title: [Case Report - Bilateral humeral intraosseous access for CPR in a 3-years-old child].
abstract: On-scene invasive emergency procedures, such as intraosseous puncture, are often unavoidable, when indicated, and present a challenge for the emergency physician. Personal, temporal or local conditions are often unsuitable. Even with regular intervention by the emergency medical service, "last resort" measures occur very infrequently, particularly in pediatric emergencies. For the first time, this case report presents the use of intraosseous access at the humeral head with children, with reference to indication, implementation, problems and risks.
authors.affiliation: Abteilung für Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie, Asklepios Klinikum Harburg, Hamburg.
authors.forename: Thorsten
authors.initials: T
authors.lastname: Hess
authors.affiliation: Klinik für Anästhesie, Operative Intensivmedizin, Notfallmedizin, Schmerztherapie, Klinikum Frankfurt Höchst GmbH, Frankfurt / Main.
authors.forename: Roman
authors.initials: R
authors.lastname: Böhmer
authors.affiliation: Klinik für Kinderkardiologie, Universitäres Herzzentrum Hamburg GmbH (UHZ), Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Florian
authors.initials: F
authors.lastname: Arndt
authors.affiliation: Abteilung für Anästhesie und Intensivmedizin, Helios Mariahilf Klinik Hamburg.
authors.forename: Gernot
authors.initials: G
authors.lastname: Lorber
authors.affiliation: Abteilung für Kinderradiologie, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Jochen
authors.initials: J
authors.lastname: Herrmann
authors.affiliation: Institut für Rechtsmedizin, Universitätsklinikum Hamburg-Eppendorf.
authors.forename: Klaus
authors.initials: K
authors.lastname: Püschel
authors.affiliation: Abteilung für Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie, Asklepios Klinikum Harburg, Hamburg.
authors.forename: Thoralf
authors.initials: T
authors.lastname: Kerner
mesh_terms: D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D002675:Child, Preschool; D004632:Emergency Medical Services / Q000379:methods*; D006801:Humans; D006811:Humerus / Q000601:surgery*; D017148:Infusions, Intraosseous / Q000379:methods*; D011677:Punctures / Q000379:methods*; D016896:Treatment Outcome