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Master Thesis

Évaluation de l’utilisation de la voie intra-osseuse en médecine d’urgence pré-hospitalière

Abstract : Intraosseous (IO) access is a simple, rapid and effective alternative when venous vascular access is difficult or impossible. Its use is recommended in care of cardiac arrest patients, children and also adults since 2010. A prospective, descriptive and observational study is conducted by the out-of-hospital emergency medical services of Necker–Enfants Malades Hospital in Paris since October 2011. The aim is to estimate the incidence and the practical modalities of the use of IO access in prehospital setting in adult and paediatric populations. Thus, from October 2011 to April 2014, IO access with EZ-IO® motorized device was set up on 44 patients (37 adults and 7 childrens). It was used on cardiac arrest (75%), shock, burns and convulsions. The success rate for first attempt was 86.4%. Four prehospital minor complications were reported. No major complication, neither prehospital nor hospital, were observed. This study did not allow to determine if, despite the international and european recommendations, IO access was or not underused. Its efficacity, safety and ease in learning should let this device’s use become more common and expand its indications.
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Master Thesis
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Submitted on : Monday, April 20, 2015 - 2:56:09 PM
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  • HAL Id : dumas-01143913, version 1


Frédérique Vicens. Évaluation de l’utilisation de la voie intra-osseuse en médecine d’urgence pré-hospitalière. Médecine humaine et pathologie. 2014. ⟨dumas-01143913⟩



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