CVCs Versus Midline Catheters

Inclusion Criteria: * Patients over 18 years of age being treated in the Emergency Department at Jacobi Medical Center * Have an upper extremity (left or right arm) that can accept a midline catheter * Able to provide consent (patient or health care proxy) * Clinical team believes the patient will require inpatient admission at the time of needing intravenous access * Requires a central line or midline catheter as an expected requirement of care * Patients requiring a single vasopressor due to hypotension Exclusion Criteria: * Patients in cardiac arrest (prior to achieving ROSC) * Patients with infection or burns at both upper extremities * Patient expected to be discharged from the hospital within 24 hours * Prisoner * Pregnancy * Children less than 18 years of age * The patient is known or is suspected to be allergic to materials contained in the device * Patients known to have bacteremia * Patients with existing central venous catheter * Patients without the ability to consent (or no health care proxy to consent)