As related previously, day or night, there was never a shortage of dedicated helping hands in the ED. Our pharmacist, Wes was a constant. Marilyn and Sergeant Ken ran a tight ED ship. The airway and chest integrity were always checked. Oxygen was given. Blankets were used for warmth. Multiple intravenous, i.e., IV routes, were established by cut down, incising the skin to find a vein and using large caliber IV tubing to administer blood and fluids as rapidly as possible. A needle was passed blindly through the skin of the chest wall under the collarbone into the subclavian vein i.e., a large vein that carries blood from the arm into the chest.
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