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dc.contributor.authorSørgjerd, Renateen_US
dc.contributor.authorSunde, Geir Arneen_US
dc.contributor.authorHeltne, Jon-Kennethen_US
dc.date.accessioned2020-03-18T11:04:13Z
dc.date.available2020-03-18T11:04:13Z
dc.date.issued2019
dc.PublishedSørgjerd 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):15eng
dc.identifier.issn1757-7241
dc.identifier.urihttps://hdl.handle.net/1956/21520
dc.description.abstractBackground: 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.isoengeng
dc.publisherBMCeng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0eng
dc.titleComparison of two different intraosseous access methods in a physician-staffed helicopter emergency medical service - a quality assurance study.en_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2020-01-22T16:09:22Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2019 The Author(s)
dc.identifier.doihttps://doi.org/10.1186/s13049-019-0594-6
dc.identifier.cristin1693520
dc.source.journalScandinavian Journal of Trauma, Resuscitation and Emergency Medicine


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