Abstract

A 75-year old female presented in cardiac arrest with a right tibial intraosseous (IO) catheter through which prehospital medications were administered. The catheter, which had been placed by emergency medical services, was noted in the emergency department to be misplaced and was removed. Due to extravasation of the medications, the patient suffered localized tissue necrosis and eventually required skin grafting. This case illustrates the importance of confirming appropriate IO placement.

Highlights

  • A 75-year old female presented in cardiac arrest with a right tibial intraosseous (IO) catheter through which prehospital medications were administered

  • The catheter, which had been placed by emergency medical services, was noted in the emergency department to be misplaced and was removed

  • CASE PRESENTATION A 75-year-old female arrived to the emergency department (ED) via emergency medical services (EMS) with a chief complaint of cardiac arrest

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Summary

Introduction

A 75-year old female presented in cardiac arrest with a right tibial intraosseous (IO) catheter through which prehospital medications were administered. University of Missouri School of Medicine, Department of Emergency Medicine, Columbia, Missouri The catheter, which had been placed by emergency medical services, was noted in the emergency department to be misplaced and was removed. Due to extravasation of the medications, the patient suffered localized tissue necrosis and eventually required skin grafting.

Results
Conclusion
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