Stallion13 wrote:

Chase, do you know of any power point type presentation or training on these? We are currently using the manual screw in types and am looking for an alternate I can show to the training, supply and medical director where I work....yes it is state side, local county EMS. Had access to the F.A.S.T. 1 while deployed with the military in Iraq but thank God I never had to use one, although a buddy of mine has some video of him and some fellow medic training on each other with it. Evidently it smarts just a wee bit when it pops in...

Stallion,

I have a PPT on the F.A.S.T. 1 in the Office. When I get back I will try and remember to get it and shoot it your way. I like the principle of the F.A.S.T. 1 but have never used it on the "X". I don't really think I would need to. I can usually find an IV site. If all are impossible and I couldn't get a Jugular line started I suppose I would use it prior to getting the MEDEVAC on
the deck.

Just my 2 cents worth though.

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People sleep peaceably in their beds at night only because rough men stand ready to deliver violence on their behalf.

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Every war when it comes, or before it comes, is represented not as a war but as an act of self-defense against a homicidal man

You may want to consider the EZ IO for EMS purposes. They also have a small palm sized IO device that can be used. The EZ IO does not require a special tool to remove like the FAST 1. You can use any luer-lock syringe to remove the device, plus you have additional insertion sites besides the manubrium which is the only place the FAST 1 is to be used. I have used the FAST 1 on people for during certain military training evolutions, never in the field. Personally I like the EZ IO manual needle as it takes less space in your trauma bag as opposed to the FAST 1. Many EMS agencies and hospitals alike are using the EZ IO Power Driver simply because of it's versatility over the FAST 1. But I guess it all boils down to what you prefer. Here is the link to the EZ IO.

EZ IO

Satdiver

ding wrote:

Mutt, if your looking for a supplier closer to france, they are UK based www.spservices.co.uk I use them for almost all my med kit. Hope this helps you out mate. Ding

thank you Ding

Having trained on both the EZ-IO and the Jamshidi (the barbaric screw/shove-in type) I would have to push (no pun intended) for the EZ-IO also. The company is Vidacare (http://www.vidacare.com)

If you pick up the phone, I'm sure they will have a sales rep contact you and give you all the help you request: 866-479-8500

I'm converted

Insertion site preps just as fast as the IV and it is a blind screw, I mean 'stick'.

Truly, I think this will be the wave of the future and IV insertion will be considered an 'advanced' skill. You don't risk jamming the catheter up into a valve and blowing the vein, either. I can teach an artilleryman how to use an EZ-IO...but I won't.

It would be a crime to d/c an illegal Jack Daniel's bolus on a truly deserving soul, wouldn't it?

edit: forgot the contact info

bedpan_commando wrote:

Having trained on both the EZ-IO and the Jamshidi (the barbaric screw/shove-in type) I would have to push (no pun intended) for the EZ-IO also. The company is Vidacare (http://www.vidacare.com) If you pick up the phone, I'm sure they will have a sales rep contact you and give you all the help you request: 866-479-8500 I'm converted Insertion site preps just as fast as the IV and it is a blind screw, I mean 'stick'. Truly, I think this will be the wave of the future and IV insertion will be considered an 'advanced' skill. You don't risk jamming the catheter up into a valve and blowing the vein, either. I can teach an artilleryman how to use an EZ-IO...but I won't. It would be a crime to d/c an illegal Jack Daniel's bolus on a truly deserving soul, wouldn't it? edit: forgot the contact info

X2

Chase

That looks like a good tool for intraosseous infusion, but does it stay in the manubrium during e.g. CPR? I know you wrote that it's good because it doesn't interfere with compressions but won't doing compressions potentially dislodge it?
Just wondering since the manubrium is so small and "shallow" so the needle wouldn't be as deep as it is in e.g. tibial tuberosity?

I'm not trying to be a wanker here. Intraosseous access is great but I've havenät heard about putting needles in the sternum.

Thank you.

springarn wrote:

Chase That looks like a good tool for intraosseous infusion, but does it stay in the manubrium during e.g. CPR? I know you wrote that it's good because it doesn't interfere with compressions but won't doing compressions potentially dislodge it? Thank you.

Springarn - I've done 2 with the F.A.S.T 1. And both times I did chest compressions. I never saw any sign of it coming out or getting dislodged. As a matter of fact, in the SOCM course they use to do them to each other and they stopped doing them to each other because they were having such difficulty taking out the IO catheter after use. A few times they would go to pull them out and the tubing would rip off before they could get the catheter out. The last sentence was all hearsay from when I was at the course so don't quote me on that part. But, you can take my personal experience as my advice saying I highly doubt they would come out to compressions.

Thanks Tacmed10.

F.A.S.T 1 looks like a good piece of kit. Have you ever found that it leaked when you were using it? I mean leaking at the insertion because the manubrium can't take the fluid. Pretty unclear question but I hope you get what I mean..