This is EMKases, EM Quick Hits podcast.

Quick. Let's get on with it.

EM cases is part of Shremi, the Schwartz-Riseman Emergency Medicine Institute.

That's the nonprofit-profit organization dedicated

to improving EM care through high-quality research and education. The opinions expressed on this podcast are intended for general information and educational purposes only and should not be used to diagnose treat or prevent any medical condition, nor should they be used as a substitute for medical advice from qualified practicing physician. Unless stated otherwise, the opinions expressed by the hosts or guests are made in their individual capacity, not on behalf of the Institute nor medicine cases.

Before we jump in, just a quick announcement that tickets for podcast camp go on sale August 31st at podcastcamp.org.

Only 20 tickets are being sold because we want to give you as much individual guidance and feedback as possible as you begin to master your podcast.

Now for some quick hits.

First up is Swami with some advantages and limitations of intra-ausius access.

I-O-I-O-I-O.

I can still remember the first time that somebody put an I.O. needle in my hand.

I was a third year resident and we had a pretty sick kid. People had been fumbling around trying to get an IV in.

And then one of the old school attendings drops a jimshoddy needle in my hand and said, put it in the tibia.

And we put it in, resuscitated the kid,

and all ended up pretty well. And I remember falling in love with the device right there.

This was the easiest thing I had ever done to gain access in a patient, especially when you have that kid who is crashing and just needs access so you can get started on that resuscitation.

And of course, at the time, we didn't have the commercially available drills that we have today.

And so if we wanted to use these in adults, we could, but it took a little bit more force to get

those in.

Once those drills came out, this all went away.

The thought of not using an I.O. to me, seemed

kind of foreign. I can get this quick, easy access in immediately, and I don't think twice about it.

...