Page 52 - 2021 Advanced Ranger First Responder Handbook

Intraosseous Infusion Procedure (Humeral)
■ Identify site for placement.
■ Twist and push down until needle set in bone.
■ Flush tube and connect tube to device once placed in bone.
Acromion Process of the Scapula
Coracoid Process
of the Scapula
Subclavian Vein
Greater Tubercle of the Humerus
Deltoid
Bicipital Groove
Deltoid Surgical Neck
Insertion
Cephalic Vein
Triceps
Biceps

Place the patient‘s hand over
the umbilicus
Courses medical rotation of
▲ ▼
elbow and humerus
Adduct the arm
Provides greater prominence
of insertion site

C Angle of needle insertion

Slight
Downward 45° from the
Angle anterior plane

45°
Anterior Plane
Identify insertion point
Additional Guidance
■ 45mm needle recommended for adults
■ Advance 1 to 2cm after ’pop‘
■ Use EZ-IO Stablizer

42 SECTION 5 CIRCULATION