Paramedic how-to
How to Start an IV Line in the Field
IV access lets paramedics give fluids and medications quickly.
IV access lets paramedics give fluids and medications quickly. In short: explain; apply; clean, then complete the remaining steps below.
Step by step
Explain the procedure and gather supplies: catheter, tourniquet, prep, tape and fluids.
Apply the tourniquet and look for a straight, healthy vein, often in the forearm or antecubital area.
Clean the site and anchor the vein below the insertion point.
Insert the catheter bevel up at a low angle until you see flashback.
Advance the catheter, remove the needle into a sharps container and connect the line.
Secure the IV, check flow and watch for swelling.
Safety reminders for paramedics
- Assess scene safety before approaching any patient
- Wear PPE and follow infection control on every call
- Use proper lifting techniques and lifting equipment
- Wear seat belts in the patient compartment whenever possible
Key terms
ALS · 12-lead ECG · STEMI · IO access · Capnography · Medical direction: see the full paramedic glossary.