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Related Experiment Videos

Prehospital intravenous line placement: a prospective study.

S E Jones1, T P Nesper, E Alcouloumre

  • 1Department of Emergency Medicine, University of Southern California, Los Angeles 90033.

Annals of Emergency Medicine
|March 1, 1989
PubMed
Summary

Paramedics can effectively initiate intravenous (IV) lines on-scene, with a 91% success rate and an average start time of 2.5 minutes. On-scene IV placement is faster than during transport, proving feasible for trauma patients.

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Area of Science:

  • Emergency Medicine
  • Paramedic Science
  • Pre-hospital Care

Background:

  • Intravenous (IV) line placement is crucial for administering timely medical therapy in emergency situations.
  • The efficiency of paramedic interventions, including IV access, directly impacts patient outcomes.
  • Optimizing on-scene versus en route procedures is essential for improving pre-hospital care delivery.

Purpose of the Study:

  • To prospectively evaluate the time efficiency and success rates of IV line placement by paramedics.
  • To compare on-scene IV line initiation times with transport times.
  • To assess the feasibility of en route IV line placement in trauma patients.

Main Methods:

  • Prospective measurement of on-scene time, transport time, and IV line starting time.

Related Experiment Videos

  • Study conducted over 18 months in an urban region involving 97 patients receiving paramedic care.
  • Analysis of IV line success rates and timing for both on-scene and en route attempts.

    • Main Results:

    • Overall IV line placement success rate was 91%, with an average successful start time of 2.5 minutes.
    • On-scene IV line starting times were shorter than transport times in 86% of patients.
    • En route IV line attempts demonstrated comparable success rates and starting times to on-scene attempts.

    Conclusions:

    • Paramedics can effectively deliver definitive IV medical therapy on-scene when resources are available.
    • On-scene IV line initiation is generally more time-efficient than during patient transport.
    • En route IV line placement is a feasible option, particularly for trauma victims.