IO for OHCA – Humeral Head or Tibia?

From Journal Feed:

Spoon Feed

In subgroup analysis, there may be more successful ROSC in patients with upper extremity IO access compared to lower extremity access in OHCA, but these results should be adopted with caution.

IO(U) access – would you like it in the arm or the leg?

There are many factors that go into the success of obtaining ROSC in OHCA including, but not limited to: initial rhythm, bystander CPR, airway management strategies – the list is endless. This retrospective study tried to determine whether location of IO access (upper versus lower extremity) could increase rates of ROSC as well as survival to discharge. With subgroup analyses in a multivariable logistic regression model, there was greater odds of ROSC (aOR 1.11, 95%CI 1.08-1.15) and survival to discharge to home (aOR 1.23, 1.02-1.48) with upper extremity IO access.

Source

Retrospective Comparison of Upper and Lower Extremity Intraosseous Access During Out-of-Hospital Cardiac Arrest Resuscitation. Prehosp Emerg Care. 2024 Mar 26:1-8. doi: 10.1080/10903127.2024.2321285. Epub ahead of print. PMID: 38416867.