Naslov
The Use of Alternative Vascular Access in Emergency Care

Autori
Huszár, Máté Huba

Vrsta, podvrsta i kategorija rada
Ocjenski radovi, diplomski rad, diplomski

Fakultet
Medicinski fakultet

Mjesto
Zagreb

Datum
26.06

Godina
2023

Stranica
33

Mentor
Degoricija, Vesna

Neposredni voditelj
Vesna Degoricija

Ključne riječi
Intraosseous access ; infusions, intraosseous ; IO ; Vascular access ; Emergency medicine

Sažetak
A variety of alternative emergency vascular access solutions have been tested and described in the literature. In cases of difficult intravenous access (DIVA) in emergency settings, intraosseous access (IO) has consistently been suggested by professional organisations as the most suitable alternative to peripheral venous catheters (PVC) due to its proven superiority. IO is the quickest and safest option when immediate intravenous access cannot be established. The present thesis, as a descriptive cross- sectional study, presents structured survey data about IO utilisation in the city- and county of Zagreb. The participants were licensed healthcare professionals of emergency departments and pre- hospital emergency medical services (EMS). Findings indicate that IO access is not being used to its full potential due to a lack of sufficient awareness, equipment, training, and fear of use. Most of the respondents (85%) experienced at least a few DIVAs in emergency situations during the recall period, and over 82% believed that at least some of their patients would have benefited from earlier vascular access. However, more than half of the participating practitioners have never thought of placing an IO, and only 9% have inserted one during the prior six months. Those who considered an IO but did not place one (37%) indicated lack of availability (42%), fear of use (17%) and lack of training (12%) as the most common reasons. Various measures could be implemented to encourage the use of IO access in emergencies, such as improving training programmes, ensuring continuous availability, and introducing monitoring and quality assurance mechanisms.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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