A 6 months old child having severe dehydration comes to the casualty with weak pulse and unrecordable B.P. Repeated attempt in gaining I.V. access has failed – The next best step is –
Try again
Jugular vein catheterization
Intra osseus I.V. fluids
Venesection
"If I.V. route is unsuccessful, introasseus access in the proximal tibia of an uninjured leg is the preferred alternative for children younger than 6 yrs. In children older than 6 yrs a percutaneous femoral venous line should be attempted.