Register for citation alerts
"While IO placement is uncommonly performed pre-hospital, in critical situations there is a high success rate" Ting et al (2021).

Intraosseous use in children

Abstract:

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.

Reference:

Ting A, Smith K, Wilson CL, Babl FE, Hopper SM. Pre-hospital intraosseous use in children: Indications and success rate. Emerg Med Australas. 2021 Oct 26. doi: 10.1111/1742-6723.13886. Epub ahead of print. PMID: 34704359.