Paramedic decisions with placement of out-of-hospital intravenous lines

Student compliance with indications for intravenous cannulation during clinical learning

“…This finding is similar to the 22% and 29% of IV lines that remained unused in the studies by Allen et al [7] and Pace et al, [3] respectively. However, the percentage is considerably lower than the 56% unused IV lines in the Gausche et al [1] study.…”

“…Two other studies found that peripheral IV cannulation had been performed in 57% and 58% of patients, respectively. [2,3] The lower percentage of patients who received IV cannulation in relation to international figures may be because, in SA, ambulances transport many low-acuity 'stable' ambulatory patients who do not require any form of prehospital medical intervention, but merely need transport to hospital. [4] Another reason may be that students work with ambulance crews whose scope of practice does not include IV cannulation.…”

Prehospital intravenous line placement assessment in the French emergency system

“…placements is high in the USAmerican EMS, that is to say i.v. infusions are frequently started and not used in the emergency department [3]. However, even if out-of-hospital pain management (where an i.v.…”

Emergency Medical Services Management of ST-Elevation Myocardial Infarction

“…However, while EMS providers have certainly established proficiency at placement of peripheral intravenous lines, attempts prior to transport can extend the overall out-of-hospital time. 25,26 Therefore, if the providers are not able to quickly establish intravenous access, attempts should be aborted until the patient is in transport. Further attempts can be done while in transport.…”