Intraosseous Access: Adult Proximal Humerus Site Positioning/Anatomy-Proximal Humerus Positioning/Anatomy Dissected (Cadaveric)

Proximal Humerus Positioning/Anatomy Dissected (Cadaveric)

Video Transcription

Video Summary

This video provides guidance on the humeral intraosseous (IO) procedure in adult patients weighing 40 kilograms or more. The soft tissue and lateral deltoid are reflected back to access the humeral bone. A 45 millimeter needle is used to penetrate both layers and the bone cortex. The patient's palm is positioned either supinated (upwards) or placed over the abdomen to expose the bicep brachii tendon, allowing for an optimal insertion spot. If the palm position is not feasible, an alternative method involves rotating the thumb inward and downward to achieve the same effect. The surgical neck area where the humeral shaft meets the head is highlighted as the ideal location for insertion.

Keywords

humeral intraosseous procedure

adult patients

soft tissue

45 millimeter needle

surgical neck area