I think I injected into bone!!!

[Bonaparte]

It actually doesn't hurt sometimes. But then again, other times its death. I think the only real risk here is if he somehow punctured the bone and I have never heard of that happening unless you have like a 15g needle and you are paul bunyaning that thing in you.

They're actually done in the field by paramedics if we can't get IV access. But it requires a drill or a thick metal catheter needle (I think it's a 14g) that is forcefully jammed and twisted into the bone (generally the shin right below the knee). You aren't going to jam a needle into bone by accident

IDK that IO (intraosseous) lines are done much in-hospital, since ER docs generally go for a jugular vein in a pinch.

[clarky.]

They're actually done in the field by paramedics if we can't get IV access. But it requires a drill or a thick metal catheter needle (I think it's a 14g) that is forcefully jammed and twisted into the bone (generally the shin right below the knee). You aren't going to jam a needle into bone by accident

I seen that on a medical prgram bonaparte the doc could not get a vein the person was in a crash anyway he used a drill on the shin like you said then injected water in it then the morphine.

[Bigshotvictoria]

Depending on the type of IO it's either on the face of the tibia or smack dab in the Sternum

[AD]

IDK that IO (intraosseous) lines are done much in-hospital, since ER docs generally go for a jugular vein in a pinch.

hospitals in my area used to do this
Venous cutdown - Wikipedia, the free encyclopedia

[Bonaparte]

hospitals in my area used to do this
Venous cutdown - Wikipedia, the free encyclopedia

Yikes. How recently?

[AD]

Yikes. How recently?

actually i havent seen it myself, but its been taught, maybe 10yrs ago

[RangerDanger830]

They're actually done in the field by paramedics if we can't get IV access. But it requires a drill or a thick metal catheter needle (I think it's a 14g) that is forcefully jammed and twisted into the bone (generally the shin right below the knee). You aren't going to jam a needle into bone by accident

IDK that IO (intraosseous) lines are done much in-hospital, since ER docs generally go for a jugular vein in a pinch.

I have done this before, and this on the other hand hurts like hell from the reactions I have gotten.

[Bonaparte]

I have done this before, and this on the other hand hurts like hell from the reactions I have gotten.

...It's normally only done on unresponsive patients in cardiac arrest (or ones so close to death that they don't care). Do the Rangers just do this in the field since they don't have time to fish for an IV line?

[RangerDanger830]

...It's normally only done on unresponsive patients in cardiac arrest (or ones so close to death that they don't care). Do the Rangers just do this in the field since they don't have time to fish for an IV line?

Its called intraosseus infusion and I have never seen or heard of it done in the field, mainly because we were always close to actually medical facilities. But in the AFG I had to do it once to a guy who lost both legs, and the rest of his body was chewed the hell up so my medic told me what to do and I did it. He was my gunner in a hmmwv and we hit an IED. There was no way with all of the blood and chewed up flesh that we had time to find a vein, much less getting him to sit still enough to let us. But no worries now, he is alive and has functional prosthetics, even runs and hikes.

[Bigshotvictoria]

Its called intraosseus infusion and I have never seen or heard of it done in the field, mainly because we were always close to actually medical facilities. But in the AFG I had to do it once to a guy who lost both legs, and the rest of his body was chewed the hell up so my medic told me what to do and I did it. He was my gunner in a hmmwv and we hit an IED. There was no way with all of the blood and chewed up flesh that we had time to find a vein, much less getting him to sit still enough to let us. But no worries now, he is alive and has functional prosthetics, even runs and hikes.

We use it in the field whenever IV access is necessary but unobtainable. Typically decompensated shock and unable to get an IV into the AC. We had a young girl in Diabetic Keto Acidosis not so long ago, IO was the only option. It's used a fair amount in hypovolemic trauma patients in the field as well.

[RangerDanger830]

We use it in the field whenever IV access is necessary but unobtainable. Typically decompensated shock and unable to get an IV into the AC. We had a young girl in Diabetic Keto Acidosis not so long ago, IO was the only option. It's used a fair amount in hypovolemic trauma patients in the field as well.

The one I did was in the sternum, I have only seen them done in the sternum personally. I know it hurts bad enough for a guy who just lost two legs to complain about it more than his legs, granted they were in shock but you get the idea.

[Bonaparte]

We use it in the field whenever IV access is necessary but unobtainable. Typically decompensated shock and unable to get an IV into the AC. We had a young girl in Diabetic Keto Acidosis not so long ago, IO was the only option. It's used a fair amount in hypovolemic trauma patients in the field as well.

Did you do a lidocaine local first (or any other form of anesthesia), or was she sufficiently gone that she didn't need it?

[Bigshotvictoria]

Did you do a lidocaine local first (or any other form of anesthesia), or was she sufficiently gone that she didn't need it?

Lidocaine isn't part of the protocol. There isn't really a situation that would require an IO where taking time for a local is justified pre-hospital in my experience.