Intravenous access is a critical necessity in life-threatening pediatric emergencies. And often in such emergencies timely infant or pediatric IV access is difficult or impossible.
And that is why all pediatricians (family doctors, EMs, NPs, etc) must be skilled in the placement of intraosseous access.
Over the last few months I have been carefully reviewing the recognition and treatment of pediatric shock.
And vascular access is the critical life saving skill in pediatric shock. Below are some my posts in Resources on intraosseous access.
There are basically four different devices available for intraosseous access. There are two manual insertion needles: the Cook IO and the Jamshidi IO. And there are two semi-automatic devices: the EZ-IO and the Bone Injection Gun.
In Reference (1) in Resources, the four devices are discussed.
It seems to me that one of the manual needles or the Bone Injection Gun would be most practical for the pediatric office or urgent care office. The American Academy of Pediatrics has made clear suggestions for emergency equipment and medicines for the pediatric office [See Reference (6) – I have included Tables 1 and 2 following Ref (6)]
(3) Practicing Newborn Vascular Access With Liz, Newborn Pediatric Transport Nurse Of St. Vincent Hospital – Posted on May 15, 2016 by Tom Wade MD
(4) Intraosseous Access – A Critical Skill For ACLS, and PALS
Posted on May 12, 2016 by Tom Wade MD