Indications for Use:

For adults and pediatrics anytime in which vascular access is difficult to obtain in emergent, urgent or medically necessary cases.

Reasons to use an IO device…

Patients who:

• Have an immediate need for drugs or fluids
• Previously required central venous access for infusion due to difficult vascular access
• Have limited or no vascular access
• Require multiple IV sticks to obtain vascular access for medication or fluid infusion
• Pain management – e.g. sickle cell anemia patients
• Need fluid resuscitation – e.g. dehydration
• Are in cardiac or respiratory arrest
• Require rapid intubation or sedation
• Intraosseous access for emergencies

Reasons you should not use an IO device (contraindications)…

• Fracture in targeted bone
• Previous orthopedic procedures near insertion site
• IO insertion in targeted bone within past 24 - 48 hours
• Infection at insertion site
• Inability to locate landmarks or excessive tissue