• Emerg Med Australas · Feb 2022

    Pre-hospital intraosseous use in children: Indications and success rate.

    • Amy Ting, Karen Smith, Catherine L Wilson, Franz E Babl, and Sandy M Hopper.
    • Emergency Department, The Royal Children's Hospital Melbourne, Melbourne, Victoria, Australia.
    • Emerg Med Australas. 2022 Feb 1; 34 (1): 120-121.

    ObjectiveIntraosseous (IO) needle insertion is an effective method to obtain circulatory access in unwell children.MethodsWe conducted a 12-month retrospective record review of children aged less than 18 years who had a recorded IO attempt by Ambulance Victoria paramedics.ResultsSixty-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.ConclusionWhile IO placement is uncommonly performed pre-hospital, in critical situations there is a high success rate.© 2021 Australasian College for Emergency Medicine.

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