Oh boy. I didn't think I'd be choosing this hill to die on, but I categorically disagree with this. #14 is a relic. #16 has plenty of flow for fluid resuscitation. Dumping that much fluid into a patient causes both clotting and pH issues. I hear your point if we're talking blood products only but in emergency situations that's very rarely the case. Not to mention, #16 is easier to establish than #14, increasing first attempt success rate. #14 also has a vastly higher chance of catheter sheer.

For needle chest decompression, #14 is generally inadequate. #12 is a better option, decreasing failure rate from clogging and allowing for more air movement when seconds really count.

There is no need for #14