title: Placement of tibial intraosseous infusion devices.
abstract: Post-mortem preautopsy multidetector computed tomography was used to assess the placement of tibial intraosseous infusion needles in 52 cases of battlefield trauma deaths for which medical intervention included the use of the technique. In 58 (95%) of 61 needles, the tip was positioned in medullary bone. All 3 (5%) unsuccessful placements were in the left leg, and the needle was not directed perpendicular to the medial tibial cortex as recommended. Considering the nature of military trauma and the environmental conditions under which care is rendered, military medical personnel appear to be highly successful in the placement of tibial intraosseous infusion needles.
authors: Department of Radiologic Pathology, Armed Forces Institute of Pathology, 6825 16th Street NW, Washington, DC 20306, USA.
authors: H Theodore
authors: HT
authors: Harcke
authors: Geoffrey
authors: G
authors: Crawley
authors: Robert
authors: R
authors: Mabry
authors: Edward
authors: E
authors: Mazuchowski
mesh_terms: D001344:Autopsy; D006801:Humans; D007091:Image Processing, Computer-Assisted; D017148:Infusions, Intraosseous / Q000379:methods*; D008887:Military Medicine; D061330:Multidetector Computed Tomography; D015641:Radiography, Interventional; D013977:Tibia / Q000000981:diagnostic imaging*