BACKGROUND Quick and successful vascular access in injured patients arriving in extremis
is crucial to enable early resuscitation and rapid OR transport for definitive repair. We …

Introduction Emergency department thoracotomy (EDT) must be rapid and well-executed.
Currently there are no defined benchmarks for EDT procedural milestones. We hypothesized …

The intraosseous (IO) access initiative at an urban university adult level 1 trauma center began
from the need for a more expeditious vascular access route to rescue patients in extremis…

Communicating service-specific practice patterns, guidelines, and provider information to a
new team of learners that rotate frequently can be challenging. Leveraging individual and …

Over the last decade, the USA experienced fundamental changes to its health-care landscape.
In response, consolidation of health-care systems and reductions in inpatient beds have …

Chreiman KM, Dumas RP, Seamon MJ, et al. J Trauma Acute Care Surg. 2018; 84: 558-563
Obtaining quick vascular access during resuscitation of a critically ill trauma patients is of …

Chreiman KM, Dumas RP, Seamon, MJ., Kim PK., Reilly PM., Kaplan LJ., Christie JD.,
Holena DN., The intraosseous have it: A prospective observational study of vascular access …

Background Teamwork is a critical element of trauma resuscitation. Assessment tools such
as T-NOTECHS (Trauma NOn-TECHnical Skills) exist, but correlation with patient outcomes …

Introduction Damage to the thoracic cage is common in the injured patient, both when the
injuries are confined to this single cavity and as part of the overall injury burden of a …

Comment: This study adds to the growing body of evidence that intraosseous access is fast
and reliable. As mentioned in the discussion, this study did not evaluate flow rate, which has …