Medicine and Health Sciences Commons^™

Biological Sex Is A Predictor Of Pretibial Subcutaneous Tissue Depth For Intraosseous Catheter Insertion, Alex Duvall, Thomas Sprys-Tellner, Tristan Lemon, Ryan Kelly, Andrew Stefan, James Paxton

Medical Student Research Symposium

Introduction

Intraosseous (IO) vascular access is most commonly used when critical patients need rapid establishment of vascular access. They have shown high rates of successful placement, with the proximal tibia showing the highest first-attempt success rates. Proper establishment of vascular access requires a needle properly sized to enter the bony cortex and stay there. In this study, we analyzed demographic associations with pre-tibial subcutaneous tissue depth (PTSTD).

Methods

The PTSTD was calculated using computed tomography (CT) images of adult (³ 18 years old) patients. Variables including side, age, sex, height, weight, BMI, hypertension, diabetes mellitus, atherosclerosis, coronary artery disease, and …

A Systematic Review Of Complications From Pediatric Intraosseous Cannulation, Jawad Bouhamdan, James Paxton, Katherine Akers, Gina Polsinelli

Medical Student Research Symposium

“A Systematic Review of Complications from Pediatric Intraosseous Cannulation”

Bouhamdan J, Polsinelli G, Akers KG, Paxton JH.

Department of Emergency Medicine, Wayne State University School of Medicine (Detroit, MI)

Introduction

Intraosseous (IO) infusion is a commonly-used method for obtaining vascular access in emergency situations. It involves insertion of a needle into the marrow cavity of long bones, with subsequent infusion of medications and fluids to achieve resuscitation. This procedure is known to be associated with certain complications. Despite the widespread continued use of IO cannulation for pediatric subjects, a high-quality systematic review of the literature on pediatric IO complications remains …

Sex-Based Differences In Depth Of Soft Tissue And Bone Diameter At The Sternal Intraosseous Catheter Insertion Site, Tristan Lemon, Ryan Kelly, Revelle Gappy, Sarah Meram, James Paxton

Medical Student Research Symposium

Background

Intraosseous (IO) catheters are commonly used to rapidly obtain vascular access for critically-ill patients in the emergency department (ED). While the sternum is a common IO insertion site for adult subjects, little is known about sex-based variation in the proper depth of insertion.

Methods

A retrospective cohort study was performed, utilizing CT scans obtained from DMC over a ten-year period (2009-2018) to estimate soft tissue depth overlying the recommended sternal IO insertion site. Depths of soft tissue from skin surface to bone surface (Measurement A) and from skin surface to the opposite bony cortex (Measurement B) were measured using …

Medical Students Using Cadavers For Procedural Simulation Education, Rosa Moore Md, Paul Walker Phd, Bryant Hansen Bs, Brian Reed Bs, Nana Ama Baffoe Msc, Sarkis Kouyoumjian Md

Medical Student Research Symposium

Background: Cadaver dissection remains integrated into the curriculum of numerous medical schools. Aspiring physicians acquire the opportunity to work directly with the human body, which is intricate and tangible, yet have minimal exposure to certain procedural skills applicable­­ to patient care during the first year of their medical training. Our aim was to incorporate the cadaver as part of a process to introduce procedures to a class of first year medical students in order to improve their confidence and skill in performing these procedures in patients.

Methods: During medical gross anatomy at Wayne State University School of Medicine, three workshops …

Intraosseous (Io) Vs Intravenous (Iv) Vascular Access For Out Of Hospital Cardiac Arrest., Syed Tariq Nabi, Megan Mackenzie, Monica Prasad, Mustapha Choucair, Peyton Johnston, Reba John, Sarah Meram, James Paxton

Medical Student Research Symposium

Over 300,000 Americans every year experience an out-of-hospital cardiac arrest (OHCA) (Benjamin EJ 2019). Of these 300,000+ patients only 10.6% of them survive to hospital discharge. Advanced Cardiac Life Support (ACLS) has been suggested to improve survival following an OHCA (Neumar, Otto et al. 2010). Current ACLS guidelines recommend obtaining vascular access, however, offer little suggestion as to which type of access device should be used. It is our belief that using an Intraosseous vascular access device will lead to shorter time to medication delivery and increased rates of return of spontaneous circulation (ROSC) compared to Intravenous vascular access. We …