Pre‐hospital intraosseous use in children: Indications and success rate. (26th October 2021)

• Record Type: Journal Article
• Authors: Ting, Amy; Smith, Karen; Wilson, Catherine L; Babl, Franz E; Hopper, Sandy M
• Is Part Of: Emergency medicine Australasia. Volume 34:Number 1(2022)
• Page Start: 120
• Page End: 121
• Publication Date: 2021-10-26
• Subjects: emergency medicine -- intraosseous -- paediatric; Emergency medicine -- Periodicals; Emergency medicine -- Australasia -- Periodicals; 616.025
• DOI: 10.1111/1742-6723.13886
• Languages: English
• ISSNs: 1742-6731

Abstract

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.