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Intraosseous needles can be used for emergency administration of fluids, blood, and medications in both the in-hospital and out-of-hospital setting. In a single-blind, prospective randomized trial, investigators in the Netherlands compared use of three intraosseous devices by helicopter emergency medical services nurses during a 3-year period. The nurses, who received special training, used the devices after intravenous catheter insertion failed. Patients aged ≥14 years were randomized to the Jamshidi 15G, First Access for Shock and Trauma 1 (FAST1), or Bone Injection Gun (BIG) 15G devices. Patients aged 1 to 13 years were randomized to the Jamshidi 15G or BIG 18G devices.
Among 65 patients aged ≥14 years, median insertion times for the Jams…