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Don’t Forget About the IO in the Critically Ill Patient

REBEL EM

In these situations, the American Heart Association (AHA) and the European Resuscitation Council (ERC) of 2015 recommend the intraosseous (IO) route after the peripheral route and before the central venous route ( 1). Many clinicians don’t consider IO placement while others consider it a last resort or only a pre-hospital procedure.

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Clinical Conundrums: Should You Give the First Dose of Antibiotics IV Before Discharging Home on Oral Antibiotics?

REBEL EM

Additionally, multiple studies demonstrate increased harm with IV antibiotics such as increased rate of diarrhea ( Haran 2014 ), complications from IV placement ( Li 2015 ), and increased length of stay or cost ( Lorgelly 2010 ). Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

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