Is there a task more fundamental and, at times, more frustrating to paramedics than establishing IVs? I don’t think so. The Art of the IV Start, by RN and former medic Bob Rynecki, is a noteworthy attempt to address mechanical and psychological issues associated with this most basic ALS skill. If you’ve endured streaks of not being able to cannulate veins the width of a cannoli or can’t get flashback from anything narrower than a garden hose, this book is worth reading.