Vascular Access in a Code - IV or IO

We have all been there during a cardiac arrest, trying to gain vascular access in a patient in cardiovascular collapse. Since its resurgence in the 1980s with AHA PALS courses IO access moved from the paediatric to the adult arena for rapid vascular access. The development of the EZ IO propelled intraosseous cannulation into the mainstream both in the hospital and prehospital realms for rapid access during CPA. However, which has the greatest efficacy?

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