Behalf Of Rowley Cottingham
Sent: 01 June 2005 06:24
To: [log in to unmask]
Subject: Re: Bone injection guns
> Not always a great idea to go for a subclavian (or jugular) line in the
> hypovolaemic patient. Femorals can be tricky in the hypovolaemic
> patient at
> times.
Could not disagree more. It's training issue; I can obtain internal
jugular access with a straight single pipe like a Wallace in under 10
seconds. There are three key points.
1. Head down.
2. Go low in the anterior triangle.
3. Aim for the opposing femoral head.
Guaranteed; venous puncture every time.
/Rowley./
________________________________________________________________________
Doctors.net.uk e-mail is protected from spam and viruses
Doctors.net.uk - the network of 114,000 UK doctors
_______________________________________________________________________
|