Eddy Joe MD @eddyjoemd
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Educator and Intensivist - https://www.eddyjoemd.com Host of the Saving Lives Podcast - https://anchor.fm/eddyjoemd I teach Critical Care Medicine on YouTube & Instagram - https://www.youtube.com/EDDYJOEMD | https://www.instagram.com/eddyjoemd | https://twitter.com/eddyjoemd
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Intraosseous (EZ-IO) Access in the Humeral Head of an adult

Rule of 45s:
- 45mm needle
- 45° angle
Intraosseous (EZ-IO) Access ... #Management #IOAccess ... Line #Placement #Instructions
EZ-IO® Device Proximal
Humerus Identification
and Insertion Technique

Insertion:
 • Prepare the site by using antiseptic solution per institutional
institutional protocol ... #Management #IOAccess ... Line #Placement #Instructions
Modified Valsalva Maneuver Insturctions

- 43% vs 17% response compared to the standard valsalva maneuver

Per ACLS and
Valsalva Maneuver Insturctions ... Maneuver #REVERT #Instructions ... #Protocol #Procedure
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ACTIVATE CATH LAB ACCESS ... femoral arterial access ... Obtain venous access ... Initiative #Management #Cardiology
Modified Valsalva Maneuver Instructions PocketCard

1) Position patient with legs flat and head of bed to 45°
2)
Valsalva Maneuver Instructions ... Maneuver #REVERT #Instructions ... #SVT #Cardiology