(2) TB 154 - Vidacare EZ-IO Intraosseous Infusion System

Question 1

The Intraosseous infusion (IO) technique is used in adult and pediatric ________ emergency situations to provide fluids and medication when traditional methods of IV access are not possible, unlikely to be successful, or cannot be achieved quickly.

Answer 1

cardiac arrest

(LAFD paramedics must successfully complete the IO training program in order to be eligible to use IOs.)

Question 2

LAFD has an IV success rate of _____% in cardiac arrest patients and therefore an IV should be attempted prior to selecting the IO option.

Answer 2

90%

Question 3

Intraosseous Access Contraindications:

Answer 3

-Inability to ID landmarks (DHS)

-Lower extremity deformity/fracture (DHS)

-Failed IO attempt in same bone (DHS)

-Infection at insertion site

-Previous, significant orthopedic procedure at the site (IO in past 48 hours, prosthetic limb or joint)

(Infection and previous ortho at site are contraindications per EZIO Company and not DHS)

Question 4

IO needle placement is ONLY approved for the FLAT SURFACE of the non-traumatized proximal MEDIAL TIBIA, utilizing the _______ as the landmark for proper placement.

Answer 4

Tibial Tuberosity

Question 5

The 4 “Rights” of the Vidacare EZ-IO:

Answer 5

-The right site
-The right needle
-the right flush
-the right pressure

Question 6

After inserting the needle into the skin, the final check before advancing the needle into the patient’s bone is to confirm visualization of a ______ line above the surface of the skin prior to powering the EZ-IO driver into the bone.

Answer 6

black line (at least 5mm of needle)

Question 7

EZ-IO Checks:

Answer 7

Daily Checks:

1. Ensure all equipment is accounted for and properly stocked.
2. Check expiration dates. Any needles that are within SIX MONTHS of expiration should be exchanged with the EMS Battalion Captain for replacement.

C. Weekly Checks:

1. Check driver battery. Checking the driver more often is NOT NECESSARY and will only decrease the battery life.

Question 8

True or False?

The EZ-IO is not part of DHS mandatory stock for ALS resources.

If stock drops below the initial issue at any time, the resources are still in compliance with DHS standards.

Answer 8

True.