Trick of the Trade
Use a modified knee immobilizer to secure tibial intraosseous lines
Tibial lines are at risk of trauma and displacement from contact with bed side-rails and the patient’s other leg. This risk is particularly high in the agitated patient and is not sufficiently resolved with traditional ankle restraints.
In order to sufficiently protect a tibial IO, place a knee immobilizer to limit the patient’s movements. Cut a fenestration to allow unobstructed access to the IO. The IO can be further stabilized by packing gauze on either side and covering the leg in a sheet.
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