### Preventative Measures

- Control Hemorrhage
- Prevent and treat shock
- Fluid resuscitation
- Hypothermia (active/passive)
- Reassess frequently for recurrence

### Indications for Establishing IV Access

- Shock
- Significant risk of developing shock
- Needs medications, cannot take orally
- 18-gauge IVs are adequate, even for rapid blood transfusions
- Flush saline locks after insertion and every 2 hours
- When administering fluids, secure the IV lines to avoid dislodging the catheter

### Field-Ruggedized Saline Lock Advantages

- Easier to move a casualty without an IV line and bag
- Less likely to dislodge during movement
- Conservation of limited IV fluids
- Rapid IV access is still available
- Reduced equipment loads for the Combat Medic