0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Emergency Bone Marrow Infusions

HENRY TURKEL, MD
Am J Dis Child. 1985;139(5):438-439. doi:10.1001/archpedi.1985.02140070012003.
Text Size: A A A
Published online

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

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();