IO Infusion

Question 1

Correct IO needle sizing

Answer 1

i. EZ-IO 45 mm Needle – 40 kg or over
ii. EZ-IO 25 mm Needle – 3 kg or over
iii. EZ-IO15mmNeedle–3–39kg

Question 2

Proximal Tibia

Answer 2

i. Palpate the landmarks at the proximal tibia (patella and tibial tuberosity).
ii. Insertion site should be approximately one finger width distal to the tibial tuberosity along the flat aspect of the medial tibia.
iii. If the tibial tuberosity cannot be identified on the child, then the insertion site may be two finger widths below the inferior edge of the patella, then medial along the flat aspect of the tibia

Question 3

Distal Tibia

Answer 3

Two finger widths proximal to the medial malleolus along the
midline of the tibia.

Question 4

Humoral Head

Question 5

Lidocaine for >20kg

Answer 5

1. Prime the tubing with 1 mL 2% lidocaine.
2. Administer an additional 0.5 mg/kg 2% lidocaine (max 40mg = 2 mL 2% lidocaine).

Question 6

Lidocaine for pediatrics <20kg

Answer 6

1. Dilute 0.5 mL 2% lidocaine with NS to a total volume of 10 mL (final concentration = 1mg/mL)
2. Prime the tubing with 1 mL diluted lidocaine solution.
3. Administer an additional 0.5 mg/kg = 0.5 mL/kg diluted lidocaine.

Question 7

How long to wait for flushing IO with saline

Answer 7

60 seconds

Question 8

How much NS to flush

Answer 8

i. Adult: 5 – 10 mL flush
ii. Pediatric: 2 – 5 mL flush