When to choose intraosseous access in prehospital trauma care: A registry-based study from the Israel Defense Forces.

ABSTRACT:

Purpose

Prompt vascular access is crucial for resuscitating bleeding trauma casualties in prehospital settings but achieving peripheral intravenous (PIV) access can be challenging during hemorrhagic shock due to peripheral vessel collapse. Early intraosseous (IO) device use is suggested as an alternative. This study examines injury characteristics and factors linked to IO access requirements.

Methods

A registry-based cohort study from the Israel Defense Forces Trauma Registry (2010 - 2023) included trauma casualties receiving PIV or IO access prehospital. Casualties who had at least one documented PIV or IO access attempt were included, while those without vascular access were excluded. Casualties requiring both PIV and IO were classified in the IO group. Univariable logisti

SUBMITTER: Rittblat M 

PROVIDER: S-EPMC12281860 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature