Flightmed archive for October-2002
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Flightmed archive for October-2002



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Re: Femoral central venous lines.



>I too am working on our OMD about central lines.
>Here's what I have gotten from other programs;
>
>1.  Indicated for rapid volume infusions,

Why does this myth prevail?

Fluid dynamics has the Garfield Principle... Fluid flows faster thru a 
short, large catheter...  i.e. a 14G, 1.25" IV.  A central line does not 
allow faster flow of fluids.

For those who want the specifics:  Rate of flow is directly proportional to 
the fourth power of the internal radius of the catheter and inversely 
proportional to the length.

I do understand that not everyone has veins that will take a 14G, but to 
think that a central line is more conducive to rapid infusion is erroneous.

------------
JRB

Jeff Brosius,
Paramedic, etc.
Atlanta, GA
www.prehospital-perspective.com
brosius@prehospital-perspective.com
"Give me ambiguity or give me something else."


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