One of the immediate life-threatening conditions in emergency medical services practice
is shock
[
[1]
]. Hypovolemic shock belongs to the most often encountered types and is mainly related
with trauma. Fluid resuscitation and thus maintaining adequate blood pressure are
of critical importance for the patient's survival. Fluid resuscitation is a priority,
especially in the case of hemorrhagic shock without ongoing bleeding. In the prehospital
setting, emergency procedures should include obtaining intravascular access and fluid
resuscitation with 0.9% NaCl or Ringer lactate (1000 mL) to maintain the systolic
pressure at the level of 90 mm Hg (110 mm Hg optionally in head trauma)
[
- Smereka J
- Madziała M
- Szarpak L
Are firefighters able to perform intraosseous access and start fluid resuscitation
in an anaphylactic patient?.
Am J Emerg Med. 2016; ([pii: S0735–6757(16)30201–7])https://doi.org/10.1016/j.ajem.2016.05.068
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References
- Are firefighters able to perform intraosseous access and start fluid resuscitation in an anaphylactic patient?.Am J Emerg Med. 2016; ([pii: S0735–6757(16)30201–7])https://doi.org/10.1016/j.ajem.2016.05.068
- Epidemiology of cranio-cerebral injuries in emergency medical services practice.Pol Przegl Chir. 2011; 83: 646-651https://doi.org/10.2478/v10035-011-0103-8
- A randomized cadaver study comparing first-attempt success between tibial and humeral intraosseous insertions using NIO device by paramedics: a preliminary investigation.Medicine (Baltimore). 2016; 95: e3724https://doi.org/10.1097/MD.0000000000003724
- Success of intraosseous access procedure in simulated adult resuscitation.Crit Care Resusc. 2016; 18: 134
- Comparison of 3 different intraosseous access devices for adult during resuscitation. Randomized crossover manikin study.Am J Emerg Med. 2014; 32: 1490-1493https://doi.org/10.1016/j.ajem.2014.09.007
- Preparing to care for paediatric trauma patients.J R Army Med Corps. 2015; 161: i52-i55https://doi.org/10.1136/jramc-2015-000555
- Characteristics of children who undergo intraosseous needle placement.Adv Emerg Nurs J. 2015; 37: 301-307https://doi.org/10.1097/TME.0000000000000077
- Intraosseous infusion rates under high pressure: a cadaveric comparison of anatomic sites.J Trauma Acute Care Surg. 2015; 78: 295-299https://doi.org/10.1097/TA.0000000000000516
Article Info
Publication History
Published online: June 18, 2016
Accepted:
June 15,
2016
Received:
June 15,
2016
Footnotes
☆Source of support: No sources of financial and material support to be declared.
Identification
Copyright
© 2016 Elsevier Inc. All rights reserved.
