somebody tell me what this is?

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I thought IO was accessing bone marrow. which bone's marrow is this going into? Sternum? Also, I know that in the battlefield, I guess aseptic is not the most crucial thing but isn't this way too careless?

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Specializes in Certified Med/Surg tele, and other stuff.

Yes, that is the sternum they are accessing. I didn't watch the cleaning of the area, so what did they do that had you wondering about aspetic technique? Just a quick swab?

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Specializes in Emergency & Trauma/Adult ICU.

I watched the video and saw nothing carelesss, and nothing that varied greatly from the sternal IO insertion I have seen in practice.

The video did not show the site being prepped - from the gauze already in place at the very beginning I infer that the site was already cleaned.

What was your specific concern?

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I am a rookie as you have figured out. doing any medical procedure on the floor, the high pressure through the insulin syringe, and the girl just giggling... just threw everything off in my unexperienced mind. thanks for clarifying. Now I need to go back and watch it again to learn.

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I opened the link up next to my husband :devil:

LOL!!!

Made my day! :p

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I watched the video and saw nothing carelesss, and nothing that varied greatly from the sternal IO insertion I have seen in practice.

The video did not show the site being prepped - from the gauze already in place at the very beginning I infer that the site was already cleaned.

What was your specific concern?

I'm not the OP and I'm no expert, but my concerns are two things I saw the man who was talking do. 1. the man at the 3:30 mark wipes his nose with the back of his hand and he's the one who's going to disconnect it and 2. at then the 3:50 mark he then bends down and places his hands on the ground and then he proceeds to remove the thing from the volunteer without changing his gloves. Also, it was a bit hard to tell but it looks like the tubing hit the floor once or twice prior to the first guy attaching it.

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Should have premed with Cipro, at the end they were gonna get her 500 of Cipro.

I agree, saw the nose wiping, etc. I think she was good at "dealing" with all that, I could see her begin to double down somewhat due to it being uncomfortable - just a change in her I noticed, she began to focus and concentrate...

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Specializes in Critical Care, ED, Cath lab, CTPAC,Trauma.

It's the military....she is one tough cookie. I saw some nose wiping and I think the tube may have hit the floor:eek:. In a hospital setting much more prep is involved........but yep that's the sternum ....yup there is bone marrow there and yup you can use it for IVF when all else fails as injuries in the military are extremity in the field and that would be a good place to secure an IV in the field.

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For the longest time, until we received our EZIO kits, our medical direction wouldn't let us access IO in adults in the sternum. We were restricted to the tibia, and for that matter, only with our ped patients. Strictly out of protocol for adults. The system they are showing isn't what we had, ours looked more like a drill gun. However it is similar and a heck of alot easier than the old-fasioned screw in manual system.

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They should be using Chloraprep to clean it. They wouldn't want to give someone osteomyelitis on top of everything else a wounded person would be going through. According to the Infusion Nursing Society, this is something usually done in the leg bones and has a much faster perfusion than a regular peripheral iv. ER or EMT usage mostly.

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Specializes in Med-Surg/Peds/O.R./Legal/cardiology.

TOTAL break in aseptic technique! Gloves contaminated from the get go and got worse from there. O.M.G.!

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Specializes in Med Surg - Renal.

What was with the fast flush?

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