A prescription for better veterans’ medical care

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When a 12-month-old boy arrived at a rural Arizona emergency room last year, a nurse practitioner diagnosed his life-threatening infection. The child desperately needed intravenous fluids, but the available doctors were not trained in an advanced ultrasound technique used to place a life-saving IV line called a “central line” into his tiny arm and leg veins.

The child was too critical to wait for a medevac, so a certified registered nurse anesthetist (CRNA) was called in to help. A CRNA is trained to provide anesthesia and administer fluids. The CRNA successfully inserted an ultrasound guided-central line into the child’s femoral vein, the large vessel that returns blood from the body to the heart. Resuscitation began, and it saved the child’s life.

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