Abstract
Attempting vascular access by out-of-hospital medical providers is one of the most common and important interventions performed. Hypovolemia, hypothermia, obesity, previous intravenous drug administration or abuse, burns, and amputations complicate the establishment of venous access. Failure rates have ranged between 10% and 40% 1 Lewis FR Prehospital intravenous therapy. J Trauma. 1986; 26: 804-811 Crossref PubMed Scopus (114) Google Scholar and have taken upward and beyond 25 minutes to establish. 2 Macnab A Christensen J Findlay J Horwood B Johnson D Jones L et al. A new system of sternal intraosseous infusion in adults. Prehospital Emerg Care. 2000; 4: 173-177 Crossref PubMed Scopus (82) Google Scholar Such delays deprive a patient of intravenous fluids, volume replacement, and medications and delay arrival at definitive care. Delay in intravenous access and preceding interventions are associated with higher morbidity and mortality rates. 3 Jones SE Nesper TP Alcouloumre E Prehospital intravenous line placement. Ann Emerg Med. 1989; 18: 244-246 Abstract Full Text PDF PubMed Scopus (76) Google Scholar Establishing vascular access in 90 seconds, although widely considered an operational goal of out-of-hospital providers, is rarely achieved.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.