In this episode of the World Extreme Medicine Podcast, we explore one of the most talked-about studies in pre-hospital trauma care: “Beyond IO and IV - Trauma Lines in Pre-Hospital Haemorrhagic Shock.”Host Eoin Walker is joined by Paolo Pallavicini, final-year medical student and research fellow with London’s Air Ambulance and the Centre for Trauma Sciences, to unpack a groundbreaking study analysing over 8,000 trauma patients.They discuss:Why standard IV and IO access can be inadequate in exsanguinating traumaHow trauma lines can double pre-hospital blood delivery ratesSuccess, complication, and survival outcomes from the studyThe future of central venous access in pre-hospital carePaolo also offers key insights into the realities of working in a chaotic roadside environment, the importance of governance and training, and how clinical risk-benefit decisions are made when every second counts.Read the paper here.Find out more about London Air Ambulance Service.

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