Blood Products and Intraosseous routes for fluid resuscitation

Intravenous Fluid Management

READ:

Barkley Chapter 78, pages 784-786 "Intravenous Fluid Management"

Blood

• Clinician's Pocket Reference: Scut Monkey Blood Component Therapy Table 10-2 Skut Monkey Table 10 Blood components.docx Download Skut Monkey Table 10 Blood components.docx

For PRBC, FFP, Platelets know when to use and what lab value change is expected with administration of 1 unit of PRBCs or 1 (6-pack) of platelets.

• Practice Guide on RBC transfusion Transfusion of RBC JAMA 2016.pdf Download Transfusion of RBC JAMA 2016.pdf
   
• Update on massive transfusion  https://www.uptodate.com/contents/massive-blood-transfusion Links to an external site.
• http://uktraumaprotocol.blogspot.com/2013/03/teg.html Links to an external site.  TEG

Intraosseous routes:

This video show the proximal humeral insertion under fluoro. It shows how quickly the contrast enters the vasculature and right atria.  It is now the gold standard for insertion sites. This location can manage 5-7 liters of fluid per hour (significantly more than the proximal or distal tibia site.)Link Links to an external site.This video shows how gentle the EZ-IO is when inserted into a raw egg. The current record is 300 insertions into a raw egg before it broke apart. Link Links to an external site.