| The use of multiple intraosseous catheters in combat casualty resuscitation. | |
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MedLine Citation:
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PMID: 19317188 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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During the current military engagements in Iraq and Afghanistan, establishing intravenous (IV) access for resuscitation of critically injured casualties remains a persistent challenge. Intraosseous (IO) access has emerged as a viable alternative in resuscitation. In this case report, a 19 year-old male soldier was severely wounded by a roadside bomb in Iraq. Given the heavy initial blood loss, anatomic location of the injuries and gross wound contamination, peripheral IV access could not be established. Instead, multiple IO catheters were used to initiate fluid resuscitation prior to transfer to a combat support hospital. To our knowledge, this is the first report of such extensive usage of IO catheters. Multiple IO catheters can be placed rapidly and safely and may help solve the challenge of establishing vascular access for resuscitation of critically injured casualties. |
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Authors:
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Debjeet Sarkar; Thomas Philbeck |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Military medicine Volume: 174 ISSN: 0026-4075 ISO Abbreviation: Mil Med Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-03-25 Completed Date: 2009-05-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 2984771R Medline TA: Mil Med Country: United States |
Other Details:
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Languages: eng Pagination: 106-8 Citation Subset: IM |
Affiliation:
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Brooke Army Medical Center, 3851 Roger Brooke Drive, San Antonio, TX 78234, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Fluid Therapy
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instrumentation*,
methods Humans Infusions, Intraosseous / methods* Iraq War, 2003 - Male Trauma Severity Indices War* Wounds and Injuries Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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