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

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

From World Extreme Medicine Podcast by World Extreme Medicine

December 23, 2025 · 58 min

About this episode

This episode discusses a groundbreaking study on trauma lines in pre-hospital haemorrhagic shock with insights from 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.

People in this episode

Host: Eoin Walker

Guest: Paolo Pallavicini

Topics covered

  • pre-hospital trauma care
  • haemorrhagic shock
  • trauma lines
  • blood delivery rates
  • central venous access

Keywords

  • IV access
  • IO access
  • exsanguinating trauma
  • clinical risk-benefit decisions
  • governance and training

Mentioned in this episode

Books & works: Beyond IO and IV: Trauma Lines in Pre-Hospital Haemorrhagic Shock, Beyond IO and IV - Trauma Lines in Pre-Hospital Haemorrhagic Shock

Places: London

More episodes of World Extreme Medicine Podcast

Explore listener stats, chart rankings, contacts and more on the World Extreme Medicine Podcast podcast page.