Conflict Generator
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You are called by the Emergency Department to assist with IV access for a 24-year old woman who has presented in florid respiratory sepsis. She is a quadruple amputee, having required bilateral above-knee and above-elbow amputations following a blast injury sustained on active military service. She is being propped up in the bed and is unable to lie flat. Her vital signs are:
Respiratory rate 31 brpm
SpO2 84%
Systolic blood pressure 78 mmHg
Outline your approach to obtaining IV access in this patient.
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