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To be fair-ish, a 16g does have almost the same flow rate and you can do permissive hypotension regardless of IV catheter size. Removing the 14g catheters from inventory does save a few dollars though... my ED doesn't normally stock 14g catheters - 16g is the biggest we usually use. Caveat: we're a non-trauma center and the only traumas we get are those dumped by the public at our doors even though there's a L2 trauma center literally just up the road.My AMR Springs op was forced to pull 14ga IV catheters after city fire's EMS people decided that a 16 has "almost the same flow" and "we do permissive hypotension now."