> Not always a great idea to go for a subclavian (or jugular) line in the
> hypovolaemic patient. Femorals can be tricky in the hypovolaemic
> patient at
> times.
Could not disagree more. It's training issue; I can obtain internal
jugular access with a straight single pipe like a Wallace in under 10
seconds. There are three key points.
1. Head down.
2. Go low in the anterior triangle.
3. Aim for the opposing femoral head.
Guaranteed; venous puncture every time.
/Rowley./
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