Intraosseous cannula placement site by patient age

Patient age	Intraosseous site
Infant (under 1 year)	Proximal tibia
Infant (under 1 year)	Distal femur
Child (1 to 12 years)	Proximal tibia^*
Child (1 to 12 years)	Distal tibia or fibula
Skeletally immature adolescent^¶ (12 to 18 years)	Proximal tibia^*
	Distal tibia or fibula
	Sternum^Δ
Over 18 years	Proximal tibia^*
	Proximal humerus^◊
	Distal tibia or fibula
	Sternum^Δ

* Intraosseous cannula placement at the proximal tibial site in patients >6 years old typically requires a battery-powered or impact-driven device.

¶ Age at full skeletal maturity varies according to sex and individual patient characteristics.

Δ Only attempt sternal intraosseous cannula placement using devices specifically designed for that site.

◊ Only use the proximal humerus site in skeletally mature patients.

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