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BET 2: Intraosseous access and drug administration in adult cardiac arrest

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Report by: Janos Peter Baombe, Senior Emergency Trainee

Search checked by: Bernard A Foëx, Consultant in Emergency Medicine and Critical Care

Institution: Manchester Royal Infirmary, Manchester, UK

Three-part question

In [adults in cardiac arrest with no possible IV access], is [intraosseous access] compared to [peripheral/central venous access] a [faster and more reliable option for parenteral drug delivery]?

Clinical scenario

A 55-year-old female patient is brought into the Emergency Department in cardiac arrest. She is intubated but you cannot get peripheral or central venous access. You wonder if intraosseous access is worth a try to deliver drugs and if this will improve outcome.

Search strategy

Medline via Ovid interface (1950 to week 4 2010) {[(exp infusions, intraosseous) OR (intraoss$.mp)] OR [(IO$.mp)]} AND {[(exp heart arrest) OR …

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