Popliteal Artery Injury and Loss of Limb After Intraosseous Needle Placement During Resuscitation
Bibliographic record
Abstract
Intraosseous (IO) access is used most frequently for emergent vascular access during the care of critically ill infants and children when intravenous access cannot be rapidly achieved. Although generally safe and effective, complications may occur with extravasation of injected materials or needle damage to soft tissue, bone or vascular structures. We report the rare occurrence of damage to the popliteal artery following IO placement in the proximal tibia of an infant that resulted in distal limb ischemia and loss of limb. Although generally safe and effective, complications may occur with IO placement and its subsequent use related to extravasation of injected materials or needle damage to soft tissue, bone or vascular structures. The history of IO resuscitation is reviewed, techniques of placement discussed, and potential complications outlined. Int J Clin Pediatr. 2023;12(1):22-27 doi: https://doi.org/10.14740/ijcp511
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.004 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.002 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.002 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".