When I was doing my paramedic clinicals in hospital and an IV became occluded the nurse would just ram 10-20mL NS through the line.:censored: I would always refuse to do it and let them. Out on the road I can not count how many times I've picked up a pt for a interfacility txp and enrout noticed the line was occluded. :censored: If the pt did not necessarily need fluids I have always just locked off the line and advised the receiving facility of the problem, what they did after that I don't know.:censored: Last night for the first time, I had a subarachnoid bleed s/p assault. pt had a 22g IV in the bicep flowing just over TKO.:censored: I guess from the ride on the cot with our low IV pole the IV:censoredccluded (no blood backed up into line).:censored: Enrout pt:censored:BP slowly dropped down to 100/60 from 145/95ish.:censored: Pt:censored:had very poor IV access and I couldn't establish another line so I did like the RN's I've seen in the past and didn't like it at all.:censored: I felt a little resistance and a small pop and then the line flowed as a 22g should. I figured that it was a:censored:relatively fresh clot and the body would be able to break it up before it:censored:became a major problem. :censored: What do you guys do for an occluded IV??