Clinical Case Database / Category: Practical Procedure
Intra-osseous access
Publication details
Dr Jane Archer, Dr Richard Brown
Foundation Years Journal, volume 8, issue 8, p.33 (123Doc Education, London, September 2014)
Abstract
A 23 week old girl with a one day history of high pyrexia was presented to the emergency department by her parents who had awoken to find her with an extensive non-blanching purpuric rash.
On admission, the infant appeared acutely unwell and was clinically shocked. Urgent circulatory access was required. Peripherally shut-down, gaining peripheral venous access would have been difficult and time-consuming. Intra-osseous (IO) access was secured enabling bloods to be taken and fluids to be administered.
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Authors
Dr Jane Archer (Corresponding author)
GP Trainee
Frimley Park Hospital NHS Foundation Trust
Portsmouth Road, Frimley, Surrey, GU16 7UJ
jane_e_archer@hotmail.com
Dr Richard Brown
Consultant Paediatrician
Peterborough and Stamford Hospitals NHS Foundation Trust
Peterborough City Hospital, Edith Cavell Campus, Bretton Gate, Peterborough, PE3 9GZ
richard.brown@pbh-tr.nhs.uk
References
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
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The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.