Trick of the Trade
Use a mask from a bag valve mask (BVM) setup
Place the padded mask over the IO needle. The IV tubing can be threaded through the hole at the top of the mask. Secure the mask by wrapping circumferential tape around the extremity and mask as a unit. This mask trick works whether the IO needle is in the tibia, femur, or humerus. If available, you can use a pediatric mask for a less obtrusive setup – great tip by Ireland paramedic Eoghan Connolly (@EoghanCon11 ).
The mask also works for humeral IO lines and seems pretty secure with a prototype that Dr. Jonathan Fu and I tested on shift.
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