1. Advanced Paramedic Skills
IV Therapy

2. 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??

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

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

5. 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

6. 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

7. 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

8. 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?