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Emergency intraosseous access — RCPSC EM MCQ

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ModerateResuscitation, procedures, airwayEmergency intraosseous accessRCPSC EM

A 6-year-old in septic shock has no IV access after two skilled attempts. BP is 68/36 mmHg, capillary refill is 5 seconds, and antibiotics and vasopressors are ready. The team asks how to obtain access now. What is the most appropriate next step?

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Correct answer: C — Place proximal tibial intraosseous access

Place proximal tibial intraosseous access is correct: the clues indicate Emergency intraosseous access and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: PALS principles; Canadian paediatric EM practice