Use of a Battery-Operated Needle Driver for Intraosseous Access by Novice Users: Skill Acquisition With Cadavers

Four years of EZ-IO® system in the preand in-hospital emergency setting

“…Several authors have shown that the EZ-IO ® system is an efficient tool for achieving IOA [1][2][3][4][5]. The overall success rate of IOA procedures in our analysis was 98.8%.…”

“…It is reported to be a safe, simple and effective alternative to the intravenous access (IVA) and is described to be associated with a low rate of complications. The semiautomatic EZ-IO ® system is a fast and efficient method to establish an IOA [1][2][3][4][5]. The current published guidelines of the European Resuscitation Council (ERC) on cardiopulmonary resuscitation (CPR) recommend the intraosseous route when intravenous access cannot be achieved within the first two minutes of resuscitation [6].…”

The versatility of intraosseous vascular access in perioperative medicine: a case series

“…In one study, a group of 99 health care providers with no intraosseous experience had a 96.9% first-attempt insertion success rate (on cadavers) with the EZ-IO device after watching a 5-minute video and 1 insertion demonstration by an instructor [4]. Another randomized trial demonstrated a similarly high first-attempt success rate (97.8%) as well as quick insertion time (32 ± 11 seconds) in cadavers [5].…”

Comparison of First-Attempt Success Between Tibial and Humeral Intraosseous Insertions During Out-of-Hospital Cardiac Arrest

“…10 Industry training guidelines indicated that no additional efforts were needed to secure the device if it was properly placed in the marrow cavity. All paramedics were required to demonstrate proficiency with both the humeral and tibial insertion sites prior to class completion.…”