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Intraosseous access – A classical method for vascular access that regains an important role as resuscitation tool

75-80% of life threatening situations, with unexpected arrest, are documented out of hospital (1). This situation generates frequently a difficult resuscitation. Main cause for failure is delay in gaining vascular access for fluid and drug delivery (2). Intraosseous access (IO) is used for treatment in patients without a previously placed intravenous line that experience abrupt-onset life threatening situations (3). Authors revisit data from initial development of this method and document the role of IO access as a valuable tool during resuscitation according to European Resuscitation Council Guidelines 2010 (4). Particular aspects of technique, improvisations and real life trouble shooting issues are presented from a single pediatric Emergency Department experience.