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Intraosseous vascular access has long been standard care when rapid peripheral intravenous access cannot be achieved in a critically ill or injured child. However, manual insertion of intraosseous needles can be difficult, time-consuming, and even dangerous to the operator. In a manufacturer-sponsored, international, prospective observational study, researchers evaluated the safety and effectiveness of a battery-powered intraosseous insertion device (EZ-IO) in 95 children (mean age, 5.5 years; range, 5 days to 17 years). Emergency medical services personnel and emergency and critical care physicians underwent training (instruction and a hands-on skills workshop) and skills testing before using the device in patients.
Most cases were classifi…