Pre‐hospital intraosseous use in children: Indications and success rate

Objective Intraosseous (IO) needle insertion is an effective method to obtain circulatory access in unwell children. Methods We conducted a 12‐month retrospective record review of children aged less than 18 years who had a recorded IO attempt by Ambulance Victoria paramedics. Results Sixty‐five chil...

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Bibliographic Details
Published in:	Emergency medicine Australasia Vol. 34; no. 1; pp. 120 - 121
Main Authors:	Ting, Amy, Smith, Karen, Wilson, Catherine L, Babl, Franz E, Hopper, Sandy M
Format:	Journal Article
Language:	English
Published:	Melbourne Wiley Publishing Asia Pty Ltd 01-02-2022
Subjects:	emergency medicine intraosseous paediatric intraosseous emergency medicine paediatric
Online Access:	Get full text
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Summary:	Objective Intraosseous (IO) needle insertion is an effective method to obtain circulatory access in unwell children. Methods We conducted a 12‐month retrospective record review of children aged less than 18 years who had a recorded IO attempt by Ambulance Victoria paramedics. Results Sixty‐five children underwent IO attempt during pre‐hospital care, 60 had IO outcome recorded and were included. 58/60 (96.7%) children had IO successfully placed, 35 were aged <5 years. Cardiorespiratory arrest (39/58, 67.2%) and status epilepticus (11/58, 19%) were the most common indications. Conclusion While IO placement is uncommonly performed pre‐hospital, in critical situations there is a high success rate.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1742-6731 1742-6723
DOI:	10.1111/1742-6723.13886