Abstract
ObjectiveThis study aimed to evaluate the efficacy of intra-osseous (IO) access in the treatment of patients with severe multiple trauma. MethodsThis was a retrospective study in trauma center of the First Affiliated Hospital of Soochow University. The clinical data of 94 patients were reviewed in emergency room (ER) from April 2018 to September 2020. We summarized advantages of IO access for the following aspects: puncture efficiency, the duration of puncturing and success rate. Besides, we analyzed the relationship with central venous catheter (CVC), tracheal intubation and cardio-pulmonary resuscitation (CPR). ResultsThe IO observation group presented a relatively good results in puncture efficiency (efficiency came into use within 15 minutes after being hospitalized: 36.17%), the duration of puncturing (less than or equal to 1 min: 93.62%), success rate (96.81%). ConclusionThe application of IO in the treatment of patients can shorten the time and improve the success rate in rescuing critically ill patients. It serves as a parallel rescue method and is worthy of clinical promotion and skill acquisition.
Procalcitonin to allow early detection of sepsis and multiple organ failure in severe multiple trauma: beware of some confounders
