somebody tell me what this is?

http://www.youtube.com/watch?v=1YoJi79yQP0

I thought IO was accessing bone marrow. which bone's marrow is this going into? Sternum? Also, I know that in the battlefield, I guess aseptic is not the most crucial thing but isn't this way too careless?
Yes, that is the sternum they are accessing. I didn't watch the cleaning of the area, so what did they do that had you wondering about aspetic technique? Just a quick swab?

I watched the video and saw nothing carelesss, and nothing that varied greatly from the sternal IO insertion I have seen in practice.The video did not show the site being prepped - from the gauze already in place at the very beginning I infer that the site was already cleaned.What was your specific concern?

I am a rookie as you have figured out. doing any medical procedure on the floor, the high pressure through the insulin syringe, and the girl just giggling... just threw everything off in my unexperienced mind. thanks for clarifying. Now I need to go back and watch it again to learn.

I opened the link up next to my husband LOL!!!Made my day! :P

Quote from AltraI watched the video and saw nothing carelesss, and nothing that varied greatly from the sternal IO insertion I have seen in practice.The video did not show the site being prepped - from the gauze already in place at the very beginning I infer that the site was already cleaned.What was your specific concern?

Should have premed with Cipro, at the end they were gonna get her 500 of Cipro. I agree, saw the nose wiping, etc. I think she was good at "dealing" with all that, I could see her begin to double down somewhat due to it being uncomfortable - just a change in her I noticed, she began to focus and concentrate...

It's the military....she is one tough cookie. I saw some nose wiping and I think the tube may have hit the floor. In a hospital setting much more prep is involved........but yep that's the sternum ....yup there is bone marrow there and yup you can use it for IVF when all else fails as injuries in the military are extremity in the field and that would be a good place to secure an IV in the field.

For the longest time, until we received our EZIO kits, our medical direction wouldn't let us access IO in adults in the sternum. We were restricted to the tibia, and for that matter, only with our ped patients. Strictly out of protocol for adults. The system they are showing isn't what we had, ours looked more like a drill gun. However it is similar and a heck of alot easier than the old-fasioned screw in manual system.

They should be using Chloraprep to clean it. They wouldn't want to give someone osteomyelitis on top of everything else a wounded person would be going through. According to the Infusion Nursing Society, this is something usually done in the leg bones and has a much faster perfusion than a regular peripheral iv. ER or EMT usage mostly.

TOTAL break in aseptic technique! Gloves contaminated from the get go and got worse from there. O.M.G.!

What was with the fast flush?

That was a training video for military members. BUT, that was the worst aseptic technique I have ever seen. He touched his nose and the floor a couple of times. That girl was one brave soldier because I know that IO's hurt. It would be different if this was a combat video and showed how in the field it's life over limb but they had her laying on a dirty floor and used terrible technique. I guess her saving grace was they actually had her take a dose of Cipro after it was all over. Crazy !!!