adult bone injection gun b i g l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Adult Bone Injection Gun B.I.G. PowerPoint Presentation
Download Presentation
Adult Bone Injection Gun B.I.G.

Loading in 2 Seconds...

play fullscreen
1 / 24

Adult Bone Injection Gun B.I.G. - PowerPoint PPT Presentation


  • 244 Views
  • Uploaded on

Adult Bone Injection Gun B.I.G. Simply Saving Lives. Common IO Myths. BIG Insertion is extremely painful The BIG insertion is very rapid and no more painful than an IV line. In Conscious patients it is recommended to add Lidocaine to the initial solution.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Adult Bone Injection Gun B.I.G.' - wray


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
common io myths
Common IO Myths

BIG Insertion is extremely painful

The BIG insertion is very rapid and no more painful than an IV line. In Conscious patients it is recommended to add Lidocaine to the initial solution.

85% of the patients are unconscious.

common io myths3
Common IO Myths

BIG Insertion Is a Difficult Procedure To Perform

The BIG insertion can be done after a short training session.

After learning the location differences between Adults and Pediatrics you will be able to insert the BIG with no effort.

common io myths4
Common IO Myths

BIG Infusion Can Be Done Only In Red Bone Marrow

Researches in various animal models showed that drugs are being delivered to center circulation in both Red and Yellow Bone Marrow.

indications
Indications

IO is the most appropriate option for vascular access when IV is difficultor impossible .

Experience with the BIG:

Cardiac Arrest, all kinds of Shock, Dehydration, Respiratory failure, Trauma, O.D

Burns, Seizures, Diabetic Emergencies…

location 1
Location (1)

Place a rolled towel under knee with the foot facing outward .

Find the outset point :

TibialTuberosity-

A rounded protrusion

right down the patella.

*Locate the Tuberosity

and feel it on your leg .

location 2
Location (2)

From the TibialTuberosity

Go approx. 2 cm (1 inch) to the inner part of the leg to find a flat site.

This is the Tibial Plateau.

location 3
Location (3)

FromTibialplateauGo UP approx. 1cm (0.5 inch) toward the patella.

*You are looking for the thinnest portion of the cortex.

location 4
Location (4)

Summary (adult patient):

From TibialTuberosity Go

approx. 2 cm (1 inch) IN

(inner leg).

And approx. 1 cm (0.5 inch)

UP (toward patella).

*Try to find the insertion site on your leg.

positioning16
Positioning

With one hand holding

firmly, Position the BIG

At a 90 degree angel to

the surface of the skin.

*use aseptic technique throughout

safety latch
Safety latch

With one hand holding the

BIG firmly, Pull out the

safety latch by squeezing

its two sides together.

(The safety latch should be at

the farthest point of the leg).

*Do not discard, it will later be used.

triggering
Triggering

While continuing to hold the

bottom part firmly against the

leg, Place 2 fingers of your other

hand under the ‘winged portion’

and the palm of that hand on the

top. Leanining on the device with straight elbows will activate the B.I.G.

Trigger the BIG by gently

pressing down .

Note:

Extra force is not required.

stylet trocar
Stylet trocar

Pull out the stylet

Trocar. Only Cannula

remains in the bone.

fixation
Fixation

The safety latch

provides additional

stability.

aspiration
Aspiration

Bone marrow can be

aspirated into a syringe

for laboratory sampling.

Note:

Lack of bone marrow

does not mean the IO is

improperly placed.

flushing
Flushing

Flushing 10-20cc (5-10cc in Pediatrics) of saline is recommended before the injection of fluids or drugs.

*In conscious patients-

consider local anesthesia prior

to administrating fluids.

administration
Administration

Now you can administrate

fluids and drugs as

required.

Optional :

Connect a stopcock to

the cannula and than use

a standard I.V set.

avoid this
Avoid this…

Think BIG!

www.waismed.com