Beyond IO and IV: Trauma Lines in Pre-Hospital Haemorrhagic Shock with Paolo Pallavicini

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.

Read the paper here.

Find out more about London Air Ambulance Service.