Page 92 - Journal of Special Operations Medicine - Spring 2014
P. 92

Table 5  CO in L/min.
                                           2 min            4 min           6 min             8 min
                  Before   After           after            after            after            after
           Group  bleed   bleed   p Value  Hextend  p Value  Hextend  p Value  Hextend  p Value  Hextend  p Value
                                Between          Between          Between          Between          Between
            IO   6.1 ± 1.3 3.9 ± .97  IO vs. IV   4.7 ± 1.7 IO vs. IV   5.8 ± 2.3 IO vs. IV    6.0 ± 2.3 IO vs. IV   6.5 ± 2  IO vs. IV
                                (p = .59)        (p = .33)        (p = .93)        (p = .74)        (p = .36)
                                Between          *Between         *Between         *Between         *Between
            IV   6.6 ± 2.5 3.9 ± .82  IO vs. none  5.3 ± 1.5 IO vs. none  5.7 ± 1.5 IO vs. none  5.7 ± 1.3 IO vs. none  5.74 ± 1.3 IO vs. none
                                (p = .30)        (p = .006)       (p = .007)       (p = .016)       (p = .04)
                                Between          *Between         *Between         *Between         Between
                                IV and           IV and           IV and           IV and           IV and
           None  5.6 ± 1.4 4.4 ± 1.1      3.4 ± 1.9        4.2 ± 1.2       4.6 ± 1.1        5.4 ± 1.4
                                none             none             none             none             none
                                (p = .128)       (p = .001)       (p = .009)       (p = .033)       (p = .228)
          Note: *Significant at .05.














          Table 6  SV in mL/min.
                                           2 min            4 min            6 min            8 min
                   Before   After           after            after           after            after
            Group   bleed  bleed  p Value  Hextend  p Value  Hextend  p Value  Hextend  p Value  Hextend  p Value
                                 Between          Between          Between         Between          Between
             IO    66 ± 10  41± 7  IO vs. IV   55 ± 13  IO vs. IV   61 ± 19  IO vs. IV    65 ± 19  IO vs. IV   71 ± 13  IO vs. IV
                                 (p = .19)        (p = .22)        (p = .32)       (p = .47)        (p = .37)
                                 Between          *Between         *Between        *Between         *Between
             IV    63 ± 7  45 ± 7  IO vs. none   65 ± 8  IO vs. none  72 ± 14  IO vs. none  66 ± 11  IO vs. none   68 ± 9  IO vs. none
                                 (p = .39)        (p = .001)       (p = .002)      (p = .000)       (p = .001)
                                 Between          *Between         *Between        *Between         *Between
                                 IV and           IV and           IV and          IV and           IV and
            None   62 ± 21  42 ± 12        36 ± 11          42 ± 15         46 ± 13          52 ± 10
                                 none             none             none            none             none
                                 (p = .64)        (p = .000)       (p = .000)      (p = .000)       (p = .000)
          Note: *Significant at .05.













          with younger, smaller pigs. Karnabatidis and colleagues   unsuccessful, move up to antecubital veins. At the least, the
          examined rabbits and swine relative to their ear vein size,   results can be generalized to using the hand veins.
          grouped them together, and found the size to about 2mm,
          perhaps slightly smaller than the median vein of the hu-
          man.  If they had reported the size of only swine veins,   References
              27
          then the size would probably have been larger. Healthcare   1.  Alam HB, Punzalan CM, Koustova E, et al. Hypertonic saline:
          providers are taught to use the veins of the hand and, if   intraosseous infusion causes myonecrosis in a dehydrated



          84                                     Journal of Special Operations Medicine  Volume 14, Edition 1/Spring 2014
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