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Related Experiment Videos

Saline locks in prehospital care.

M F Boyle1, B Kuntz

  • 1Wright State University, Department of Emergency Medicine/Kettering Medical Center, Dayton, Ohio, USA.

Prehospital and Disaster Medicine
|June 7, 1994
PubMed
Summary

Paramedics can appropriately use saline locks for patients needing intravenous (IV) access without fluid resuscitation. This method proved cost-effective, offering an alternative to traditional IV setups in prehospital care.

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Area of Science:

  • Pre-hospital care
  • Emergency medicine
  • Medical devices

Background:

  • Intravenous (IV) access is crucial in pre-hospital settings.
  • Traditional IV setups require significant resources.
  • Saline locks offer a potential alternative for specific patient populations.

Purpose of the Study:

  • To assess paramedic selection of patients for saline lock use.
  • To evaluate the patency of saline locks upon arrival at the emergency department (ED).
  • To determine the cost-effectiveness of saline locks compared to traditional IV setups.

Main Methods:

  • Paramedics were offered a choice between saline locks and routine IV setups.
  • Patient selection criteria excluded those with hypotension or major trauma.
  • Data collected included patient demographics, reasons for use, fluid infusion needs, and lock performance.
  • Cost analysis compared saline locks with traditional IV setups.

Main Results:

  • 100 patients were enrolled, with appropriate saline lock selection in all cases.
  • Common indications included chest pain, stroke, and shortness of breath.
  • Two locks occluded and two infiltrated; five patients received IV fluids via locks.
  • Significant cost savings were observed for both hospitals and patients/carriers.

Conclusions:

  • Saline locks are a viable alternative to traditional IVs for select pre-hospital patients.
  • Paramedic utilization and satisfaction with saline locks were positive.
  • The study demonstrates the efficacy and cost-benefits of saline lock implementation.

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