2015 Trumbull Memorial Hospital Demo

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EMR EMT AEMT Paramedic Extended
Adult IV/IO
Adult IV/IO
Universal Patient Assessment
Assess need for IV 0.9 NS
Emergent or potentially emergent
medical or trauma condition
Clinical Considerations
 Inform patient of IV
insertion
 Use aseptic technique
 Assess patient and
equipment
 Prepare dressings and
ensure safe practices
 Instructions to patient
 Documentation
 The preferred site for EZ-
IO and NIO devices is the
proximal humerus
IV Therapy
 Administer fluids
 Administer medications
Use warmed fluids for
hypothermic patients
Peripheral IV
No more than four (4) attempts
unless patient is critical
If patient is in cardiac
arrest, go
immediately to IO
If patient is critical
consider IO after (2) IV
attempts
Intraosseous EZ-IO®
If patient is critical or in
cardiac arrest and has an
external venous catheter, see
Central Venous Catheter
Access Protocol
Monitor infusion
Successful
Administer 20mg of Lidocaine
over 2 minutes prior to infusing
fluids or other medications.
Conscious patient
with an IO
Clinical Considerations
EZ-IO Insertion Sites (Adult)
 Proximal Humerus
 Proximal Tibia
 Distal Tibia
NIO Insertion Sites
 Proximal Humerus
 Proximal Tibia
Clinical Considerations
Approved Adult Devices
 EZ-IO®
 NIO®
 BIG®
 FASTResponder®