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Episode 30: Central Lines, Surgical Airways and Pericardiocentesis

Emergency Medicine Cases

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Securing and obtaining blood work from an intraosseous (IO) site

This chapter discusses the reliability of various blood work when drawn from an intraosseous (IO) site. They mention that hemoglobin, sodium chloride, glucose, creatinine, and cross matching are all reliable when drawn from an IO site. However, they note that CO2 or potassium are not reliable. They also mention the importance of discarding the first few cc's of blood before filling the tubes for blood serum analysis. They discuss the preference for IO over umbilical venous catheterization and mention a study that showed IO placement to be easier and quicker than umbilical venous catheterization for clinicians who don't frequently perform neonatal resuscitation.

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