[Verse 1] Eighteen gauge in the antecubital, taped and secured with care, Short peripheral cannula, the workhorse always there, Gauge determines flow rate, Poiseuille taught us that much, Fourteen for the trauma bay, rapid bolus at a touch, Check for flashback, aspirate, confirm before you flush, Phlebitis creeps in quietly, so rotate — never rush [Chorus] Central, arterial, peripheral, intraosseous, Rapid infuser, cell salvage — run the calculus, TCI pumps model plasma, warming keeps you whole, Access is the architecture, infusion is the soul, Access is the architecture, infusion is the soul [Verse 2] Triple lumen central line, subclavian or internal jugular placed, Confirm with chest X-ray, tip at the cavo-atrial traced, CVP waveform reading, a through to x descent, Peripherally inserted for the patient long-term meant, Sterile technique mandatory, ultrasound guides the needle true, Pneumothorax, arterial puncture — complications you walk through [Chorus] Central, arterial, peripheral, intraosseous, Rapid infuser, cell salvage — run the calculus, TCI pumps model plasma, warming keeps you whole, Access is the architecture, infusion is the soul, Access is the architecture, infusion is the soul [Verse 3] Radial artery cannulated, twenty gauge, non-dominant wrist, Allen test before insertion, ischemia on the risk list, Continuous waveform pressure, beat-by-beat displayed, Dampened trace means air or clot, flush and re-appraise, Femoral when radial fails, brachial if you must, Never sample from the drip arm — accuracy or bust [Bridge] When the vein collapses, marrow answers the call, Proximal tibia or humeral head absorbs it all, IO access in sixty seconds, pressure bag to drive, Fluids, drugs, and blood products — keep the patient alive, Belmont or Level One rapid, four to six hundred per minute, Cell salvage washes surgical blood, reinfuse what's in it, Bair Hugger blankets, fluid warmers, Ranger inline heat — Hypothermia is the enemy bleeding makes complete [Chorus] Central, arterial, peripheral, intraosseous, Rapid infuser, cell salvage — run the calculus, TCI pumps model plasma, warming keeps you whole, Access is the architecture, infusion is the soul, Access is the architecture, infusion is the soul [Outro] TCI Marsh or Schnider, target-controlled propofol, Effect-site versus plasma — pick the right protocol, Syringe pump, volumetric, gravity drip — each has its place, Every access point a decision, every drop a careful trace, Cannulate with purpose, monitor what you've placed, Vascular access isn't plumbing — it's precision, not haste
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