Vascular access in seriously ill and injured infants and young children can be the most time-consuming part of resuscitation. Failure to establish an IV line rapidly can lead to unacceptable delay in administering potentially lifesaving fluids and medications.1 In up to 25 percent of cases of cardiopulmonary arrest, the time to establish vascular access may be longer than 10 minutes, and in 6 percent of cases, establishing vascular access may not be possible.2

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