Monday, May 12, 2014

I've got a suggestion for the states desperate to execute death row inmates.

Versed and Dilaudid are not effective. They simply aren't. They have no legal application to be used for killing human beings. Thank god. They are widely used.


There better not be an application to killing people.


But, I have a suggest that will work just as well. Why not let the death row inmates go on an alcoholic bender and see if they do a better job than the state can do, because, that will be equally as effective of this illegal use of the medications. 

The reason femoral VEIN placement of an intravenous catheter is difficult and RARELY done is because of human anatomy.

The femoral nerve, artery and vein are in what is called 'the femoral triangle.'

In order to find the vein or artery it has to be 'palpated.' Differently said, these MAJOR vessels have to be located through feeling for them. Promise. Now, with the femoral triangle being relatively small locating and DIFFERENTIATING the two major vessels is difficult.

EXCEPT.

The femoral artery has a pulse. 

How difficult is the femoral vein to find? You've got to be joking. The vein has no pulse. With the nerve being in close proximity of the vessels would anyone choose to actually TRY to place an intravenous catheter? I sure as heck wouldn't. It's extremely difficult except for people like anesthesiologists.  

The femoral artery can be palpated fairly easily. It is large and has significant amount of blood flowing through it. So, when cardiologists want to carry out a cardiac catherization, it is no big deal. But, they don't put in an intravenous catheter, they use a sheath in order to prevent a person from 'bleeding out.'

Would an EMT be able to place an intravenous catheter into the femoral vein? Maybe. Those folks start IVs on hillsides with fire departments preventing fires. Their work is admirable. But, I'll say this much. It had to be one heck of an EMT. They usually use the antecubital fossa. It is another triangular area but at the inner aspect of the arm.