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You identify cardiac arrest. The call for help has been sounded. You begin allocating tasks to get good basic life support happening and the defib connected. A medical registrar appears, puts her hand on the femoral area to feel for a pulse and asks “What’s the story?” Your management is briefly interrupted to give THE …
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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 down (ie. have the arm internally rotated at the shoulder). Otherwise the IO catheter may bend or fall out. References: 1. Pasley …
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