The military has seen a resurgence in the use of intraosseous (IO) devices; however,
the extent of adult IO use in civilians is not well studied [
[1]
]. Emergent vascular access is crucial when caring for critical patients. Time to delivery
of medications, fluids, and blood products can be vital for survival. Because of ease
and speed, pediatric advanced life support (PALS) training advises IO access if intravenous
(IV) access is unsuccessful after 2 attempts [
[2]
].To read this article in full you will need to make a payment
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D; use, select 'Corporate R&D; Professionals'
Subscribe:
Subscribe to The American Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- A review of intraosseous vascular access: current status and military application.Ass Military Surgeons of the US, Dallas, Tx2000 (July)
- Ralston M. Hazinski M.F. Zaritsky A.L. PALS Course Guide. American Heart Association, Philadelphia (Pa)2006: 401-440 (475--85)
- Roberts J.R. Hedges J.R. Clinical procedures in emergency medicine. 4th ed. Saunders, Philadelphia (Pa)2004
- European Resuscitation Council Guidelines for Resuscitation 2010. Section 1. Executive summary.Resuscitation. 2010; 81: 1219-1276
- Adult intraosseous infusion in accident and emergency departments in the UK.J Accid Emerg Med. 2000; 17: 29-32
- Intraosseous vascular access for in-hospital emergency use: a systematic clinical review of the literature and analysis.Pediatr Emerg Care. 2012; 28: 185-199
- Intraosseous is faster and easier than umbilical venous catheterization in newborn emergency vascular access models.Am J Emerg Med. 2000; 18: 126-129
- Paramedic evaluation of adult Intraosseous Infusion System.Prehosp Disaster Med. 2006; 21: 329-334
- Use of a battery-operated needle driver for intraosseous access by novice users: Skill acquisition with cadavers.Ann Emerg Med. 2009; 54: 692-694
- Intraosseous versus intravenous vascular access during out-of hospital cardiac arrest: a randomized controlled trial.Ann Emerg Med. 2011; 58: 509-516
Article Info
Publication History
Published online: February 04, 2013
Accepted:
November 21,
2012
Received in revised form:
November 18,
2012
Received:
November 11,
2012
Footnotes
â?†There were no sources of support for this study.
��This research was presented at the AAmerican College of Emergency Physicians Research Forum, September 2010 in Las Vegas, NV.
â?…Bloch SA, Bloch AJ, Silva P. Adult intraosseous use in academic emergency departments and simulated comparisons of emergency vascular access techniques. Ann Emerg Med 2010;56(3):S152.
Identification
Copyright
© 2013 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
