Intraosseous (manual)

Question 1

Intraosseous access - Indications (1)

Answer 1

Emergency access for administration of medications and/or fluids in paediatric patients, when IV access is unavailable

Question 2

Intraosseous access - Contraindications (3)

Answer 2

Defect in cortex of chosen tibia:
1. Fracture of that bone
2. Previous attempts which penetrated the cortex of that bone
3. Infected skin overlaying insertion site

Question 3

Intraosseous access - Complications (4)

Answer 3

1. Damage to bone growth plate
2. Infection
3. Possible fracture of the site (excessive force)
4. Extravasation - check site frequently for signs of swelling and needle displacement