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Emergencias 2012; 24: 44-46

Intraosseous access in prehospital emergency care


Sistema de Emergencias Médicas de Cataluña. Barcelona, Spain.

Objective: To assess the effectiveness of the EZ-IO device for intraosseous catheter insertion in the prehospital emergency setting in terms of time needed to insert the catheter into the bone marrow and the presence and number of complications. Methods: Prospective observational study of patients treated between January 2008 and December 2010 in the metropolitan area of Barcelona, Spain. We included patients with hemodynamic instability or in cardiorespiratory arrest in whom venous access could not be achieved within 90 minutes or after 3 attempts. Patients with good venous access or who were not in critical condition were excluded. In all cases the intraosseous puncture was performed with the EZ-IO in the tibia or the humerus. Results: Forty-nine patients were included. More than half (67.3%) were male; ages ranged from 4 months to 86 years (mean [SD] 49.29 [25.89] years). Most patients were in cardiorespiratory arrest (77.6%). The bone marrow could be accessed within 10 minutes in 44.9% of the patients and few complications occurred during insertion. Conclusion: Rapid vascular access and a low complication rate make EZ-IO placement of an intraosseous catheter an excellent for choice for injecting drugs or fluids when patients are in cardiorespiratory arrest or other critical conditions in the prehospital setting.

Texto Completo: http://www.semes.org/revista/vol24_1/10_ing.pdf

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