I​​ntraosseous (IO) devices are traditionally used in the initial stages of resuscitation when peripheral intravenous (IV) access is not readily obtainable.  This can happen for a variety of reasons such as edema, burns, obesity, or IV drug abuse among others.  Although ultrasound can be used to obtain peripheral or central venous access, the most rapid route is the IO.  The device has been used both in adults and children with great success.  It can safely facilitate the delivery of fluids, medications, and blood.  There are very few contraindications and it is rare to have a complication.

It has been 100 podcasts since the last time Jim DuCanto talked about his SALAD (Suction Assisted Laryngoscopy Airway Decontamination) technique.  Podcasts #8 and #9 were so long ago we wanted to have Jim back on to celebrate his achievements and talk more about the future of SALAD and other related projects.

Every year, we see drownings.  In some cases people survive, but unfortunately sometimes they do not.  However, there is confusion in both the medical community and the public regarding what is considered to be a drowning event.  Dogma and myths are everywhere and one of the most common is "dry drowning"  which is why we brought Michelle Perkins on to discuss this important issue.

We see changes in potassium levels all of the time in patients.  However, what works and what does not?  What is the evidence behind the management?  Are there special pearls?  These questions and much more are addressed in this podcast with Michelle Perkins.