EZIO Drill Recycling

by Andy | Sep 28, 2022 | ED Trauma, Shock & Haemorrhage, Trauma Procedures, Trauma Tips, Vascular access

On the ETM Course we teach intraosseous needle insertion using the EZIO system. EZIO essentially has a monopoly on intraosseous access, being used in almost all Emergency Departments and ambulance/pre-hospital systems around Australia and New Zealand. The main...

Tourniquets are back

by Andy | May 4, 2017 | Circulation, ED Trauma, Haemorrhage control, Trauma Procedures, Trauma Tips, Vascular Trauma

Largely due evidence from increased military use in conflicts in the last two decades, tourniquet use has re-emerged as an effective way to control haemorrhage from limb injury, usually due to partial or complete amputation or severe crush injury (so called...

ETM Journal Club: A procedural check list for pleural decompression and intercostal catheter insertion for adult major trauma.

by Andy | Feb 28, 2015 | Thoracic Trauma, Trauma Procedures

Injury, Int. J. Care Injured 46 (2015) 42–44  (As of Feb 28th 2015 – available full-text free) The goal of treatment for traumatic pneumothoraces is pleural decompression, not placement of a tube. Correct insertion technique for intercostal catheters after chest...

Large bore vascular access devices

by Andy | Oct 8, 2014 | Circulation, Trauma Procedures, Trauma Resuscitation, Vascular access

There are several large bore vascular access devices available for rapid fluid and blood administration in trauma and resuscitation settings, and depending on which country you are in, and where you work, these devices may be referred to by different names. In this...

Trauma Tip: How to secure your intercostal catheter to the patient

by Andy | May 9, 2014 | Trauma Procedures, Trauma Tips, Video

I frequently get asked about the best way to secure a chest tube once it’s inserted. So here’s a video demonstrating how I do it. httpv://www.youtube.com/watch?v=v2y-g0RAImw In summary: Thick (1/0 or 2/0) silk sutures grip the tube better and are easier to...

Trauma Tip: Safely secure your intercostal catheter to drain tubing connection!

by Andy | Feb 19, 2014 | Trauma Education, Trauma Procedures, Trauma Tips, Video

Once a chest tube is in, people tend to switch off, thinking the hardest part is done, and I often see people grab a roll of Sleek tape and wrap it firmly around the connection between the chest tube and the chest drain tubing.  The risk with this is that the tubing...