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Training on a dynamic simulator resulted in noninferior time to completion of vascular shunt placement compared with training on a cadaver. The addition of dynamic hemorrhage to simulators might inexpensively augment trauma skills training.

In this EAST multicenter trial, we used Trauma video review (TVR) to evaluate vascular access in hypotensive trauma patients. Time to resuscitation initiation was shorter in patients whose initial access attempt was IO access. IO had higher success rates than PIV or CVC.

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