RICsy Business: A Tutorial on Rapid Infusion Catheter Placement and Utilization in Emergency Medicine

IF 1.2 4区医学 Q3 EMERGENCY MEDICINE

Journal of Emergency Medicine Pub Date : 2025-05-01 DOI:10.1016/j.jemermed.2024.12.002

Jace C. Bradshaw MD , David J Berman MD , David Leon MD , Laeben Lester MD , McKenzie Warshel DO MSEd , Emily Nagourney MD , P. Logan Weygandt MD MPH

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引用次数: 0

Abstract

Background

In emergency medicine (EM), high-volume fluid resuscitation is often crucial to stabilize critically ill patients. This tutorial aims to provide emergency physicians with a comprehensive guide on the placement and utilization of Rapid Infusion Catheters (RICs)—a large bore peripheral IV inserted by modified Seldinger technique—in emergencies.

Discussion

We introduce the RIC as a resuscitation tool, describe a clinical scenario ideal for RIC placement, and provide a step-by-step guide for RIC placement. We briefly discuss the pathophysiology of hypovolemic states and how rapid correction can improve cardiac function. Additionally, we discuss the determinants of intravenous (IV) flow rates and explain why RICs offer superior flows in critical scenarios.

Conclusions

Rapid Infusion Catheters are useful tools in resuscitative medicine but are underutilized in the emergency department.

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RICsy Business：急诊医学快速输液导管放置和使用教程

背景在急诊医学（EM）中，大容量液体复苏通常是稳定危重患者的关键。本教程旨在为急诊医生提供在紧急情况下放置和使用快速输液管（RICs）的综合指南，快速输液管是一种通过改进的Seldinger技术插入的大口径周围静脉输液管。我们介绍了RIC作为复苏工具，描述了RIC放置的理想临床场景，并提供了RIC放置的逐步指南。我们简要地讨论低血容量状态的病理生理学和快速纠正如何改善心功能。此外，我们讨论了静脉（IV）流速的决定因素，并解释了为什么RICs在关键情况下提供优越的流量。结论快速输液导管是复苏医学的有效工具，但在急诊科的应用不足。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Emergency Medicine 医学-急救医学

CiteScore

2.40

自引率

6.70%

发文量

339

审稿时长

2-4 weeks

期刊介绍： The Journal of Emergency Medicine is an international, peer-reviewed publication featuring original contributions of interest to both the academic and practicing emergency physician. JEM, published monthly, contains research papers and clinical studies as well as articles focusing on the training of emergency physicians and on the practice of emergency medicine. The Journal features the following sections: • Original Contributions • Clinical Communications: Pediatric, Adult, OB/GYN • Selected Topics: Toxicology, Prehospital Care, The Difficult Airway, Aeromedical Emergencies, Disaster Medicine, Cardiology Commentary, Emergency Radiology, Critical Care, Sports Medicine, Wound Care • Techniques and Procedures • Technical Tips • Clinical Laboratory in Emergency Medicine • Pharmacology in Emergency Medicine • Case Presentations of the Harvard Emergency Medicine Residency • Visual Diagnosis in Emergency Medicine • Medical Classics • Emergency Forum • Editorial(s) • Letters to the Editor • Education • Administration of Emergency Medicine • International Emergency Medicine • Computers in Emergency Medicine • Violence: Recognition, Management, and Prevention • Ethics • Humanities and Medicine • American Academy of Emergency Medicine • AAEM Medical Student Forum • Book and Other Media Reviews • Calendar of Events • Abstracts • Trauma Reports • Ultrasound in Emergency Medicine