Just to add some context to this study: The 2.7% and 2.8% survival with neurological status intact outcome intact is a horribly low statistic. - It took 21-22 minutes to obtain vascular access from time of dispatch - It took 14-15 minutes to obtain vascular access from time of EMS arrival - Only 17.1% of the patients who received IOs had a proximal humerus IO placed (the standard of care for cardiac arrest patients) while 73.5% had a proximal tibial IO placed. - Almost a third of those assigned to the IV access group received an IO as their first successful vascular access site after two failures with via IV, with a similar breakdown between proximal humerus and proximal tibial locations - The IV group had a notably higher rate of shockable rhythms compared to the IO group The list of this studies inadequacies goes on and on. I am not sure how this study ever made it to publication, especially in a journal that claims to be as high standard as the NEJM. Take away: compression and electricity save lives. vascular access, medications, and airway management are adjuncts.
Just to add some context to this study:
The 2.7% and 2.8% survival with neurological status intact outcome intact is a horribly low statistic.
- It took 21-22 minutes to obtain vascular access from time of dispatch
- It took 14-15 minutes to obtain vascular access from time of EMS arrival
- Only 17.1% of the patients who received IOs had a proximal humerus IO placed (the standard of care for cardiac arrest patients) while 73.5% had a proximal tibial IO placed.
- Almost a third of those assigned to the IV access group received an IO as their first successful vascular access site after two failures with via IV, with a similar breakdown between proximal humerus and proximal tibial locations
- The IV group had a notably higher rate of shockable rhythms compared to the IO group
The list of this studies inadequacies goes on and on. I am not sure how this study ever made it to publication, especially in a journal that claims to be as high standard as the NEJM.
Take away: compression and electricity save lives. vascular access, medications, and airway management are adjuncts.
Thanks for these summaries of studies!
Really like this channel
Thank you.