Novel subclavian cannulation method
Ultrasound-guided subclavian vein cannulation has reduced complications, but there is still a high incidence of failure to cannulate the vein and of accidental arterial cannulation. Vassallo &...
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CVCs placed in the ED
Central lines in the ED are more likely to get infected because they’re inserted under less scrupulously aseptic conditions than in ICU, done more urgently, and are more likely to be placed in the...
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FAST 1 success rates in the field
Three quarters of attempts to place the FAST 1 sternal intraosseous device were successful… Introduction: Access to the vascular system of the critically ill or injured adult patient is essential for...
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Central lines in coagulopathic patients
If a patient needs a central line, he/she needs one. Often low platelets or a deranged coagulation profile are cited as reasons for omitting or delaying the procedure, but this is not based on...
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Ultrasound-Guided Radial Artery Catheterization
In case you needed some evidence – a systematic review supports ultrasound guidance as a means of improving insertion success of radial artery catheters BACKGROUND: Ultrasound guidance commonly is...
View ArticlePICCs more complicated than CVCs
A review showed that peripherally inserted central catheters were associated with higher rates of complications that standard central venous catheters We undertook a review of studies comparing...
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The REAL Shocked Patient
I promised to put some summary notes on the site for those who attended my talk on ‘The REAL Shocked Patient’ for the Australian College of Ambulance Professionals on Tuesday 21st February 2012, so...
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Not a pin cushion
This is the daughter of my friend. Avery is only seven months old and has survived a critical illness and is thankfully now fully recovered. Her Dad has nothing but praise for the medical and nursing...
View ArticleExternally rotate leg for femoral vein access
Want to access the femoral vein? Externally rotate the leg at the hip and things might be a bit easier. This study was done in adult patients, with the knee straight and no abduction applied. External...
View ArticleHumeral Intraosseous – Stay In & Stay Straight
This video shows the mechanism for dislodgement and deformation of humeral intraosseous needles and how to avoid this. In summary, if you need to abduct the arm (eg. for thoracostomy), keep the thumbs...
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