Current use of intraosseous infusion in Danish emergency departments: a cross-sectional study

Abstract

BackgroundIntraosseous infusion (IOI) is recommended when intravenous access cannot be readily established in both pediatric and adult resuscitation. We evaluated the current use of IOI in Danish emergency departments (EDs).MethodsAn online questionnaire was e-mailed to the Heads of Department of the twenty EDs currently established in Denmark. The questionnaire focused on the use of IOI in the EDs and included questions on frequency of use, training, equipment and attitudes towards IOI.ResultsWe received a total of 19 responses (response rate of 95%). Of the responding 19 Danish EDs 74% (n = 14) reported having intraosseous devices available. The median number of IOI procedures performed in these departments over the preceding 12 months was 5.0 (range: 0-45). In 47% (n = 9) of the departments, prior training sessions in the use of intraosseous devices had not been provided, and 42% (n = 8) did not have local guidelines on IOI. The indication for IOI use was often not clearly defined and only 11% (n = 2) consistently used IOI on relevant indication. This is surprising as 95% (n = 18) of responders were aware that IOI can be utilized in both pediatric and adult resuscitation.ConclusionsThe study shows considerable variations in IOI usage in Danish EDs despite the fact that IOI devices were available in the majority of EDs. In addition, in many EDs there were no local guidelines on IOI and no training in the procedure. We recommend more extensive training of medical staff in IOI techniques in Danish EDs.

The Efficacy of Intraosseous Blood and Ringer Lactate in a Rabbit Model of Hemorrhagic Hypovolemia

“…While a UK survey, performed in 1996, found IO equipment in only 7% of emergency departments (ED), a 2009 survey in Denmark found that 95% of ED personnel knew about IO lines, but only 48% had received training [25][26]. In this latter study, an average of five IO lines were placed per month per ED surveyed.…”

Acesso vascular por via intraóssea em emergências pediátricas

“…(23) Molin et al (24) determined that the lack of training and knowledge of the technique influenced the rate of its use in hospitals in Denmark.…”

Intraosseous vascular access in critically ill adults—a review of the literature

“…Cook Medical Inc, Bloomington, IN, USA A manual device that is likely to be familiar to many emergency nurses (Fenwick, 2010). Although this device has been used for adults (Brenner et al, 2008;Molin et al, 2010), product information from Cook Medical (2014) would indicate that it is recommended for use in paediatric emergencies. Jamshidi ® needle CareFusion, San Diego, CA, USA…”