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Feedback to the field: an assessment of sternal intraosseous (IO) infusion

Howard T Harcke, Geoffrey Crawley, Brandi A Ritter

    Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals
    |April 2, 2011
    PubMed

    Intraosseous vascular infusion (IO) is a recognized alternative to peripheral intravenous infusion when access is inadequate. The sternum and proximal tibia are the preferred sites. A review of 98 cases at autopsy revealed successful sternal IO placement in 78 cases (80%). Assuming a worst case scenario for placement (pin mark and no tip in bone [17 cases] and tip present and not in the sternum [3 cases]), attempts were unsuccessful in 20 cases (20%). We draw no specific conclusions regarding sternal IO use, but hope that personnel placing these devices and those providing medical training can use the information.

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