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{
    "pk": 473,
    "title": "Tibial Osteomyelitis Following Prehospital Intraosseous Access",
    "subtitle": null,
    "abstract": "Intraosseous (IO) access is a lifesaving alternative to peripheral or central venous access in emergency care. However, emergency physicians and prehospital care providers must be aware of the potential for infectious complications associated with this intervention. We describe the case of a HIV-negative, otherwise immunocompetent adult patient who underwent prehospital insertion of a tibial IO device. Following successful resuscitation, the patient developed tibial osteomyelitis requiring multiple operative debridements, soft tissue coverage, and several courses of prolonged antimicrobial therapy. Skin antisepsis prior to device insertion followed by early device removal are important strategies for reducing the risk of infection associated with IO access.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/91z9k3r0",
    "frozenauthors": [
        {
            "first_name": "Derek",
            "middle_name": "",
            "last_name": "Yee",
            "name_suffix": "",
            "institution": "Washington University School of Medicine, Division of Medical Education, St. Louis, Missouri",
            "department": "None"
        },
        {
            "first_name": "Rahul",
            "middle_name": "",
            "last_name": "Deolankar",
            "name_suffix": "",
            "institution": "Washington University School of Medicine, Division of Diagnostic Radiology, St. Louis, Missouri",
            "department": "None"
        },
        {
            "first_name": "Jodie",
            "middle_name": "",
            "last_name": "Marcantoni",
            "name_suffix": "",
            "institution": "Washington University School of Medicine, Division of Infectious Diseases, St. Louis, Missouri",
            "department": "None"
        },
        {
            "first_name": "Stephen",
            "middle_name": "Y.",
            "last_name": "Liang",
            "name_suffix": "",
            "institution": "Washington University School of Medicine, Division of Emergency Medicine St. Louis, Missouri\nWashington University School of Medicine, Division of Infectious Diseases, St. Louis, Missouri",
            "department": "None"
        }
    ],
    "date_submitted": "2017-10-18T23:35:21+05:30",
    "date_accepted": "2017-10-18T23:35:21+05:30",
    "date_published": "2017-11-04T01:00:02+05:30",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/473/galley/237/download/"
        }
    ]
}