Adult intraosseous use in academic EDs and simulated comparison of emergent vascular access techniques

Scott A. Bloch; Amy J. Bloch; Paulo Silva

doi:10.1016/j.ajem.2012.11.021

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Adult intraosseous use in academic EDs and simulated comparison of emergent vascular access techniques☆☆☆★

Scott A. Bloch, MD, MS

Amy J. Bloch, MD, MS

Department of Emergency Medicine, Medical College of Georgia, Augusta, GA 30912, USA

Department of Emergency Medicine, Grand Strand Regional Medical Center, Myrtle Beach, SC 29572, USA

Paulo Silva, MD

Department of Emergency Medicine, Medical College of Georgia, Augusta, GA 30912, USA

Department of Emergency Medicine, Gaston Memorial Hospital, Gastonia, NC 28053, USA

DOI: http://dx.doi.org/10.1016/j.ajem.2012.11.021

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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].

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☆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.

★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.

Adult intraosseous use in academic EDs and simulated comparison of emergent vascular access techniques☆☆☆★

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