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Letter
Saving the critically ill trauma patient
  1. Melvyn Harris, M.D
  1. Correspondence to Dr Melvyn Harris, Loma Linda University Medical Center, Division of Emergency Medicine, Loma Linda, CA, USA; harrist21{at}comcast.net

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To the Editor;

The article titled ‘Saving the critically injured trauma patient: a retrospective analysis of 1000 uses of intraosseous access’1 reaches conclusions that are not supported by their data or other existing literature.

Existing scientific evidence is inadequate to support the authors’ implication of equivalency between intravenous and intraosseous (IO) routes.2 ,3 For example, in table 1, the authors state that tranexamic acid was administered to 82 casualties with no evidence of complications. But, there is no evidence of therapeutic equivalence between IO-administered tranexamic acid and intravenously administered tranexamic acid. To date, no …

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