What are you doing?
Giving this guy a chance. He needs a big central line for fast transfusion.
Mohan: You can't do an IJ without an ultrasound, especially on a guy this big.
You'll kill him if you collapse a lung or hit the carotid.
I'm not doing an IJ. Unhook that blood line. Bring it up here. This is a supraclavicular subclavian. If you have to go in blind, this is the only safe way to access a giant vein. And hold compressions. A centimeter from the lateral head of the sternocleidomastoid, a centimeter off the clavicle, aiming at the contralateral nipple. I'm in. Okay, resume compressions. And squeeze blood.
Where'd you learn that?
"EM: RAP" podcast. We'll be ready for a second unit in under a minute. Boom.
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