IO's with Co-Inventor Scotty Bolleter

Course overview

Objectives Describe the safe and effective use of an IO Explain the history of the IO and its intended use Identify the indicated use for each size of IO catheter and the recommended locations based on the size of the patient Content Steve Dan and Holly introduce Scotty Bolleter one of the co inventors of the EZ IO Steve begins by asking Scotty how he got started in EMS and what led him to help create the EZ IO Scotty discusses his time as a flight paramedic and how his time spent training in hospitals pushed him into EMS business ventures Steve touches on his business ventures in EMS Scotty walks the trio through his teams process of modifying older devices to create their version of the EZ IO Scotty talks about his interdisciplinary team of physicians engineers and others The correct process of placing a humeral IO is discussed from positioning the patient to proper placement for insertion The process of IO flow is explained Scotty discusses possible complications if an IO is placed wrong Scotty discusses use of the distal femur IO placement in cardiac arrest at his department IO placement in the femur versus the humerus or the tibia is compared Pediatric IO placement is reviewed Scotty highlights the open IO and when it is indicated Correct IO placement is recapped and Scotty touches on why EMS providers should not bury an IO needle into the bone Steve reviews a call on a patient in status seizure where an IO is used for access Learning Points Be inquisitive and question the status quo medicine is always advancing Drilling patients is safer than hammering a device in Confirm IO placement by aspirating bone marrow Place patient in anatomically correct position prior to IO insertion Once a provider feels the device drill through the compact bone stop drilling Humeral IO place thumb on greater tubercle and drill perpendicular at the base It is advised not to place an IO if the patients humerus is going to be moved Larry Miller was the principle inventor of the EZ IO Putting a needle into a growth plate will not harm the bone In pediatrics place needle below the growth plate Practice inserting an IO into a raw egg for practice Never bury the IO into the bone feel the IO push through the compact bone and stop 15mm 15g needle pink needle is too small for pediatric patients