Incidence of advanced intravenous access in 2 urban EDs

The American Journal of Emergency Medicine
Michael D WittingA C Miller

Abstract

In an emergency department (ED), intravenous (IV) access is frequently accomplished by inspection and palpation of peripheral veins. Failure of these methods indicates severe IV access difficulty and necessitates advanced techniques. Here, we estimate the incidence of advanced IV access in 2 urban EDs with varying resident coverage. In this multiple-cohort study, we enrolled data from 2 neighboring urban EDs-a tertiary care ED and a community hospital affiliate. The 2 have similar volumes but the tertiary care ED has more resident coverage (112 vs 20 hours/d). In a prospective data collection (April 2012-2013), we enrolled consecutive patients during hours of scheduled shifts for research assistants. In a retrospective data collection (March 2011-2012), we reviewed charts of a random sample of patients from each ED for similar outcomes. We calculated the incidence of advanced IV access by dividing the number requiring advanced techniques by the number requiring IV access. We determined IV outcomes for 790 patients in the prospective cohort and 669 patients in the retrospective cohort. Between groups, there was no difference in the incidence of advanced IV access in the prospective collection (P = .08) or in the retrospective co...Continue Reading

References

Nov 3, 1998·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·R A HendersonM P Norman
Sep 10, 2010·The American Journal of Emergency Medicine·Elizabeth SchoenfeldHamid Shokoohi
Nov 19, 2011·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·Michael W RikerM Denise Dowd
Dec 6, 2011·The Journal of Emergency Medicine·Michael D Witting

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Citations

Jan 5, 2021·Journal of the American College of Emergency Physicians Open·Hamid ShokoohiSayon Dutta

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