EZ-IO PD Proximal Humeral Access Training Program

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EZ-IO PD Proximal Humeral Access


Training Program
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Indications for Proximal Humerus Access

• Altered level of consciousness
• Respiratory compromise
• Hemodynamic instability

Note that the greater tubercle may be difficult
to palpate on patients weighting less than 25
kilograms
To gain immediate vascular access in an emergency
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Contraindications for Distal Tibial Access

• Fracture (targeted bone)
• Previous orthopedic procedures near insertion
  site (IO within past 24 hours/Prosthetic Limb or
  joint)
• Infection at the insertion site
• Inability to locate landmarks or excessive tissue

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Observe Body Substance Isolation Precautions
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Proximal Humeral Anatomy
Note that the greater tubercle may be difficult
to palpate on patients weighting less than 25
kilograms
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To identify the Proximal Humerus insertion site
Elbow should remain adducted and posteriorly
located
Place the hand over the umbilicus for humeral
positioning and safety
orient the arm to this position
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Preferred insertion site identification method
Note that the greater tubercle may be difficult
to palpate on patients weighting less than 25
kilograms
Place the patient in a supine position with the
arm correctly oriented
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Coracoid Process
Acromion
This alternate method of identification can be
used in association with the preferred method to
ensure proper placement
Alternate insertion site identification method
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Insertion site identification summary
C
A
B
Orient Arm Preferred
Approach Alternate Approach
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Confirm and clean insertion site
Note that the greater tubercle may be difficult
to palpate on patients weighting less than 25
kilograms
With firm palpation you should distinctly feel
the greater tubercle
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Insert EZ-IO PD needle set
Position the EZ-IO Power Driver at a 90 degree
angle to the bone
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Remove the stylet and syringe flush catheter
No Flush No Flow
Syringe flush the catheter with 5 - 10 ml of a
sterile solution
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Avoid rocking the EZ-IO catheter during usage
Use the EZ-Connect supplied with the needle set!
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Begin infusion with pressure
Use a syringe bolus or infusion pump to improve
flow
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To remove the EZ-IO catheter from ANY APPROVED
location attacha sterile syringe then rotate
slowly clockwise - while gently pulling.
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During removal maintain a 90 degree angle. DO NOT
rock the catheter!
Remove the catheter within 24 hours