Date Published

November 3, 2021

Updated For

ALS PCS Version ALS PCS Version 5.2


I have recently read about recommendations/suggestion for the use of the distal femur as an alternative IO access sites specifically in pediatrics. Is this being considered as an option in Ontario?


There are numerous locations that have been described for IO insertion sites in both the adult and pediatric population, with each site having their differing success rates and complications.  The two most widely studied locations in the pediatric population are the tibia and humerus. Given the current literature, medical council endorses these two locations for IO access.



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