http://medicscribe.com/2007/03/king-sugar/ Peter Canning's EMS Journal Tue, 20 Jul 2010 18:52:04 +0000 hourly 1 http://wordpress.org/?v=3.0 http://medicscribe.com/2007/03/king-sugar/comment-page-1/#comment-6441 PC Mon, 19 Mar 2007 10:08:00 +0000 http://streetwatch.wordpress.com/2007/03/19/king-sugar#comment-6441 An EJ is an external jugular vein found on both sides of the neck. It is a very large vein, but it is in the neck. One problem with giving Dextrose (D50 - 50%sugar in water) into the neck is if you are not properly in the vein, you can empty the entire amp of D50 and not realize you are not in the vein. What I do is periodially pull back on the needle, when I get blood flow back, I know I am still in, and so I continue to advance the dextrose. Plus just sticking a needle into someone's neck is sort of creepy. We usually do it only when the patient is in extremis -- a cardiac arrest, is the most common usage for EJ -- and you can't find a peripheral vein. An EJ is an external jugular vein found on both sides of the neck. It is a very large vein, but it is in the neck. One problem with giving Dextrose (D50 – 50%sugar in water) into the neck is if you are not properly in the vein, you can empty the entire amp of D50 and not realize you are not in the vein. What I do is periodially pull back on the needle, when I get blood flow back, I know I am still in, and so I continue to advance the dextrose. Plus just sticking a needle into someone’s neck is sort of creepy. We usually do it only when the patient is in extremis — a cardiac arrest, is the most common usage for EJ — and you can’t find a peripheral vein.

]]> http://medicscribe.com/2007/03/king-sugar/comment-page-1/#comment-6440 Anonymous Mon, 19 Mar 2007 04:58:00 +0000 http://streetwatch.wordpress.com/2007/03/19/king-sugar#comment-6440 whats an EJ whats an EJ

]]>