Intraosseous infusion provides a safe and effective access to the vascular system that allows for administration of urgent therapies in both adults and children. It has few contraindications and complications are rare. The needle is most commonly inserted in the proximal tibia or anterior humerus. Different devices are available but those with a traditional drill are the most widespread. The intraosseous infusion procedure is easy and the learning curve is short, making it the best alternative when traditional intravenous access is not possible or delayed.
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| http://dx.doi.org/10.53738/REVMED.2022.18.779.870 | DOI Listing |
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Conventional versus task-based package organization for out-of-hospital emergency kits: an emergency medical services simulation study.
Scand J Trauma Resusc Emerg Med
December 2024
Medical University of Vienna, Department of Anaesthesia, Intensive Care Medicine and Pain Medicine, Division of General Anaesthesia and Intensive Care Medicine, Spitalgasse 23, 1090, Vienna, Austria.
Background: Emergency Medical Service crews are equipped with comprehensive emergency kits for routine care and to provide life-saving interventions in severely ill patients. While guidelines on contents and packing strategies of emergency kits for specific tasks and specialized situations exist, data for the design of out-of-hospital emergency kits in a general urban population is lacking. It may be possible to transfer the promising results of modern in-hospital packing strategies such as task-based package organization (TPO) to an Emergency Medical Service setting.
View Article and Find Full Text PDFRetrospective observational study of safety, performance, and duration of use of battery-powered intraosseous access device in pediatric patients.
SAGE Open Med
December 2024
Teleflex Incorporated, Morrisville, NC, USA.
Background: To demonstrate the safety and performance of the Arrow EZ-IO Intraosseous Vascular Access System, particularly in the pediatric patient population, a retrospective observational study was conducted in 2021 and 2022.
Methods: Following study design, IRB approval, and investigator selection, data were collected for all patients needing intraosseous access-adult and pediatric. The primary endpoint was the success rate for achieving intraosseous access; the secondary endpoint was the rate of adverse events.
Assessment of trochanteric vascularity using quantitative magnetic resonance imaging in a cadaveric model.
J Exp Orthop
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Orthopaedic Trauma Service, Hospital for Special Surgery, Weill Cornell Medicine New York New York USA.
Purpose: Few studies have assessed trochanteric vascularity despite its implications for bone healing and surgical approaches. This study aimed to assess the regional arterial contributions of the medial femoral circumflex artery (MFCA) versus the lateral femoral circumflex artery (LFCA) to trochanteric vascularity.
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Intraosseous and Intravenous Epinephrine Administration Routes in Out-of-Hospital Cardiac Arrest: Survival and Neurologic Outcomes.
J Am Heart Assoc
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Department of Emergency Medicine Chang Gung Memorial Hospital, Linkou and College of Medicine, Chang Gung University Taoyuan Taiwan.
Background: The rate of survival after out-of-hospital cardiac arrest varies depending on the timeliness and effectiveness of prehospital interventions. This study was conducted to compare out-of-hospital cardiac arrest outcomes between intravenous and intraosseous routes and between upper and lower extremity routes for drug administration.
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[Alternatives to the intravenous route in emergency situations].
Rev Med Suisse
October 2024
Service des urgences, Hôpital cantonal de Fribourg, 1708 Fribourg.
Patients in emergency situations or life distress most often need a intravenous line (IV) to give them the medications they need. The IV route is the preferred route to treat most of the patients in emergency situations out of hospital or in the emergency room but can be very tricky to obtain. Various alternatives have been developed, such as the intraosseous route, particularly useful in cases of venous collapse (shock, cardiorespiratory arrest), the intramuscular route (anaphylaxis, sedation) or the intranasal route (status epilepticus, analgesia).
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