Intraosseous infusion.

the right way to give intraosseous injection or infusion

1. Intraosseous infusion  

2. Intraosseous infusion  ( IO ) is the process of  injecting  directly into the  marrow  of a bone. This provides a non-collapsible entry point into the  systemic venous system . This technique is used to provide fluids and medication when  intravenous access  is not available or not feasible.

3. . Intraosseous infusions allow for the administered medications and fluids to go directly into the vascular system. . Intraosseous infusions are utilized when trauma patients have compromised intravenous access and need immediate delivery of life saving fluids and medications.

4. Procedure: The needle is injected through the bone's hard cortex and into the soft marrow interior which allows immediate access to the vascular system. The IO needle is positioned at a 90-degree angle to the injection site, and the needle is advanced through manual traction, impact driven force, or power driven.

5.   Each IO device has different designated insertion locations. The most common site of insertion is the antero-medial aspect of the upper, proximal  tibia  as it lies just under the skin and is easily located. This is on the upper and inner portion of the tibia. Other insertion sites include the anterior aspect of the  femur , the superior iliac crest, proximal  humerus , proximal tibia, distal tibia, sternum.

6. Visual Procedure: