Small 4 years child presents with shock and circulatory collapse. It is not possible to get intravenous access. Then what must be done next:
Ans. (a) Intraosseus cannulationRef: Leidel BA, Kirchhoff C, Bogner V Stegmaier J, Mustchler W, Kanz KG, et al. Is the intraosseous access route fast and efficacious compared to conventional central venous catheterization in adult patients under resuscitation in the emergency deparment? A prospective observational pilot study. Patient Saf Surg. 2009 Oct 8. 3(1):24.* Intraosseus cannulation is straightforward and safe in children less than 6 years.
Intraosseus cannulation
Intracardiac infusion
Thoracotomy
CPR
Miscellaneous