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Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients.

Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients.

(A) Basilar skull fracture in the temporal bone can cause cerebrospinal fluid (CSF) to leak from the nose or ear (B) Periorbital ecchymosis, called raccoon's eyes. (C) Battle's sign over the mastoid process.

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