All issues > Volume 51(10); 2008

Original Article

Korean J Pediatr. 2008;51(10):1058-1064. Published online October 15, 2008.

Intraosseous line insertion education effectiveness for pediatric and emergency medicine residents

Jung Woo JW Lee¹, Jun Seok JS Seo¹, Do Kyun DK Kim¹, Ji Sook JS Lee², Seonguk SG Kim³, Jeong-Min JM Ryu⁴, Young Ho YH Kwak¹

¹Department of Emergency Medicine, Seoul National University College of Medicine, Seoul, Korea
²Department of Emergency Medicine*, Ajou University School of Medicine, Suwon, Korea
³Department of Pediatrics†, University of Ulsan College of Medicine, Seoul, Korea
⁴Department of Pediatrics, University of Ulsan College of Medicine, Seoul, Korea

Correspondence Do Kyun DK Kim ,Email: birdbeak@naver.com

Abstract

Purpose
: This study aimed to assess current knowledge of and training experiences with the intraosseous (IO) line among emergency medicine (EM) and pediatric residents who care for critically ill children and to evaluate the educational effectiveness of the IO line workshop.
Methods
: During May and June 2008, a workshops on IO line insertion was held for EM and pediatric residents. The workshop comprised a 45-min lecture and a 15-min hands-on session. A semi-drill type EZ-IO machine was used for education. Self-assessment questionnaires gauged residents knowledge of and experiences with IO line insertion or bone marrow (BM) examination and their confidence with IO line insertion before and after the workshop. Performance tests were completed for skill evaluation.
Results
: Forty-five pediatric residents and 22 EM residents participated in the workshop. The pre-educational questionnaire revealed that EM residents had more educational experience in IO line insertion than pediatric residents (P<0.001), while pediatric residents reported more experience in BM examination (P<0.001). The post-educational questionnaire showed a statistically significant higher percentage of correct answers (P<0.001). Although the pediatric residents inserted an IO line more quickly (P=0.001), most residents (88.7%) succeeded in IO line insertion on their first attempt; there was no difference in the groups success rates. Both groups showed higher confidence in performing IO line insertion after training (P<0.001).
Conclusion
: Observed educational effectiveness in both knowledge and confidence of IO line insertion skill suggest educational opportunities for pediatric and EM residents should be increased.

Keywords :Critically ill, Child, Education, Intraosseous infusions, Residency