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Other Alternative Vascular Access Points

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Saphenous vein cutdown is a last‐resort access method. In a direct comparison with cadaveric models, paramedic students performed IO access more rapidly, successfully, and with less complications than venous cutdown [25].

Hypodermocyclis is the interstitial or subcutaneous administration of fluids into the body. This method is much slower than an intravenous infusion, but it is safe and effective as an alternative method of hydration in the geriatric population [26]. Hyaluronidase‐facilitated subcutaneous infusion can also be used in a mass casualty incident or disaster response scenario where there may be a limited number of practitioners treating a large number of patients [27].

Emergency Medical Services

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