WHAT'S NEW IN EMERGENCY PRE-HOSPITAL CARE RESEARCH? 2008 CONFERENCE ORGANISED BY 999 EMS RESEARCH FORUM IN COLLABORATION WITH UNIVERSITY OF SHEFFIELD AND THE NATIONAL AMBULANCE RESEARCH STEERING GROUP
PostersPrehospital intravenous cannulation: reducing the risks and rate from inappropriate venous access by paramedics
East Midlands Ambulance Service, Nottingham, UK
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Background
Prehospital intravenous (IV) cannulation by paramedics is a key intervention which enables administration of fluids and drugs in the prehospital setting. Inappropriate use and poor technique of IV cannulation carry potential risks for patients such as pain and infection. Cannulation rates vary widely between paramedics and ambulance stations and rates have increased over the past decade. A baseline audit carried out in Lincolnshire division of East Midlands Ambulance Service (EMAS) in 2006 found that paramedics cannulated 14.2% of transported patients and cannulation rates varied considerably between ambulance stations, with a mean rate of 13.4% (range 5.8% to 19%). An estimated 15.6% of these cannulations could have been avoided.
Objective
This evaluation was aimed at investigating the effect of a complex educational intervention to reduce the rate of cannulation and improve cannulation technique in EMAS NHS Trust which provides emergency and unscheduled care in six counties of the UK.
Method
A non-randomised
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