AI Article Synopsis
- EMS personnel often insert IV lines at trauma scenes, which can extend the time spent at the scene.
- A study analyzed data over two years, with one year dedicated to on-scene IV insertions and another year focusing on inserting IV lines while en route to the hospital.
- The results showed that en route IV insertions reduced on-scene time from 19.8 minutes to 13.9 minutes and increased the success rate of IV insertions from 79% to 93%.
Article Abstract
Background: Emergency medical service (EMS) personnel are trained to insert intravenous (IV) lines at trauma scenes if the time for insertion does not prolong scene time. However, EMS providers continue to insert IV lines on scene.
Methods: A rural EMS provider provided trauma patient EMS IV insertion data for a 1-year period. No IV lines were inserted en route during this period. During the following 1-year period, a prospective trauma patient study protocol was instituted in which all IV insertions were attempted while en route to the emergency room.
Results: Three hundred six trauma patients had IV attempts on scene, and 341 trauma patients had IV insertion attempts en route. The average EMS on-scene time with IV insertions on scene was 19.8 minutes (IV insertion success, 79%) compared with 13.9 minutes (IV insertion success, 93%) on-scene time with IV insertions en route.
Conclusions: EMS IV insertion en route significantly decreases on-scene time and improves IV insertion success rates.
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| http://dx.doi.org/10.1016/j.amjsurg.2010.09.021 | DOI Listing |
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