Who needs an IO?
Acute patients who…
  • Are in cardiac or respiratory arrest
  • Require multiple IV sticks to obtain vascular access for medication or fluid infusion
  • Have limited or no vascular access
  • Require rapid intubation or sedation
  • Previously required central venous access for infusion due to difficult vascular access
  • Have an immediate need for drugs or  fluids
  • Intraosseous access for emergencies
Reason’s you can’t use an IO…..
  • Fracture (targeted bone)
  • Previous orthopedic procedures near insertion site
  • Prosthetic Limb or joint
  • IO within past 24 hours (targeted bone)
  • Infection at the insertion site
  • Inability to locate landmarks or excessive tissue