Blood Tubing

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First: Welcome, Jeff! Long time no chat.
 
Second: I'd expect that there would be some coordination between the  
ambulance folks and their supporting hospitals to coordinate purchases of pumps  
etc so that the tubing used is common between both....then again, I spent 
most  of my career working in smaller hospitals where there weren't that many  
ambulances (or hospitals, for that matter) in the Area of Operations.
 
IF the line is secure and does not need to be changed immediately for other 
 reasons, why stick the patient again? (excepting the AC....while that is 
an easy  stick, as Dr. Mattox points out, those sites do infiltrate fairly 
easily, and  even when they don't, IVs in the elbow are terribly inconvenient 
for the  patient.)
 
ck
 
 
In a message dated 12/29/11 10:55:20 Central Standard Time,  
jeffmedic at gmail.com writes:

When I  was initially trained as a paramedic we were taught to start two
large bore  IV's, one with LR using a macro drip set and one with normal
saline using  blood tubing, for serious trauma patients.  Setting aside all
of the  issues with the timing or amount of prehospital fluid
administration, I  would like to get the list's feedback one issue.  If a
paramedic  brought you a patient with blood tubing already in place, would
you use it  to give blood (if blood was required) or would you change it out
with your  tubing first?

My guess is that it would be changed out to facilitate  the use of the
hospital's IV pumps.  Thanks for your  input.

Jeff Anderson
Bossier City, LA
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