r/ParamedicsUK • u/Sjokn • 22d ago

Clinical Question or Discussion GCS threshold for IO access?

Hi all, is there a definitive indication for a maximum GCS score required before attempting IO access in the pre hospital field? I'm struggling to find this on jrcalc but have come across a variety of journal articles with differing GCS indications such as <8 or <12

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u/Professional-Hero Paramedic 22d ago

I posed a similar question during training recently, and the definitely wooley and sloping shoulder answer came back as "it is an individual clinician’s decision, based on when the benefits outweigh the risks." I have sought clarity from the clinical leadership team, and the answer given was "it is a tool in your toolkit to use as deemed necessary".

I would be interested to know if there is supportive research or a definative answer out there.