Vascular Access

Question 1

With IO access once the needle is inserted into skin what must be visible?

Answer 1

5 mm of drill/ at least one black line.

Question 2

What angle should the IO drill be to the bone?

Answer 2

90 degrees.

Question 3

When do you stop drilling when obtaining IO access?

Answer 3

When you feel a sudden give or pop upon entry into the medullary space.
A desired depth is obtained.

Question 4

How do we identify the site for IO access of the tibia?

Answer 4

Identify tibial tuberosity then move 2 cm inferior and medial to that point.