Vidacare
Vidacare

» Clinical Feedback

Contact Us

San Antonio Office:
4350 Lockhill Selma Rd,
Suite 150
Shavano Park, TX 78249
Customer Service:
866-479-8500
Corporate Office:
210-375-8500
Fax: 210-375-8537

Skip Navigation LinksVidacare » Contact Us » Clinical Feedback

If you need to speak with a Vidacare representative immediately, please call 1-800-680-4911.

We appreciate any comments, good or bad! All reports are taken seriously and the information is used to improve the EZ-IO and training efforts. Thank you.

* Red Text Indicates Required Field
Clinician Demographics:
Email *     
City *  
State *
Site Data:
EMS/Hospital where EZ-IO was placed
Operator’s Name
Date of Insertion
MM/DD/YYYY 		 
Time of Call/Patient Arrival
Name of Accepting/Treatment Facility
Receiving Dept/Setting
Patient Data:
age (estimate if not known)  
sex
Estimated height (in inches) in.  
Estimated weight (in kilograms) Kgs  
GCS
EZ-IO Insertion Data:
Needle size used:
Number of attempts  
Insertion site
Time for insertion procedure
(in seconds) 		sec  
Number of EZ-IO needles placed in patient  
Did the patient receive a syringe bolus or flush immediately following insertion?
Did patient complain of pain during insertion?
EZ-IO Infusion Data:
Medications/Fluids given (free text)
Did patient complain of pain during infusion? 
Did lidocaine decrease infusion pain?
Initial lidocaine bolus (in mg) MG 
How many times was patient re-dosed with lidocaine?  
At what time intervals (in minutes) was the patient re-dosed? minutes 
What source did you use for continuous infusion pressure?
Estimated flow rate of infusion
If EZ-IO was placed for resuscitation, was return of spontaneous circulation (ROSC) achieved?
how easy was the EZ-IO?
Did you feel you had control over placement of needle tip?
Was the stylet easy to remove from the needle set?
Complications:
Did the EZ-IO compromise the patient or user’s safety?
Comments or suggestions