What Do You Think? Insert A Subclavian IV Near A Clavicle Fracture?

Someone asked me an interesting question: If I have a patient with a clavicle fracture, is it okay to insert a subclavian line on that side?

Don’t try to look it up. As far as I’ve been able to determine, there is no literature on this simple little question. For most people, the first reaction is “No way!” But think about it a bit, and see if you can come up with any reasons it might be preferred.

Please post your comments, or tweet them out. I’ll answer this pesky one tomorrow.

TETNG Video Week: Field Amputation

Here’s Aaron Burnett MD giving a nice 20 minute talk on the trials and tribulations of field amputation. It includes information on planning, execution, and potential problems with this procedure in the prehospital environment.

Tomorrow: How to reduce a posterior hip dislocation