saline

[BadKarma26]

Does anyone know where I can get 1000 ml sodium chloride bags for IV irrigation/hydration? I got some with my first trauma kit but used them already haha. I'm not EMS, but I am an EMT.

[Chuck6d]

Make friends with your unit's doc :lol:

[BadKarma26]

Make friends with your unit's doc :lol:

ive talked with a CLS in my platoon but he was kind of a prick and said even the platoon medic couldn't give stuff like that away.

[David]

your medic wouldn't be "just giving **** away" if he gave to people that would actually use it for what its supposed to be used for, like being put in an aid bag for missions or to train people how to give iv's. which is what we sometimes use our iv solution for, most of the time we just use it for hangovers. and just wondering, what level emt are you?

[BadKarma26]

1/BASIC

[Michael RVR]

You can buy it from a pharmacy.

Or alternatively, make friends with a nurse. ;)

[ibstolidude]

Does anyone know where I can get 1000 ml sodium chloride bags for IV irrigation/hydration? I got some with my first trauma kit but used them already haha. I'm not EMS, but I am an EMT.
If you are an EMT then ask an ALS crew or the hospital. If not try a VA, send out your former medics.


OR, this is crazy - try supply. You can re-order expendables.

new lesson for you!, never use your bags - line people with theirs or the medics or the CLS kit's bags.

[Deuterium]

Screw the saline. Hespan is the way to go.

[ibstolidude]

Screw the saline. Hespan is the way to go.

I think he only wants it for hydration and irrigation of wounds. Given the choice of what to carry (LR, Hespan, Saline) I would go with hespan for a trauma kit, but not so much for hydration therapy.

I am curious: What do you reccomendfor simple hydration therapy? and is Hespan, why?

thanks.

[FozzieBear]

Screw the saline. Hespan is the way to go.

I think he only wants it for hydration and irrigation of wounds. Given the choice of what to carry (LR, Hespan, Saline) I would go with hespan for a trauma kit, but not so much for hydration therapy.

I am curious: What do you reccomendfor simple hydration therapy? and is Hespan, why?

thanks.well theres nothing better than a drip for de-hydration is there?

[ibstolidude]

Screw the saline. Hespan is the way to go.

I think he only wants it for hydration and irrigation of wounds. Given the choice of what to carry (LR, Hespan, Saline) I would go with hespan for a trauma kit, but not so much for hydration therapy.

I am curious: What do you reccomendfor simple hydration therapy? and is Hespan, why?

thanks.well theres nothing better than a drip for de-hydration is there?
yeah but there is a substantial diference between hydration and hypovolemia associated with trauma - and a difference between using LR, Saline and Hespan.

[FozzieBear]

Screw the saline. Hespan is the way to go.

I think he only wants it for hydration and irrigation of wounds. Given the choice of what to carry (LR, Hespan, Saline) I would go with hespan for a trauma kit, but not so much for hydration therapy.

I am curious: What do you reccomendfor simple hydration therapy? and is Hespan, why?

thanks.well theres nothing better than a drip for de-hydration is there?
yeah but there is a substantial diference between hydration and hypovolemia associated with trauma - and a difference between using LR, Saline and Hespan.isnt hespan for replacing blood cells or something so the heart doesnt run dry? lol im a lamen when it comes to medical stuff ;)

[David]

iv's with saline or hespan aren't to replace the blood cells, it's too keep the the blood pressure from dropping too low by adding volume so they don't go into hypovolemic shock. i don't know too much about it but i think hespan is better because it's equal to about 3 bags of regular iv fluid because it somehow takes up more volume. and your not going to hydrate any quicker taking an iv than you are just drinking water, its usually for people that are such bad heat casualties they can't even drink water (like the alcoholics in my company). and don't go getting any crazy ideas like putting alcohol in your iv solution to get drunk without drinking, it hurts and makes you sick and could potentially kill your dumbass.

[Daga]

its usually for people that are such bad heat casualties they can't even drink water
Or the camelbak up the butt method :|

warning: use their camelbak and when there are no ivs.

[Deuterium]

Screw the saline. Hespan is the way to go.

I think he only wants it for hydration and irrigation of wounds. Given the choice of what to carry (LR, Hespan, Saline) I would go with hespan for a trauma kit, but not so much for hydration therapy.

I am curious: What do you reccomendfor simple hydration therapy? and is Hespan, why?

thanks.

Ah Christ I didn't really read his post. No you are right. I jumped to the conclusion he was talking about trauma. You are spot on in your recommendations.

[BadKarma26]

Does anyone know where I can get 1000 ml sodium chloride bags for IV irrigation/hydration? I got some with my first trauma kit but used them already haha. I'm not EMS, but I am an EMT.
If you are an EMT then ask an ALS crew or the hospital. If not try a VA, send out your former medics.


OR, this is crazy - try supply. You can re-order expendables.

new lesson for you!, never use your bags - line people with theirs or the medics or the CLS kit's bags.

thanks

[California Joe]

Quit giving your buddies IVs just cause they're hungover. p-)

B12 shot in the ass will straighten them right out.

[digrar]

And don't use one straight out of a refrigerator, I had a mate who learnt that lesson the hard way. The fluid got about 6 inches up his arm before he pulled the line out because of the pain. :P

[ABNINF]

IV bags may be hard to get while you're in the rear, but once you deploy, they're easy to come by

[Sabre]

I'm not familiar with 'hespan', is that a colloid iv?

Hang on, just googled it:

the stuff is 'hydroxyethyl starch':


Hespan-supplemented resuscitation lowered all serum proteins including albumin, globulin and coagulant proteins; concomitantly, the lymph protein rose after Hespan resuscitation. This decrease in serum proteins and rise in lymph proteins parallels similar results after albumin resuscitation in man and animals and suggests that Hespan induces an oncotically controlled extravascular protein relocation. Further studies on the significance of these findings need to be conducted.

Hmmm, it lowers serum protein concentration and raises extravascular concentration. It must do this because of the starch increasing the serum concentration and causing existing plasma proteins to leave the blood vessels. It would follow that fluid would move with the protein and result in increased perfusion of the surrounding tissues. But does it raise BP though? The problems with colloid IVs were that they rapidly raised BP by causing fluid to be reabsorbed into the vessels from the surrounding tissues due to the increased protein concentration, only for the effect to reverse rapidly when the colloid wore off; causing a 'colloid crash' and a second bout of hypovolaemia.

Anyone got any more info on this 'Hespan' stuff?

[James]

We had some Hespan on hand during my last trip overseas. Doc told us to use it if someone got shot. Only 1 bag every 30 minutes, in addition do direct pressure, bandaging, etc. I think it will raise the blood pressure a little bit, but it maintains higher red blood cell count than lactated ringers.

Disclaimer: I'm not a doc. I can bandage people and stick them with needles, but that's about it.

[Seraphim]

Disclaimer: I'm not a doc. I can bandage people and stick them with needles, but that's about it.

Hey thats not what you said last night!

[BadKarma26]

i ended up buying 3 500ml bags of the sodium chloride at a local pharmacy. i looked into the hespan...WAY too expensive.

[ibstolidude]

i ended up buying 3 500ml bags of the sodium chloride at a local pharmacy. i looked into the hespan...WAY too expensive.
Keep in mind what it is intended for. Hespan - hetastarch -hextend or HemCon and products such as quickclot or even the lesser bleedx/traumadex - all = $$.

[tracker6]

Also keep in mind that if you plan on using it while in the states, make sure that you do not exceed your level of medical training. Once you cross the line you become liable for anything that happens to the patient.

[FuturePara]

I was just going to comment on this as well. Does the EMT-B scope of practice in your state allow for the starting of IV's? Here in SoCAL that's reserved for ALS personnel including CCT RN's.