A Follow-up Study Validating a Blended Technique for Identifying the Proximal Humerus Intraosseous Vascular Access Insertion Site
In 2012, the investigators from Vidacare evaluated 4 techniques commonly used to identify the proximal humerus IO insertion site to determine if one technique resulted in more consistent successful placement of the IO needle set with a higher level of confidence among device operators performing the techniques. Results suggest that a combination of the best features of the 4 techniques may lead to optimal IO needle set placement more consistently. This study is needed to validate the "Blended" proximal humerus IO insertion technique to confirm that use of the technique results in proper site identification among device operators and results in increased confidence.To most closely evaluate the Blended proximal humerus insertion technique and how it is received by clinicians who perform these procedures in actual patients, device operators will include licensed/certified clinicians including, emergency medicine technicians/paramedics and nurses.
Study Type
INTERVENTIONAL
Allocation
NA
Masking
NONE
Enrollment
10
Using the blended technique, device operators will establish proximal humerus intraosseous vascular access by inserting an IO needle.
Bulverde-Spring Branch EMS
Spring Branch, Texas, United States
Successful IO insertion
Successful IO needle insertion determined by x-ray images
Time frame: Day 1 after establishing proximal humerus IO vascular access
Intraosseous Infusion flow rates
Intraosseous infusion flow rates attained using 4 different infusion pressures Gravity; 100 mmHg, 200 mmHg and 300 mmHg.
Time frame: Day 1 after establishing IO vascular access
Time in seconds for fluid delivery from the proximal humerus to the heart, using visualization of contrast injection under fluoroscopy.
Time frame: Day 1 after IO insertion
Relationship between IO and peripheral venous blood
IO blood and peripheral venous blood will be collected and analyzed for routine blood tests and the results will be compared to determine if there is a relationship.
Time frame: Day 1 after establishing IO vascular access and peripheral venous access
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