title: Comparison of 3 different intraosseous access devices for adult during resuscitation. Randomized crossover manikin study.
abstract: BACKGROUND
  The study was designed to investigate the success rate and time of insertion intraosseous access during simulated resuscitation.
  
  
  METHODS
  This was a randomized crossover study involving 107 paramedics. They were timed from start of insertion attempt to successful insertion and asked to score perceived difficulty of intraosseus access devices. Bone injection gun (BIG) (WaisMed Company, Houston, TX), EZ-IO (Vidacare, Shavano Park, TX) and Jamshidi (Carefusion, San Diego, CA) were used in this study.
  
  
  RESULTS
  Success rates for first intraosseus iniecition attempt were higher for the BIG (91.59%) than EX-IO (82.66%) or Jamshidi (47.66%). Mean procedure time was 2.0±0.7 vs 3.1±0.9 minutes for EZ-IO vs 4.2±1.0 minutes for Jamshidi.
  
  
  CONCLUSIONS
  The use of BIG is associated with excellent success rates for insertion and appears easier to use than EZ-IO or Jamshidi Intraosseus Needle. Further work to evaluate the use of the intraosseus access device in the emergency medical services is required.
authors.affiliation: Department of Anesthesiology, Institute of Cardiology, Warsaw, Poland. Electronic address: andrzej.kurowski987@gmail.com.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Kurowski
authors.affiliation: Department of Emergency Medicine and Disaster Medicine, Medical University of Lodz, Lodz, Poland. Electronic address: sor55@wp.pl.
authors.forename: Dariusz
authors.initials: D
authors.lastname: Timler
authors.affiliation: Darica Farabi Public Hospital, Kocaeli, Turkey. Electronic address: togay.evrin1970@gmail.com.
authors.forename: Togay
authors.initials: T
authors.lastname: Evrin
authors.affiliation: Department of Cardiosurgery and Transplantology, Institute of Cardiology, Warsaw, Poland. Electronic address: Lukasz.szarpak@gmail.com.
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Szarpak
mesh_terms: D000328:Adult; D000488:Allied Health Personnel / Q000706:statistics & numerical data; D018592:Cross-Over Studies; D005260:Female; D006801:Humans; D017148:Infusions, Intraosseous / Q000295:instrumentation* / Q000379:methods; D008297:Male; D008348:Manikins; D012151:Resuscitation / Q000295:instrumentation* / Q000379:methods; D013997:Time Factors