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Clin Pract Cases Emerg Med. 2018 Sep 5;2(4):323-325. doi: 10.5811/cpcem.2018.8.38854. eCollection 2018 Nov.

FascIOtomy: Ultrasound Evaluation of an Intraosseous Needle Causing Compartment Syndrome.

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1
Keck School of Medicine of the University of Southern California, LAC+USC Medical Center, Department of Emergency Medicine, Los Angeles, California.

Abstract

Intraosseous (IO) needles are used in critically ill patients when it is not possible to quickly obtain venous access. While they allow for immediate access, IO infusions are associated with complications including fractures, infections, and compartment syndrome. We present a case where point-of-care ultrasound was used to quickly identify a malfunctioning IO needle that resulted in compartment syndrome of the lower extremity.

Conflict of interest statement

Conflicts of Interest: By the CPC-EM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none.

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