Intraosseous or Peripheral Intravenous Access in Pediatric Cardiac Arrest? Results From the French National Cardiac Arrest Registry

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Morgan Recher ◽  
Valentine Baert ◽  
Joséphine Escutnaire ◽  
Quentin Le Bastard ◽  
François Javaudin ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Intravenous Access ◽  
Peripheral Intravenous Access

8.5 French peripheral intravenous access during air medical transport of the injured patient

1997 ◽  
Vol 16 (1) ◽  
pp. 7-10 ◽  
Author(s):  
Holly Herron ◽  
Robert Falcone ◽  
Barb Dean ◽  
Howard Werman
Keyword(s):  
Injured Patient ◽  
Intravenous Access ◽  
Medical Transport ◽  
Peripheral Intravenous Access

PaRamEDIc assessment of laCTate in OHCA and survival to hospital (PREDICT protocol)

2021 ◽  
Vol 13 (3) ◽  
pp. 100-104
Author(s):  
Karl Charlton ◽  
Hayley Moore
Keyword(s):  
Cardiac Arrest ◽  
Primary Outcome ◽  
Spontaneous Circulation ◽  
Prognostic Role ◽  
Single Centre ◽  
Intravenous Access ◽  
Secondary Outcomes ◽  
Cardiac Arrest Survival ◽  
Hospital Cardiac Arrest

Background: Studies suggest that blood lactate differs between survivors and non-survivors of out-of-hospital cardiac arrest who are transported to hospital. The prognostic role of lactate taken during out-of-hospital cardiac arrest remains unexplored. Aims: To measure the association between lactate taken during out-of-hospital cardiac arrest, survival to hospital and 30-day mortality. Methods: This is a feasibility, single-centre, prospective cohort study. Eligible for inclusion are patients aged ≥18 years suffering out-of-hospital cardiac arrest, receiving cardiopulmonary resuscitation, in the catchment of Newcastle or Gateshead hospitals, who are attended to by a study-trained specialist paramedic. Exclusions are known/apparent pregnancy, blunt or penetrating injury as primary cause of out-of-hospital cardiac arrest and an absence of intravenous access. Between February 2020 and March 2021, 100 participants will be enrolled. Primary outcome is survival to hospital; secondary outcomes are return of spontaneous circulation at any time and 30-day mortality.

Training novice in ultrasound-guided venipuncture: A randomized controlled trial comparing out-of-plane needle-guided versus free-hand ultrasound techniques on a simulator

2020 ◽  
pp. 112972982096291
Author(s):  
Julien Raft ◽  
Danièle Dupanloup ◽  
Isabelle Clerc-Urmès ◽  
Cédric Baumann ◽  
Philippe Richebé ◽  
...  
Keyword(s):  
Learning Curve ◽  
Guide Wire ◽  
Controlled Trial ◽  
Randomized Study ◽  
Group Versus ◽  
Medical Procedure ◽  
Success Rates ◽  
Intravenous Access ◽  
Out Of Plane ◽  
Peripheral Intravenous Access

Background: Peripheral intravenous access is a common medical procedure, however, it can be difficult to perform in some patients. Success rates have proved greater with ultrasound guidance. Peripheral intravenous access using ultrasound requires specific training, especially for new ultrasound users. To overcome these difficulties, guidance devices on ultrasound probes are able to control the angle of penetration into tissues. We hypothesized that, and particularly for new ultrasound users, the use of a needle guide (NG) paired with the out-of-plane approach would facilitate puncture of a simulation model of vessel more effectively than similar free hand (FH) techniques. Methods: A prospective controlled randomized study was conducted of new ultrasound users using a guide wire introducer needle on gelatine phantom. After a 30-min lecture, one group performed the FH technique and the other group performed the NG technique both in an out-of-plane approach. The main criterion was the number of attempts before success of catheterization of this model of vessel. Results: Thirty-four nurse anesthetist students participated in the study. The number of attempts before success using the NG technique was significantly lower: 3.7 (±0.9) in the NG group versus 6.7 (±3.3) in the FH group ( p = 0.01). In the NG group, 100% of the participants achieved success after the sixth attempt. In the FH group, only 81.25% ( n = 13/16) reached success. Conclusion: NG technique has been proved to have a steeper learning curve compared with the FH technique. A study on a learning curve in clinical practice is needed to confirm these results.

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