Postpartum hemorrhage management to facilitate rapid resuscitation en route: which action is recommended?

• A. Add a large-bore IV line en route.
• B. Delay IV lines until arrival.
• C. Provide only oral hydration.
• D. Withhold fluids.

Answer: (A)

In postpartum hemorrhage, getting the patient resuscitated quickly during transport starts with reliable vascular access that can deliver fluids and blood products rapidly. A large-bore IV line enables swift IV fluid boluses and easy administration of any needed medications or blood products, which is essential to maintain perfusion and prevent shock while en route to definitive care. Delaying IV access until arrival delays resuscitation and can worsen outcomes. Oral hydration cannot replace IV fluids during active hemorrhage and transport, and withholding fluids ignores the immediate need to restore circulating volume. Securing a large-bore IV line en route is the best action to facilitate rapid resuscitation.