This is called a Raulerson syringe. You can thread your wire through the back of it and into the patient if you want. I’m told this reduces the chance of air embolism.

I have never actually done this.
This is called a Raulerson syringe. You can thread your wire through the back of it and into the patient if you want. I’m told this reduces the chance of air embolism. I have never actually done this.
This is called a Raulerson syringe. You can thread your wire through the back of it and into the patient if you want. I’m told this reduces the chance of air embolism. I have never actually done this.
This is called a Raulerson syringe. You can thread your wire through the back of it and into the patient if you want. I’m told this reduces the chance of air embolism. I have never actually done this.
Speaking of the wire, this is how you straighten your J if you don’t have your ring for some reason.

Hold the wire with your hand and push out on the tip with your fingers.

Also sometimes if I am getting stuck while threading, I try flipping the J the other way when I insert it
I’ve been told to never put the wire in backwards, because you’re more likely to cause a vessel injury with the non-J side.

I haven’t fact checked that because a quick google search didn’t give me anything, but I don’t do it.
I always pre-load my dilator before I nick.

Visible bleeding stresses you out, and getting that dang dilator threaded onto the wire while the patient is bleeding can be hard. This way you are ready to go as soon as you nick.
I usually keep a stack of 4x4s right next to the site to passively catch any blood while I’m cutting & dilating.

Trust me, not having blood run down the drape helps you psychologically when you are starting out.

Getting the line in ASAP & plugging the hole will stop the bleed
The wire is annoying after you pull it out because it can spring open and fling blood across the room.

If you KNOW you are done with your wire and won’t need to reuse it, these are a couple of ways to tame it.
The wire is annoying after you pull it out because it can spring open and fling blood across the room. If you KNOW you are done with your wire and won’t need to reuse it, these are a couple of ways to tame it.
The wire is annoying after you pull it out because it can spring open and fling blood across the room. If you KNOW you are done with your wire and won’t need to reuse it, these are a couple of ways to tame it.
You can use this little thing to transduce through the Raulerson. I have never done this.
You can use this little thing to transduce through the Raulerson. I have never done this.
You can use this little thing to transduce through the Raulerson. I have never done this.
And probably my favorite thing that is always like 🤯 for the residents—this is where you squirt blood/fluids out of your syringe so it’s not floating all around in your tray.
And that’s the mega thread of things I’ve learned about lines in my couple of years of lining. Many of these things have gotten me out of jams or made things easier overall, and I hope it’s helpful.
Also I promise I’m not jaundiced...just stuck in a windowless room with fluorescent lighting. 😅
Thread broke. Here’s the first half!

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