Trauma Skills

Question 1

EJV Cannulation: Indications

Answer 1

• Can’t get IV or IO anywhere

Question 2

EJV Cannulation Contra-indications

Answer 2

• Can get IO/IV
• Under 18
• Only 1 attempt
• No landmarks

Question 3

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EJV Cannulation: Complications

Answer 3

• Failure
• Nerve dmg

Question 4

EJV Cannulation: Landmarking

Answer 4

• Tourniqet with finger by clavicle
• The vein should appear running across and down to the clavicle

Question 5

Needle Chrich: Equipment

Answer 5

• 10ml syringe
• Swab
• High flow O2
• Cannula (orange)
• Tape
• 3 way tap
• O2 tubing

Question 6

Needle Chrich: Location

Answer 6

• Locate thyroid cartilage (above and below
• Site is between 2 cartilages

Question 7

Needle Chrich: Complications

Answer 7

• Surgical emphysema from advancing needle too far
• Failure
• Blocked cannula

Question 8

Needle Chrich: Insertion Method

Answer 8

• 2ml air into a 10 ml syringe
• Insert at a 45° angle towards the feet

Question 9

Needle Chrich: Contra-indications

Answer 9

• Can’t landmark
• ABC plan available
• Too much trauma

Question 10

Needle Decompression: Contra-indications

Answer 10

• Can’t landmark

Question 11

Needle Decompression: Treatment

Answer 11

• 1/3 of these will fail altogether
• Use orange cannula

Question 12

Needle Decompression: Equipment

Answer 12

• 10 ml syringe
• High flow O2
• Swab
• Tape
• Cannula (orange)

Question 13

Needle Decompression: Method

Answer 13

1. Have pt supine/sat up
2. High flow O2 should me on
3. Aseptic
4. Attach 10ml syringe
5. 2nd int cost space, mid clav
6. Insert over the top of 3rd rib
7. Insert (with port open)

Question 14

Needle Decompression: Complications

Answer 14

• Failure
• Haematoma
• Can give them a pneumothorax