Annals of Emergency Medicine
Volume 54, Issue 5 , Pages 692-694 , November 2009

Use of a Battery-Operated Needle Driver for Intraosseous Access by Novice Users: Skill Acquisition With Cadavers

  • Richard M. Levitan, MD

      Affiliations

    • Albert Einstein Medical Center, Department of Emergency Medicine, Philadelphia, PA
    • Corresponding Author InformationAddress for correspondence: Richard M. Levitan, MD, Albert Einstein Medical Center, Department of Emergency Medicine, 5501 Old York Road, Philadelphia, PA 19141; Fax 610-341-1866
    • ,
  • Charles D. Bortle, MEd, RRT-NPS

      Affiliations

    • Albert Einstein Medical Center, Department of Emergency Medicine, Philadelphia, PA
    • ,
  • Thomas A. Snyder, EMT-P

      Affiliations

    • Albert Einstein Medical Center, Department of Emergency Medicine, Philadelphia, PA
    • ,
  • David A. Nitsch, EMT-P

      Affiliations

    • Albert Einstein Medical Center, Department of Emergency Medicine, Philadelphia, PA
    • ,
  • James T. Pisaturo, EMT-P

      Affiliations

    • Hospital of the University of Pennsylvania, Department of Emergency Medicine, Philadelphia, PA
    • ,
  • Kenneth H. Butler, DO

      Affiliations

    • University of Maryland Medical Center, Department of Emergency Medicine, Baltimore, MD

Received 4 May 2009 ,Accepted 1 June 2009.

References 

  1. Frascone RJ, Jensen JP, Kaye K, et al. Consecutive field trials using two different intraosseous devices. Prehospital Emerg Care. 2007;11:164–171
  2. LaRocco BG, Wang HE. Intraosseous infusion. Prehosp Emerg Care. 2003;7:280–285
  3. American Heart Association. Advanced Cardiac Life Support Provider Manual. Houston, TX: American Heart Association; 2007;
  4. American Heart Association. Pediatric Advanced Life Support Provider Manual. Houston, TX: American Heart Association; 2007;
  5. American College of Surgeons Committee on Trauma. Advanced Trauma Life Support for Doctors. 8th ed.. Chicago, IL: American College of Surgeons; 2008;
  6. Miller LJ, Kramer GC, Bolleter S. Rescue access made easy: intraosseous infusion, once limited to use in children, is now becoming a reliable access site for adults. JEMS. 2005;30:8–18
  7. Myers BJ, Lewis R. Induced cooling by EMS (ICE): year one in Raleigh/Wake County. JEMS. 2007;32:13–15
  8. Stouffer JA, Jui J, Acebo J, et al. The Portland IO experience: results of an adult intraosseous infusion protocol. JEMS. 2007;32:27–28
  9. Ong ME, Chan YH, Oh JJ, et al. An observational, prospective study comparing tibial and humeral intraosseous access using the EZ-IO. Am J Emerg Med. 2009;27:8–15
  10. Von Hoff DD, Kuhn JG, Burris HA, et al. Does intraosseous equal intravenous? (a pharmokinetic study). Am J Emerg Med. 2008;26:31–38

 Supervising editor: Kathy J. Rinnert, MD, MPH

 Author contributions: RML conceived the study, designed the trial, and obtained equipment. RML, CDB, and KHB collaborated on the article and were responsible for statistical analysis. RML and CDB collaborated on background research and were responsible for conclusions. CDB was the principal investigator. CDB, TAS, and DAN collected data. TAS, DAN, and KHB were responsible for quality control. JTP was responsible for laboratory and equipment management. JTP and KHB were responsible for general oversight. RML takes responsibility for the paper as a whole.

 Funding and support: By Annals policy, all authors are required to disclose any and all commercial, financial, and other relationships in any way related to the subject of this article that might create any potential conflict of interest. See the Manuscript Submission Agreement in this issue for examples of specific conflicts covered by this statement. EZ-IO needle drivers and needles were supplied by the manufacturer, Vidacare, Inc., free of charge. No representative of Vidacare participated in the study in any way or reviewed the study data or article.

 Publication date: Available online July 29, 2009.

 Reprints not available from the authors.

PII: S0196-0644(09)00643-X

doi: 10.1016/j.annemergmed.2009.06.012

Annals of Emergency Medicine
Volume 54, Issue 5 , Pages 692-694 , November 2009

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