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Paramedic Evaluation of Adult Intraosseous Infusion System

Published online by Cambridge University Press:  28 June 2012

Judy Findlay ,
David L. Johnson ,
Andrew J. Macnab ,
David MacDonald ,
Ryan Shellborn  and
Lark Susak
Judy Findlay
Affiliation:
Pyng Medical Corp., Vancouver, British Columbia Canada
David L. Johnson
Affiliation:
Pyng Medical Corp., Vancouver, British Columbia Canada
Andrew J. Macnab*
Affiliation:
University of British Columbia, Department of Pediatrics, Vancouver, British Columbia Canada; British Columbia Ambulance Service, Vancouver, British Columbia Canada
David MacDonald
Affiliation:
Paramedic Academy, Justice Institute of British Columbia
Ryan Shellborn
Affiliation:
Paramedic Academy, Justice Institute of British Columbia
Lark Susak
Affiliation:
Magnet Management Ltd., Burnaby, British Columbia Canada
*
Distinguished Scholar in Residence Peter Wall Institute for Advanced Studies University Centre University of British Columbia 6331 Crescent Road Vancouver, BC V6T 1Z2 CANADA E-mail: amacnab@cw.bc.ca
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Abstract

Introduction:

The First Access for Shock and Trauma (FAST 1) Sternal Intraosseous (IO) System is a vascular access device designed as an alternative to peripheral or central intravenous (IV) cannulation for the treatment of critically ill and injured adults. During the development of the device, key objectives included safety, speed of insertion, and ease of use with minimal training. This study evaluated these characteristics.

Methods:

Ten experienced paramedics participated in a 90-minute training program for the use of the FAST 1 System at the Paramedic Academy of the Justice Institute of British Columbia. Then, the paramedics used thesystem in three simulated prehospital scenarios and evaluated the ease of use and compatibility of the training method with current practice using a 10-centimeter (cm) (3.94 inches (in)), visual analog scale.

Results:

The duration of the procedure from opening the package to initiation of fluid flow ranged 52–127 seconds (mean = 92 ±32 seconds). Placement accuracy was excellent, with a mean displacement of 2 mm (0.08 in) and 1 mm (0.04 in) in the vertical and horizontal planes, respectively. The paramedics rated the system highly in all areas. They considered the training “straight forward” and “comprehensive”. The possibility for interference between the IO system and cervical collars was reported, and several suggestions to remedy this and achieve other improvements were made.

Conclusions:

Placement of the FAST 1 is fast, accurate, and easy to use. Paramedics had useful input concerning the design of the product.

Keywords

intraosseousintravenousparamedicsprehospitalsimulationtrainingvascular access
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 21 , Issue 5 , October 2006 , pp. 329 - 334
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2006

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