PEARLS FROM THE TORRES STRAIT AND NORTHERN PENINSULA AREA
Week 1.1 – Vascular Access
Posted On January 28, 2018
Establishing vascular access urgently in the emergency department can be critical and life saving. This week we discuss and practice the variety of ways you may establish access in urgent and non-urgent situations (including peripheral intravenous cannulas, rapid infusion catheters, intraosseous and central venous catheters/PICC lines).
Can’t get IV access in a hurry?
Intraosseous (IO) access: It is essential to become familiar with the life-saving intraosseous needle. There are drill and manual IOs and the following website has a host of useful videos and documents on becoming familiar with anatomy and insertion techniques and how to care for an IO. There is a free EZ-IO app that also guides you through insertion.
RIC lines: Rapid Infusion Catheters are great if you need….rapid infusion. Remember Poiseuilles law. If you need to give large volumes of fluid or blood, you want a large bore and short line. Central lines are great for infusions of multiple agents, but are not a resuscitative line.