Double anatomic site IO catheter placement has the potential to augment resuscitation in cases where vascular access is challenging. We sought to compare flow rates and complications among 4 single and double anatomic site transfusion strategies in a swine model of hemorrhagic shock” Sulava et al (2018).
Extract:
“The American College of Surgeons Advance Trauma Life Support (ATLS) endorses the use of intraosseous devices for the adult trauma patient in extremis. Intraosseous access is frequently used by military physicians administering fluids, blood, and medications for victims of severe battlefield trauma. The optimal intraosseous blood transfusion strategy appears to involve pressure bag transfusion through either the sternum or proximal humerus. Double anatomic site IO catheter placement has the potential to augment resuscitation in cases where vascular access is challenging. We sought to compare flow rates and complications among 4 single and double anatomic site transfusion strategies in a swine model of hemorrhagic shock.”
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Reference:
Sulava, E.F., Bianchi, W., Krepela, A., Kachur, R., Roszko, P., Manzano, A., Zarow, G., Gaspary, M., Natarajan, R. and Auten, J. (2018) Performance of Single Versus Double Site Intraosseous Blood Transfusion Strategies in a Swine [Sus Scrofa] Model of Hemorrhagic Shock. Annals of Emergency Medicine. 72(4), Supplement, p.S3–S4.
DOI: https://doi.org/10.1016/j.annemergmed.2018.08.012