Abstract

In cases of emergency it can sometimes be difficult or even impossible to achieve peripheral venous access. However, intraosseous (IO) devices enable vascular access even under adverse conditions due to the abundant, non-collapsible intramedullary vessels which are able to rapidly transport drugs and infusions to the central circulation. Therefore, the current European Resuscitation Council (ERC) guidelines favour IO access even in adults if rapid peripheral venous catheterization is not possible.Appropriate training in homologous IO devices is imperative for successfully achieving vascular access. Lacking or insufficient training may lead to complications. The present article describes a case of incorrect IO device application on a severely injured patient in the resuscitation room. Flawed patient positioning and incorrect handling of the IO device led to displacement of the device. Therefore, the intraosseous administration of drugs or infusions was not possible.

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