Presentation
Sudden drop in GCS post self strangulation, patient has no IV access.
Patient Data
Due to the patient's critical condition in conjunction with no IV access, the decision was made to administer iodinated contrast via an intraosseous injection.
Cardiac pacemaker in situ, ETT noted. Sound opacification of the carotid arteries. No displaced fracture is seen, no vertebral or carotid artery dissection cervical lymphadenopathy is noted.
Case Discussion
This case demonstrates a successful use of administering iodinated contrast via intraosseous vascular access. When contrast is administered into the medullary cavity, it enters venous circulation via intramedullary or emissary vessels.
An intraosseous cannulation is a viable option for critical patients where IV access is not readily available and a contrast scan would make an impact on patient management.
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