SGEM#462: Spooky Scary Access – IV or IO for OHCA

Trials extracted from the podcast by Dr. Ken Milne

• 2025PARAMEDIC-3Emergency & ResuscitationIn 6082 adults with out-of-hospital cardiac arrest, intraosseous-first vascular access did not improve 30-day survival compared with intravenous-first access.
• 2018PARAMEDIC2Emergency & ResuscitationIn 8014 adults with out-of-hospital cardiac arrest, epinephrine raised 30-day survival but not survival with good neurologic outcome compared with placebo.
• 2024VICTOREmergency & ResuscitationIn 1732 adults with non-traumatic out-of-hospital cardiac arrest, humeral intraosseous access did not improve survival to discharge versus intravenous access.