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Evaluation of Various Methods Used to Identify the Proximal Humerus Intraosseous Vascular Access Site

Not Applicable
Conditions
Proximal Humerus Intraosseous Vascular Access
Interventions
Procedure: Proximal Humerus Intraosseous Vascular Access
Registration Number
NCT01742780
Lead Sponsor
Vidacare Corporation
Brief Summary

The purpose of this study is to determine if there is one method of identifying the proximal humerus intraosseous vascular access site that is easier for clinicians to use, out of the 4 methods being evaluated.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
60
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Davlantes Site Identification MethodProximal Humerus Intraosseous Vascular AccessUsing one hand, place the thumb on the acromioclavicular joint in the natural recess or "pocket" between the distal clavicle and the humeral head, wrapping the rest of the hand around the upper arm. The hand should be oriented such that the index finger and rest of the hand is at a 90-degree angle to the thumb. The webspace between the thumb and index finger will be approximately where the surgical neck of the humerus is; move one finger breadth (approximately 1 cm) superior. Insert perpendicular to skin with a slight downward angle to establish proximal humerus intraosseous vascular access.
Saussy Site Identification MethodProximal Humerus Intraosseous Vascular AccessPalpate the proximal humerus to locate the intertubercular groove; rotate the forearm medially and laterally to isolate the groove. Move one finger breadth laterally from the groove to the greater tubercle. Insert perpendicular to skin with a slight downward angle to establish proximal humerus intraosseous vascular access.
Campbell Site Identification MethodProximal Humerus Intraosseous Vascular AccessWith the fingers on both hands fully extended similar to a karate chop, place one hand into the anterior joint space (acromioclavicular joint) of the patient. Place the second "karate chop" hand along the midline of the patient's lateral shoulder; touch the pinkie fingers over the superior aspect of the patient's shoulder. Overlap the thumbs on the patient's shoulder, which will be at the most prominent aspect of the greater tubercle. Insert the needle set perpendicular to skin with a slight downward angle to establish proximal humerus intraosseous vascular access.
Standard Vidacare Site Identification MethodProximal Humerus Intraosseous Vascular AccessPalpate up the proximal humerus towards the anterior shoulder just above the surgical neck, to the greater tubercle of the proximal humerus. Insert the needle set perpendicular to skin with a slight downward angle at the most prominent aspect of greater tubercle to establish proximal humerus intraosseous vascular access.
Primary Outcome Measures
NameTimeMethod
Ease of use scoreWithin 10 minutes of procedure

Device operators will complete an ease of use questionnaire regarding the assigned site identification method.

Level of confidence scorewithin 10 minutes of procedure

Device operators will complete a level of confidence questionnaire regarding their assigned site identification method.

Site identification success/failurewithin 10 minutes of the procedure

The ability of the device operator to identify the proximal humerus intraosseous insertion site will be graded as success or failure.

Time to intraosseous catheter placementwithin 10 minutes of the procedure

The amount of time it takes for the device operator to identify the proximal humerus intraosseous insertion site and insert the needle.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Bulverde-Spring Branch EMS

🇺🇸

Spring Branch, Texas, United States

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