How does the training effect the use of intraosseos access with a battery driven device?

Abstract

Purpose of the study: Intravascular access is a vital component of emergency care and resuscitation. Success rate and time need for vascular access is crucial in the emergency patient under resuscitation. Intraosseous access (IO) has recently been revived in adults as an alternative when conventional intravenous access may be impossible. The aim of our study was to determine use of a battery driven device (EZ-IO system) by doctors, nurses and paramedics on a bone model and have their opinion on IO with a survey. Materials and methods: 60 doctors from several branch, nurses and paramedics were included in this study. All participants were inexperienced on IO access and saw EZ-IO first time. After 30 min lecture and hands-on training, ease of insertion, number of attempts, insertion time and their opinion were recorded. Results: None of the participants used IO access and none of them know powered drill device before. 58 (96%) of the 60 study subjects required only one attempt at placing the EZ-IO. There were 53 (88%) successful placements of the EZ-IO system. The average time taken to place the EZ-IO was 12 s. 55 (91%) of participants stated that it was easy and noninvasive to insert the EZ-IO. There were no differences among doctors, nurses or paramedics. They reported that they did not reluctant for its use from now on. Conclusions: Intraosseous access was currently known as a traumatic procedure due to old models. The EZ-IO system has high success rates of insertion with inexperienced participants and if it is learned, the use of IO access will be increased during resuscitation. Therefore, during CPR training, education and training of the EZ-IO system should not be omitted.