Vidacare » EZ-IO » Clinical Applications and Education
Vidacare's EZ-IO® Product System
Directions for Use
Templates to Get Started
Supplemental Materials
FDA-Cleared Sites Intraosseous Insertion
Proximal Humerus
- The proximal humerus insertion site is located directly on the
most prominent aspect of the greater tubercle. Ensure that the patient’s hand is
resting on the abdomen and that the elbow is adducted (close to the body). Slide
thumb up the anterior shaft of the humerus until you feel the greater tubercle,
this is the surgical neck. Approximately 1 cm (depending on patient anatomy)
above the surgical neck is the insertion site. Vidacare recommends the 45 mm
needle on patients >40 kg. This is the preferred site for patients who are
responsive to pain. Once the insertion is completed secure the arm in place to
prevent movement and accidental dislodgement of the IO catheter.
Proximal Tibia
- The proximal tibia insertion site is approximately 2 cm below
the patella and approximately 2 cm medial to the tibial tuberosity (depending on
patient anatomy).
Distal Tibia
- The distal tibia insertion site is located approximately 3 cm
proximal to the most prominent aspect of the medial malleolus (depending on
patient anatomy). Place one finger directly over the medial malleolus; move
approximately 3 cm proximal and palpate the anterior and posterior borders of
the tibia to assure that your insertion site is on the flat center aspect of the
bone.
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