dc.contributor.author | Sørgjerd, Renate | en_US |
dc.contributor.author | Sunde, Geir Arne | en_US |
dc.contributor.author | Heltne, Jon-Kenneth | en_US |
dc.date.accessioned | 2020-03-18T11:04:13Z | |
dc.date.available | 2020-03-18T11:04:13Z | |
dc.date.issued | 2019 | |
dc.Published | Sørgjerd R, Sunde GA, Heltne JK. Comparison of two different intraosseous access methods in a physician-staffed helicopter emergency medical service - a quality assurance study.. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2019;27(1):15 | eng |
dc.identifier.issn | 1757-7241 | |
dc.identifier.uri | https://hdl.handle.net/1956/21520 | |
dc.description.abstract | Background: Intravenous access in critically ill and injured patients can be difficult or impossible in the field. Intraosseous access is a well-established alternative to achieve access to a noncollapsible vascular network. We wanted to compare the use of a sternal and tibial/humeral intraosseous device in a physician-staffed helicopter emergency medical service. Methods: The helicopter emergency medical service in Bergen, Norway, is equipped with two different intraosseous devices, the EZ-IO and FAST-Responder. We compared insertion time, insertion sites, flow, indication for intraosseous access, and complications between the tibial/humeral and sternal techniques. Results: In 49 patients, 53 intraosseous insertions were made. The overall intraosseous rate was 1.5% (53 insertions in 3600 patients treated). The main patient categories were cardiac arrest and trauma. Overall, 93.9% of the insertions were successful on the first attempt. The median insertion time using EZ-IO was 15 s compared to 20 s using FAST-Responder. Insertion complications registered using the EZ-IO included extravasation, aspiration failure and insertion time > 30 s. Using FAST-Responder, there were reported complications such as user failure (12.5%) and insertion time > 30 s (12.5%). Regarding the flow, we found that 35.1% of the EZ-IO insertions experienced poor flow and needed a pressure bag. With FAST-Responder, the flow was reported as very good or good in 85.7%, and no insertions had poor flow. Conclusion: Intraosseous access seems to be a reliable rescue technique in our helicopter emergency medical service, with high insertion success rates. EZ-IO was a more rapid method in gaining vascular access compared to FAST-Responder. However, FAST-Responder may be a better method when high-flow infusion is needed. Few complications were registered with both techniques in our service. | en_US |
dc.language.iso | eng | eng |
dc.publisher | BMC | eng |
dc.rights | Attribution CC BY | eng |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0 | eng |
dc.title | Comparison of two different intraosseous access methods in a physician-staffed helicopter emergency medical service - a quality assurance study. | en_US |
dc.type | Peer reviewed | |
dc.type | Journal article | |
dc.date.updated | 2020-01-22T16:09:22Z | |
dc.description.version | publishedVersion | en_US |
dc.rights.holder | Copyright 2019 The Author(s) | |
dc.identifier.doi | https://doi.org/10.1186/s13049-019-0594-6 | |
dc.identifier.cristin | 1693520 | |
dc.source.journal | Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine | |