Original contributionPrehospital intravenous access in children
References (18)
- et al.
Epidemiology of pediatric prehospital care
Ann Emerg Med
(1987) - et al.
Prehospital intravenous line placement: A prospective study
Ann Emerg Med
(1989) - et al.
Success rates for initiation of intravenous therapy en route by prehospital care providers
Am J Emerg Med
(1990) - et al.
Prehospital care of the pulseless, nonbreathing pediatric patient
Am J Emerg Med
(1987) - et al.
Endotoxin shock in children
- et al.
Resuscitation—Pediatric basic and advanced life support
Initial evaluation and management of the injured child
Cited by (62)
Towards acute pediatric status epilepticus intervention teams: Do we need “Seizure Codes”?
2018, SeizureCitation Excerpt :A study in adults analyzed components of delay in the pre-hospital setting and identified the most substantial sources of delay as delays calling paramedics, difficulty with administering a rectal medication, and inability of paramedics to administer a second-line ASM [76]. Studies have suggested that emergency personnel may have less experience treating children and therefore lack expertise [77], have more difficulty obtaining IV access in pediatric patients [78], and feel an increased level of stress when caring for children [79,80]. A recent study analyzing outcomes in pediatric SE patients treated by paramedics with or without completion of a pediatric simulation-based training course found pediatric trained paramedics were slightly more likely to administer a correct midazolam dose, though other outcomes did not differ between the two groups [81].
Pediatric Vascular Access Peripheral IV Algorithm Success Rate
2018, Journal of Pediatric NursingCitation Excerpt :Overall IV success may be based on the number of IV attempts and other factors. Among paramedics working in the field, the overall success rate was 68% in children's IV starts, and similar to our findings, success was higher among older children (Lillis & Jaffe, 1992). In our study, more attempts were made in the pre-algorithm group to achieve 92.1% success.
European Resuscitation Council Guidelines for Resuscitation 2015. Section 6. Paediatric life support.
2015, ResuscitationCitation Excerpt :Venous access can be difficult to establish during resuscitation of an infant or child. In critically ill children, whenever venous access is not readily attainable, intra-osseous access should be considered early, especially if the child is in cardiac arrest or decompensated circulatory failure.187–193 In any case, in critically ill children, if attempts at establishing intravenous (IV) access are unsuccessful after one minute, insert an intra-osseous (IO) needle instead.190,194
European Resuscitation Council Guidelines for Resuscitation 2010 Section 6. Paediatric life support
2010, ResuscitationCitation Excerpt :In critically ill children, whenever venous access is not readily attainable intraosseous access should be considered early, especially if the child is in cardiac arrest or decompensated circulatory failure.155–157 In any case, in critically ill children, if attempts at establishing intravenous (IV) access are unsuccessful after 1 min, insert an intraosseous (IO) needle instead.155,158 Intraosseous access is a rapid, safe, and effective route to give drugs, fluids and blood products.159–168
Prehospital management of pediatric trauma
2010, Clinical Pediatric Emergency MedicineCitation Excerpt :A retrospective chart review of prehospital IV placement in pediatric patients, with subgroup analysis for trauma patients, showed a 57% success rate for IV placement in patients less than 6 years of age and 74% success rate in age 6 years or higher. Average time to IV placement in trauma patients was 14 minutes (range, 7-24 minutes) in age less than 6 years and 12 minutes (range, 1-43 minutes) in age more than 6 years.23 For some patients, decreasing on-scene time may be essential to survival, but for others, the benefit of initiating IV access may outweigh the risks.
Presented at the Ambulatory Pediatric Association Annual Meeting in New Orleans, April 1991.