Page 36 - JSOM Fall 2023
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TABLE 2  IO Unspecified
           Study                 Design      Patients   Success Rate       Providers         Complications
           DuBose et al., 2017 4  Retrospective   3         —         •  Surgeon                 —
                            descriptive review                        •  EM physician
                                                                      •  RN anesthetist
                                                                      •  PA
           Lairet et al., 2012 14  Retrospective   3        —                 —         Longer transport times in
                            descriptive review                                          patients who received IVF
           Lairet et al., 2019 15  Prospective   285        —                 —                  —
                            descriptive review
           Lewis & Wright 2015 25  Retrospective   830  1,000/1,014 (98.3%)   —         Retained sternal needles
                            descriptive review                                          Removal of retained sternal
                                                                                        needle in OR
           Maddry et al., 2015 17  Retrospective   59       —         •  Medic                   —
                            descriptive review                        •  Paramedic
                                                                      •  RN
                                                                      •  MD
           Maddry et al., 2015 16  Retrospective   63       —         •  Medic                   —
                            descriptive review                        •  Paramedic
                                                                      •  RN
                                                                      •  MD
           Maddry et al., 2016 18  Retrospective   86   73/86 (85%)           —                  —
                            descriptive review
           Maddry et al., 2016 19  Retrospective   —        —         •  Medic                   —
                            Descriptive Review                        •  Paramedic
                                                                      •  PA
                                                                      •  Nurse
                                                                      •  Physician
           Manley et al., 2017 20  Case series  1           —         •  General surgeon         —
                                                                      •  EM physician
                                                                      •  RN anesthetist
                                                                      •  Critical care RN
                                                                      •  Surgical Technician
                                                                      •  Respiratory Therapist
           Suay et al., 2011 26  Prospective   25       19/25 (76%)   •  Medical Officer  •  Pain
                            descriptive review                        •  Nursing Officer
                                                                      •  Paramedic
           Reeves et al., 2020 21  Prospective   259        —                 —                  —
                            descriptive review
           Travers et al., 2019 24  Retrospective   3       —         •  Physician               —
                            descriptive review
           # of studies            12          11           3                 7                   3
          EM = emergency medicine, IO = intraosseous, IVF = intravenous fluids, MD = medical doctor, RN = registered nurse

          TABLE 3  Tibial IO
           Study                 Design      Patients   Success Rate       Providers         Complications
           Cooper et al., 2007 9  Case series  26       31/32 (97%)   •  Physician      •  No infection
                                                                      •  Paramedic      •  Pain
                                                                      •  ER RN          •  Bent needle
                                                                                        •  Fracture/retained needle
                                                                                        •  Needleless insertion
           Harcke et al., 2011 6  Post—mortem   52      58/61 (95%)           —                  —
                            descriptive review
           Nadler et al., 2014 7  Retrospective   30    18/36 (50%)   •  Physician               —
                            descriptive review                        •  Paramedic
           Nadler et al., 2015 2  Retrospective   30    15/30 (50%)           —                  —
                            descriptive review
           Schauer et al., 2019 10  Retrospective   18      —         •  Medical Officer         —
                            descriptive review                        •  Medic
                                                                      •  First-responder
           Vassallo et al., 2014 8  Prospective   21    20/21 (95%)           —         Reported, but none observed
                            descriptive review                                          for tibial IO
           # of studies            6           6            5                 3                   2
          ER = emergency room, IO = intraosseous, RN = registered nurse






          34  |  JSOM   Volume 22, Edition 3 / Fall 2023
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