
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
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