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May 1985, Vol 139, No. 5 >
Article | May 1985

Emergency Bone Marrow Infusions FREE

HENRY TURKEL, MD
Am J Dis Child. 1985;139(5):438-439. doi:10.1001/archpedi.1985.02140070012003.
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Sir.—It is gratifying to see that the almost forgotten "virtues of emergency bone marrow infusions"1 have been brought to the attention of younger physicians who may not know of a way to administer drugs and fluids if intravenous access is unavailable.2 Since bone marrow instruments have not been stocked in large numbers of emergency rooms and pediatric wards during the past several decades, it is important for physicians to learn the technique of bone marrow infusion even when trephine instruments are not available.

However, methods that do not rely on removal of particles of bone by the trephine technique may permit entry of cortical fragments into general circulation, producing pulmonary emboli.3 If the sternal route is used in older children, an improper instrument or technique can perforate the heart, while the "safety features embodied in this [trephine] type of instrument obviate preventable deaths due to sternal

REFERENCES

1 +
Berg RA:  Emergency infusion of catecholamines into bone marrow . AJDC 1984;;138:810-811.
2 +
Orlowski JP:  My kingdom for an intravenous line , editorial. AJDC 1984;;138:803.
3 +
Wile UJ, Schamberg IL:  Pulmonary fat embolism following infusions via bone marrow . J Invest Dermatol 1942;;5:173-177.
4 +
Turkel H:  Deaths following sternal puncture , editorial. Arch Surg 1956;;73:183-184.
5 +
Turkel H:  Emergency infusion through the bone , editorial. Milit Med 1984;;149:349-350.
6 +
Turkel H:  History of transfusion by way of bone marrow . Int Med Dig 1956;;68:117-121.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Berg RA:  Emergency infusion of catecholamines into bone marrow . AJDC 1984;;138:810-811.
2 +
Orlowski JP:  My kingdom for an intravenous line , editorial. AJDC 1984;;138:803.
3 +
Wile UJ, Schamberg IL:  Pulmonary fat embolism following infusions via bone marrow . J Invest Dermatol 1942;;5:173-177.
4 +
Turkel H:  Deaths following sternal puncture , editorial. Arch Surg 1956;;73:183-184.
5 +
Turkel H:  Emergency infusion through the bone , editorial. Milit Med 1984;;149:349-350.
6 +
Turkel H:  History of transfusion by way of bone marrow . Int Med Dig 1956;;68:117-121.

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