Syringe delivery of contrast into goat tibia.

Pediatric Intraosseous Vascular Access Clinical Review

A German study of 27 children receiving IO access in the prehospital setting reported successful first attempt IO insertions in 96% of the cases. All insertions were completed within 60 seconds.
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Myth: IO infusions can only be given in the “red” marrow

Research in several animal models has shown that medications enter the central circulation when infused into either the red or yellow marrow.
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Myth: Fat embolism is a serious risk

Fat embolism resulting from IO administration has never been reported in the medical literature or in actual practice, though it is a theoretical possibility.
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Myth: IO is a difficult procedure to master

Even though children have relatively soft bones, insertion of manual IO needles can be difficult.
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We need your help

We need mini reviews on the following

  • The new CPR and IO use
  • Combat Casualty Care and IO
  • IO vascular access in infants
  • Complications of Adult IO vascular access
  • Other topics are welcome

We encourage all reviews to be multi-authored and can facilitate match making and team building for such reviews.