February 25, 2026 · Prehospital emergency care · DOI: 10.1080/10903127.2026.2636956

Factors associated with successful intravenous access in the prehospital setting

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The authors aimed to identify factors influencing the success of first attempt intravenous (IV) access in a nationwide prehospital setting and to assess the rate of successful IV access utilization among patients. Analyzing over 3 million IV access attempts, they found a first attempt success rate of 76.5%, with various patient and encounter characteristics impacting this success. Notably, less than half of the patients with successful IV access received any IV therapy in the prehospital environment.

Tanner Smida, Ryley Handyside, Remle Crowe, Austin McDonald, James Scheidler, James Bardes

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