Missy Carter, a seasoned physician assistant in critical care and a former paramedic, discusses the hot debate of IV versus IO access for out-of-hospital cardiac arrest (OHCA). She delves into a recent clinical trial, questioning the biases in survival metrics and their impact on patient outcomes. The conversation touches on the importance of rapid interventions in emergencies, the reliability of neurological outcome assessments, and the critical role of ongoing research in emergency medicine. It's an insightful exploration that challenges conventional practices.

Missy Carter, a PA in an ICU and adjunct faculty member in a paramedic program, shares insights on the nuances of intraosseous (IO) access in emergency care. They discuss a real case involving a cardiac arrest and the challenges of maintaining IO access. The conversation highlights the debate between upper and lower extremity IO placements, examining their impact on patient survival. Missy emphasizes the need for high-quality research to better understand these access techniques and their implications on outcomes during critical situations.