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Prehospital Emergency Care Volume 15, 2011 - Issue 2
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Focus on Cardiac Arrest

Comparison of First-Attempt Success Between Tibial and Humeral Intraosseous Insertions During Out-of-Hospital Cardiac Arrest

Rosalyn Reades From the Department of Emergency Medicine (RR, JSG) and the Center for Prehospital Medicine and Mecklenburg EMS Agency (a joint agency of Mecklenburg County, Carolinas Health Care System and Presbyterian Health Care System) (JRS, TB), Carolinas Medical Center (JRS), Charlotte, North Carolina; and Mecklenburg EMS Agency (SV), Charlotte, North Carolina.
, MD,
Jonathan R. Studnek From the Department of Emergency Medicine (RR, JSG) and the Center for Prehospital Medicine and Mecklenburg EMS Agency (a joint agency of Mecklenburg County, Carolinas Health Care System and Presbyterian Health Care System) (JRS, TB), Carolinas Medical Center (JRS), Charlotte, North Carolina; and Mecklenburg EMS Agency (SV), Charlotte, North Carolina.Correspondence[email protected]
, PhD, NREMT-P,
John S. Garrett From the Department of Emergency Medicine (RR, JSG) and the Center for Prehospital Medicine and Mecklenburg EMS Agency (a joint agency of Mecklenburg County, Carolinas Health Care System and Presbyterian Health Care System) (JRS, TB), Carolinas Medical Center (JRS), Charlotte, North Carolina; and Mecklenburg EMS Agency (SV), Charlotte, North Carolina.
, MD,
Steven Vandeventer From the Department of Emergency Medicine (RR, JSG) and the Center for Prehospital Medicine and Mecklenburg EMS Agency (a joint agency of Mecklenburg County, Carolinas Health Care System and Presbyterian Health Care System) (JRS, TB), Carolinas Medical Center (JRS), Charlotte, North Carolina; and Mecklenburg EMS Agency (SV), Charlotte, North Carolina.
, EMT-P &
Tom Blackwell From the Department of Emergency Medicine (RR, JSG) and the Center for Prehospital Medicine and Mecklenburg EMS Agency (a joint agency of Mecklenburg County, Carolinas Health Care System and Presbyterian Health Care System) (JRS, TB), Carolinas Medical Center (JRS), Charlotte, North Carolina; and Mecklenburg EMS Agency (SV), Charlotte, North Carolina.
, MD
Pages 278-281 | Received 10 Aug 2010, Accepted 14 Sep 2010, Published online: 28 Jan 2011

References

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  • Horton MA, Beamer C. Powered intraosseous insertion provides safe and effective vascular access for pediatric emergency patients. Pediatr Emerg Care. 2008;24:347–50.
  • Buck ML, Wiggins BS, Sesler JM. Intraosseous drug administration in children and adults during cardiopulmonary resuscitation. Ann Pharmacother. 2007;41:1679–86.
  • Hartholt KA, van Lieshoout EM, Thies WC, Patka P, Schipper IB. Intraosseous devices: a randomized controlled trial comparing three intraosseous devices. Prehosp Emerg Care. 2010;14:6–13.
  • Fowler R, Gallagher J, Isaacs SM, Ossman E, Pepe P, Wayne M. The role of intraosseous vascular access in the out-of-hospital environment [resource document for National Association of EMS Physicians position statement]. Prehosp Emerg Care. 2007;11:63–6.
  • Warren DW, Kissoon N, Sommerauer JF, Rieder MJ. Comparison of fluid infusion rates among peripheral intravenous and humerus, femur, malleolus, and tibial intraosseous sites in normovolemic and hypovolemic piglets. Ann Emerg Med. 1993;22:183–6.
  • Paxton JH, Knuth TE, Klausner HA. Proximal humerus intraosseous infusion: a preferred emergency venous access. J Trauma. 2009;67:606–11.
  • Ong MEH, Chan YH, Oh JJ, Ngo ASN. An observational, prospective study comparing tibial and humeral intraosseous access using the EZ-IO. Am J Emerg Med. 2009;27, 8–15.
  • LaRocco BG, Wang HE. Intraosseous infusion. Prehosp Emerg Care. 2003;7:280–5.
  • Levitan, RM, Bortle CD, Snyder TA, Nitsch DA, Pisaturo JT, Butler KH. Use of a battery-operated needle driver for intraosseous access by novice users: skill acquisition with cadavers. Ann Emerg Med. 2009;54:692–4.
  • Brickman K, Rega P, Choo M, Guinness M. Comparison of serum phenobarbital levels after single versus multiple attempts at intraosseous infusion. Ann Emerg Med. 1990;19:31–3.

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