Advanced Paramedic Skills IV Therapy

Review First Equipment Needed for IV Starts Flow dynamics IV Catheter types –Gauges, types etc Trauma and IV bolus Review of procedure of insertion IV Starts??

Write down all the equipment needed to start an IV! Class exercise

Flow Dynamics – Laminar Flow Poiseuilles Equation F = ΔP л r 8 n L

Catheter Selection Various IV Catheter Sizes Selected for different uses 14,16, 18 larger gauge catheter , minimum for blood 20, 22, 24 smaller and peds Vein selection also- Lets look at them- put a tourniquet on each other and look at veins on your arms and hands –what size could they take Give ach student a large and small gauge catheter

Trauma and IV Bolusing Trauma is a specific challenge to IV therapy- why? Selection of IV catheters Bolus is normally 20 cc/Kg initially and then can repeat if BP remains low No signs of CHF 3:1 Rule – what stays intravascular

Lets do a race! Set up a litre bag to 24 ga 22ga 20ga 18ga 14ga 14ga with pressure bag attached With a stop watch, open all up and measure how long to run 250ml and whole bag Make a chart showing all times Type 250 1000 mL 24ga 22ga 20ga 18ga 14ga 14ga pressure

For Next Week Finals!!! 22 year old man, hit a tree on a bright sunny day. He is unconscious and GCS 8. What are your treatment priorities? What investigations or assessments are important in this case?