THE SHORT- AND LONG-TERM IMPACTS OF INTRAOSSEOUS CATHETERIZATION TRAINING ON MEDICAL STAFF'S READINESS TO STABILIZE CRITICAL PATIENTS AT THE PEDIATRIC EMERGENCY DEPARTMENT.

The introduction of intraosseous injection methodology is very important in critically ill patients, with whom peripheral venous catheterization is impossible and there is not enough time to access a central vein due to a life-threatening condition of the patient. To carry out the relevant methodology in Georgia, for the first time in 2016 and then in 2017, the USA Mayo Clinic Emergency Care Physicians held trainings in Intraosseous Catheterization, which included both theoretical (indications, contraindications, complications, etc.) and practical trainings (techniques for using a special tool on manikin bone).A team of emergency physicians from two Pediatric Clinics of Georgia was later selected to undergo the above-mentioned training (theoretical and practical). Both teams were tested before and after the training. The results were compared. For two years, a certain number of physicians performed appropriate manipulation in patients. The aim of our further study was to determine whether physicians possessed theoretical and practical skills two years after training. Doctors were divided into two groups: those who performed this manipulation during this period and those who did not. The results of the testing ahve shown the need for periodic intraosseous catheterization training so that physicians who have not practiced this manipulation would not lose the relevant skills and perform this manipulation safely when needed.