Jan 30, 2019
Author: Aaron Lessen, MD
Educational Pearls:
- Choose the longest needle for the humeral IO
- Internally rotate and adduct the patients hand (resting on umbilicus) for best access to the site
- Aim 1 cm superior to the greater tuberosity of the humerus with the needle angled 45 degrees inferiorly
- Maintaining the line is critical - keep arm internally rotated with sling, tape or whatever works
References
Kovar J, Gillum L. Alternate route: the humerus bone - a viable option for IO access. JEMS. 2010 Aug;35(8):52-9. doi: 10.1016/S0197-2510(10)70207-2. PubMed PMID: 20708143.
http://epmonthly.com/article/get-humeral-io-access/
Summarized by Travis Barlock, MS4 | Edited by Erik Verzemnieks, MD