Evaluation of Various Methods Used to Identify the Proximal Humerus Intraosseous Vascular Access Site
NCT ID: NCT01742780
Last Updated: 2012-12-05
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
60 participants
INTERVENTIONAL
2012-12-31
2012-12-31
Brief Summary
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Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
NONE
Study Groups
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Standard Vidacare Site Identification Method
Palpate up the proximal humerus towards the anterior shoulder just above the surgical neck, to the greater tubercle of the proximal humerus. Insert the needle set perpendicular to skin with a slight downward angle at the most prominent aspect of greater tubercle to establish proximal humerus intraosseous vascular access.
Proximal Humerus Intraosseous Vascular Access
EZ-IO Intraosseous Vascular Access System
Saussy Site Identification Method
Palpate the proximal humerus to locate the intertubercular groove; rotate the forearm medially and laterally to isolate the groove. Move one finger breadth laterally from the groove to the greater tubercle. Insert perpendicular to skin with a slight downward angle to establish proximal humerus intraosseous vascular access.
Proximal Humerus Intraosseous Vascular Access
EZ-IO Intraosseous Vascular Access System
Campbell Site Identification Method
With the fingers on both hands fully extended similar to a karate chop, place one hand into the anterior joint space (acromioclavicular joint) of the patient. Place the second "karate chop" hand along the midline of the patient's lateral shoulder; touch the pinkie fingers over the superior aspect of the patient's shoulder. Overlap the thumbs on the patient's shoulder, which will be at the most prominent aspect of the greater tubercle. Insert the needle set perpendicular to skin with a slight downward angle to establish proximal humerus intraosseous vascular access.
Proximal Humerus Intraosseous Vascular Access
EZ-IO Intraosseous Vascular Access System
Davlantes Site Identification Method
Using one hand, place the thumb on the acromioclavicular joint in the natural recess or "pocket" between the distal clavicle and the humeral head, wrapping the rest of the hand around the upper arm. The hand should be oriented such that the index finger and rest of the hand is at a 90-degree angle to the thumb. The webspace between the thumb and index finger will be approximately where the surgical neck of the humerus is; move one finger breadth (approximately 1 cm) superior. Insert perpendicular to skin with a slight downward angle to establish proximal humerus intraosseous vascular access.
Proximal Humerus Intraosseous Vascular Access
EZ-IO Intraosseous Vascular Access System
Interventions
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Proximal Humerus Intraosseous Vascular Access
EZ-IO Intraosseous Vascular Access System
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Currently licensed/certified Emergency Medicine Technician, paramedic, or nurse
* Have had no formal training on use of the proximal humerus intraosseous insertion site.
* Age 21 years or older.
* Has no amputation of the upper extremities.
* Able to lay flat on table for up to 2 hours.
* Self-reported as healthy.
Exclusion Criteria
* Imprisoned
* Pregnant
* Cognitively impaired
* Fracture in humerus, or significant trauma to the site
* Excessive tissue and/or absence of adequate anatomical landmarks in humerus
* Infection in target area
* Humeral intraosseous insertion in past 48 hours, prosthetic limb or joint or other significant orthopedic procedure in humerus
* Current use of anti-coagulants
21 Years
ALL
Yes
Sponsors
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Vidacare Corporation
INDUSTRY
Responsible Party
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Principal Investigators
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Larry J Miller, MD
Role: PRINCIPAL_INVESTIGATOR
Vidacare Corporation
Locations
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Bulverde-Spring Branch EMS
Spring Branch, Texas, United States
Countries
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References
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Reades R, Studnek JR, Vandeventer S, Garrett J. Intraosseous versus intravenous vascular access during out-of-hospital cardiac arrest: a randomized controlled trial. Ann Emerg Med. 2011 Dec;58(6):509-16. doi: 10.1016/j.annemergmed.2011.07.020.
Reades R, Studnek JR, Garrett JS, Vandeventer S, Blackwell T. Comparison of first-attempt success between tibial and humeral intraosseous insertions during out-of-hospital cardiac arrest. Prehosp Emerg Care. 2011 Apr-Jun;15(2):278-81. doi: 10.3109/10903127.2010.545479. Epub 2011 Jan 28.
Wampler D, Schwartz D, Shumaker J, Bolleter S, Beckett R, Manifold C. Paramedics successfully perform humeral EZ-IO intraosseous access in adult out-of-hospital cardiac arrest patients. Am J Emerg Med. 2012 Sep;30(7):1095-9. doi: 10.1016/j.ajem.2011.07.010. Epub 2011 Oct 24.
Other Identifiers
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2012-16
Identifier Type: -
Identifier Source: org_study_id