INTRODUCTION:

Has become controversial for resuscitation in the trauma patient but remains a common procedure. It should never be forgotten that the procedure is painful and frightening (in both adults and children) and should not be undertaken withou specific indications.

1. Indications to initiate intravenous access:
   1. Fluid resuscitation in hypotensive / tachycardic trauma victim.
   2. Fluid resuscitation in hypotensive medical patients.
   3. Drug administration line:
      1. For your immediate use.
      2. In anticipation of imminent IV drug administration.

2. Approved techniques are:
   1. Peripheral
   2. External Jugular
   3. Intraosseous

3. Saline Locks:
   1. Na Locks are acceptable for Pre-Hospital Use, when IV access in needed without administration of fluids.

1. IV attempts should be limited to 2.
2. Another rescuer should attempt access after 2 unsuccessful attempts.
3. Maximum attempts for AMI patient should be limited to 2, unless condition warrents additional attempts.