2015 Trumbull Memorial Hospital Demo

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EMR EMT AEMT Paramedic Extended
Pediatric IV/IO
Pediatric IV / IO
Universal Pediatric Assessment
Assess need for IV 0.9 NS
Emergent or potentially emergent
medical or trauma condition
Never use D5W
Peripheral IV
Three (3) IV attempts in 90
seconds
Intraosseous EZ-IO
If truly needed
In severe blood loss or shock,
consider fluid replacement
20mL/kg bolus via stopcock
and 50mL syringe
Monitor infusion
Unsuccessful
Clinical Considerations
EZ-IO sites (Pediatric):
 Proximal Humerus
 Proximal Tibia
 Distal Tibia
 Distal Femur
BIG or Jamshidi
 Proximal Tibia
Clinical Considerations
Pediatric Approved IO Devices:
 EZ-IO
 Jamshidi or Illinois
 BIG