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Title: Prehospital intraosseus access with the bone injection gun by a helicopter-transported emergency medical team.
Author(s): Gerritse, B.M. ; Scheffer, G.J. ; Draaisma, J.M.T.
Publication year: 2009
Source: Journal of Trauma, vol. 66, iss. 6, (2009), pp. 1739-1741
ISSN: 0022-5282
DOI: http://dx.doi.org/10.1097/TA.0b013e3181a3930b
Publication type: Article / Letter to editor

Please use this identifier to cite or link to this item : http://hdl.handle.net/2066/81901   http://hdl.handle.net/2066/81901

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Subject: IGMD 3: Genomic disorders and inherited multi-system disorders
NCEBP 4: Quality of hospital and integrated care
Organization: Anesthesiology
Paediatrics
Journal title:
Journal of Trauma
Volume: vol. 66
Issue: iss. 6
Page start: p. 1739
Page end: p. 1741
Abstract:
BACKGROUND: To evaluate the use of the bone injection gun to obtain vascular access in the prehospital setting by an Helicopter-Transported Emergency Medical Team. METHODS: Prospective descriptive study to assess the frequency and success rate of the use of the bone injection gun in prehospital care by a Helicopter-Transported Emergency Medical Team. RESULTS: In 40 of 780 (5.1%) patients, an attempt was made to obtain intraosseous access with the bone injection gun. Intraosseous access was attempted more often in children than in adults (p < 0.01). The success rate was 71% (10 out of 14) in children <16 years and 73% (19 out of 26) in adults (p = 1.0). There were no complications to the health care providers involved and no unwanted sequels to the patients involved. CONCLUSIONS: The bone injection gun is an effective and safe device for the resuscitation of patients in a prehospital setting. It seems to be equivalent in success rate as intraosseous needles in children, but it seems to be more successful in adults.

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