Where do you put IO in humerus?

Where do you put IO in humerus?

Palpate the greater tubercle of the proximal humerus and then the surgical neck below that landmark. The ideal insertion site is 1 cm above surgical neck. 2. IO drill should be placed at a 45 degree angle with the humeral head.

Where does IO needle go?

The needle is placed on the broad, flat anteromedial surface 1 to 3 cm distal to the tibial tubercle. The distal femur is an alternate site. The needle is inserted 2 to 3 cm above the lateral femoral condyle, in the midline and angled 10 to 15 degrees cephalad.

How do you insert an intraosseous needle?


  1. Identify the appropriate site.
  2. Prepare the skin.
  3. Insert the needle through the skin, and then with a screwing motion perpendicularly / slightly away from the physeal plate into the bone.
  4. Remove the trocar and confirm position by aspirating bone marrow through a 5 mL syringe.

How do you know an IO is in place?

There are already multiple methods for confirming IO placement, including return of bone marrow, visualization of blood in the stylet, firm placement of the needle in the bone, and the ability to smoothly deliver a fluid flush.

Where can intraosseous lines be placed?

Intraosseous vascular access allows clinicians to infuse fluids or blood products, deliver resuscitation medications and obtain blood samples.

  • An intraosseous needle can be inserted into the proximal tibia, distal tibia, proximal humerus, iliac crest and sternum.
  • What size is the yellow IO needle?

    45 mm
    Yellow Specifications: The 45 mm Needle Set is ideal for the humerus site in patients over 39kg (over 86 pounds). The EZ-IO® Intraosseous Infusion System is the leading choice for intraosseous access across multiple health care settings.

    How do you size an IO needle?

    IO needles require 5 mm of excess length from skin to bony cortex to ensure successful placement (i.e. maximal depth of 20 mm for a 25 mm needle).

    How do I confirm an IO?

    A properly placed IO line must be through the cortex of the bone and situated within the marrow cavity. Standard methods for confirmation of IO placement include aspiration of bone marrow, firm placement of the IO needle into the bone, and no evidence of extravasation.

    What size is yellow Io?

    EZ-IO® IO-IV devices may be inserted with a power driver (drill) or manually. The 25 mm (blue hub) and 15 mm (pink hub) needles may be inserted manually. The 45 mm (yellow hub) requires a power drill for insertion and does not come with a manual driver.

    What size is the pink IO needle?

    15 mm