Flightmed archive for February-2003
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Flightmed archive for February-2003



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Re: Sternal I/O



According to A New System for Sternal Interosseous Infusion in Adults (Macnab, et al.  Prehospital Emergency Care 2000; 4:173-177), "the best site for interosseous infusion in adults has not yet been determined."
 
There's lots of good info about the red vs. yellow marrow, cortical bone thickness, proximity to central circulation addressed in the article.  Additionally, preferrence for sternal IO placement is the low incidence of fracture to the manubrium.(unless your bashed up trauma patient with no veins had a CABG).
 
Please have your research librarian locate the article, as I'll go broke faxing it to everyone.  Perhaps I can get it scanned and then I'll post it.
 
Fly safe,
 
Mark

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