Intraosseous Access

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The relative softness of bones in young children makes intraosseous access a quick, useful means to administer fluids and medications in emergency situations when intravenous access cannot be performed quickly or efficiently. Fortunately, any medication that can be given through a vein can be administered into the bone marrow without dose adjustment. Contraindications include bone fracture, history of bony malformation, and insertion site infection.

Take Note

Intraosseous access should not be attempted without training.

PALS Intraosseous access

Figure 8

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