In a patient with altered circulatory status, which statement about IV/IO access is correct?

• A. False. You must have two sites of access.
• B. True. One site is sufficient.
• C. It depends on patient stability.
• D. You only need IO access.

Answer: (A)

In a patient with altered circulatory status, rapid vascular access is essential for timely resuscitation, but insisting on two IV sites right away isn’t always practical or necessary. The priority is to gain access quickly to administer fluids, medications, and blood products. If two IV lines can be obtained rapidly, do so; if not, place one IV line immediately and use intraosseous access as a fast backup. This is why the statement claiming you must have two sites is not universally true—the approach should be flexible and focused on speed and effectiveness of resuscitation, with IO as the backup when IV access is hard to obtain.