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"In cases in which there is an urgent need for medications and fluid resuscitation, whether in infants, children, or adults, and immediate intravenous access is not easily obtainable, intraosseous access should be considered as a first-line option" DeBoer et al (2020).

Abstract:

Intraosseous (IO) infusion is not a new concept. The technique was actually first described in the early 1920s, but then it seemed to disappear for many years. Although it never completely went away, we have seen an eye-opening resurgence of interest in IO access recently. An alternative to traditional intravenous access, IO access devices are now making a huge comeback for medical and trauma care across the life span. In cases in which there is an urgent need for medications and fluid resuscitation, whether in infants, children, or adults, and immediate intravenous access is not easily obtainable, intraosseous access should be considered as a first-line option.

Reference:

DeBoer, S., Chancey, J., Rushing, M., DeBoer, L. and Seaver, M. (2020) Intraosseous Insights: Tips and Tricks. Air Medical Journal. 39(2), p.137-139. doi: 10.1016/j.amj.2019.10.004.