IO, IO – It’s off to work we go!

Cite this article as:
Andrew Tagg. IO, IO – It’s off to work we go!, Don't Forget the Bubbles, 2016. Available at:
https://doi.org/10.31440/DFTB.7843

Intraosseous access is one of those skills that is rarely used but can be a lifesaver. In the critically ill child IV access can be challenging. It is easy to get tunnel vision and try and try again to insert a cannula whilst losing focus on the reason for access – circulatory support. In order to achieve mastery in any skill one must undertake deliberate practice, using both mental and physical simulation.

Here’s how you can produce your own IO trainer for a few cents:

IMG_4376  1. You are going to need a couple of delicious chocolate bars, some gloves and  a roll of 15cm wide plaster of Paris.
IMG_4377  2. Keeping the wrapper on the chocolate (you may want to eat it later after  all) apply six to eight layers of plaster and allow to dry.
IMG_4378  3. Here is the completed product.
IMG_4382  4. One of the trainers has been wrapped in an attempt to simulate skin. I  have found that a looser glove works best.  It also makes the trainer easier to  transport without – you no longer cover your clothes in plaster dust.
IMG_4383  5. Unlike the more traditional chicken bones you can have one or two of these  trainers made up in advance for just-in-time teaching.

This is not a new technique.  It’s even been written up in the literature here.

 

Reference

Bateman ED, Bateman A. Intraosseus access simulation: the Crunchie solution. Emerg Med J. 2010 Dec;27(12):961

ILCOR 2015 – paediatric summary

Cite this article as:
Ashley Towers. ILCOR 2015 – paediatric summary, Don't Forget the Bubbles, 2015. Available at:
https://doi.org/10.31440/DFTB.7723

The International Liaison Committee on Resuscitation (ILCOR) is a collaboration between resuscitation groups worldwide. Every few years, they do an enormous evidence based review of resuscitation science which informs resuscitation guidelines all over the world.

The 2015 ILCOR consensus document (International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations) was published on 15th October 2015 and covers all aspects of resuscitation for all patient populations.

If you’re anything like me, you’ll agree that wordy documents like this can’t be read quickly (in this case even the Executive Summary is 31 pages!) so to save us all some time, I’ve summarised the recommendations with a focus on paediatrics.

ILCOR 2015 – neonatal summary

Cite this article as:
Ashley Towers. ILCOR 2015 – neonatal summary, Don't Forget the Bubbles, 2015. Available at:
https://doi.org/10.31440/DFTB.7717

The International Liaison Committee on Resuscitation (ILCOR) is a collaboration between resuscitation groups worldwide. Every few years, they do an enormous evidence based review of resuscitation science which informs resuscitation guidelines all over the world.

The 2015 ILCOR consensus document (International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations) was published on 15th October 2015 and covers all aspects of resuscitation for all patient populations.

If you’re anything like me, you’ll agree that wordy documents like this can’t be read quickly (in this case even the Executive Summary is 31 pages!) so to save us all some time, I’ve summarised the recommendations with a focus on neonates.

ILCOR’s draft guidelines

Cite this article as:
Ben Lawton. ILCOR’s draft guidelines, Don't Forget the Bubbles, 2015. Available at:
https://doi.org/10.31440/DFTB.6604

On October 15th This year ILCOR (International Liaison Committee on Resuscitation) will publish its updated recommendations in Circulation. ILCOR’s guidance is currently available in draft form at https://volunteer.heart.org/apps/pico/Pages/default.aspx where public comment is invited.