Episode Description
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 trauma
How trauma lines can double pre-hospital blood delivery rates
Success, complication, and survival outcomes from the study
The future of central venous access in pre-hospital care
Paolo 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.