Emergency Medicine Book

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Intraosseous Access

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  1. Indications
    1. Emergent access to vasculature in 6 years or younger
  2. Mechanism
    1. Entry into marrow cavity
    2. Allows rapid delivery into central access
    3. Marrow cavity entered most easily 6 years and younger
  3. Site
    1. Flat anteromedial tibial surface
    2. Landmark: 1-3 cm below tibial tuberosity
  4. Complications (<1% of patients)
    1. Tibial Fracture
    2. Compartment Syndrome
    3. Skin necrosis
    4. Osteomyelitis

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