external jugular

[Andrew J. Bowman]

I feel there might be a slight improvement in drug delivery time to the
central circulation particularly in low flow states (CPR, shock).  Our
medics and ED staff do start EJ if peripheral lines are inaccessible
(contractures, circulatory collapse) but more often then not we will move
quickly to a central venous catheter.

Andrew J. Bowman, RN,CEN,CCRN,NREMT-P
Education Coordinator
Emergency Department
Lafayette Home Hospital
Lafayette, Indiana

----- Original Message -----
From: <DPadgett@sblhs.org>
To: <trauma-list@trauma.org>
Sent: Friday, May 05, 2000 10:23 AM
Subject: external jugular


>
>   Hey there everyone!  I just have a quick question, and I hope
> someone can help me out.
> Is there any evidence, anecdotal or otherwise, than an external jugular
line
> in critical care or trauma is more effective than an antecubital line (
> aside from the obviously closer proximity to the central circulation) for
> fluid and /or drug admininstration?  I've started EJ lines when I needed
> more access or when no peripheral lines were available, but is there more
> benefit to doing just an EJ in the field/rural setting?  Any thoughts
would
> be greatly appreciated.
>
> Dave Padgett PA-C
>
>
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