Paramedic evaluation of adult Intraosseous Infusion System.
نویسندگان
چکیده
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 the system 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.
منابع مشابه
Comparison of two mechanical intraosseous infusion devices: a pilot, randomized crossover trial.
INTRODUCTION Administration of medications via the intraosseous (IO) route has proven to be a lifesaving procedure in critically ill or injured children. Two mechanical IO infusion devices have been approved for use in children, the spring-loaded IO infusion device (Bone Injection Gun, BIG) and the battery-powered IO infusion drill (EZ-IO). The objective of this pilot study was to compare the s...
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The technique of intraosseous (IO) infusion has been reemerged as an alternative route of intravascular access for the delivery of fluids and some medications. Complications of IO infusion occur rarely and include fractures and osteomyelitis after long-term use of IO access. The purpose of this study was to compare the efficiency of induction of anaesthesia by a standard intravenous route and a...
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OBJECTIVE A postal survey was conducted to gain an overview of current opinion and practice relating to intraosseous infusion in adult resuscitation in accident and emergency (A&E) departments in the UK and to use the results to generate debate in light of published and personal experience. METHODS Questionnaires were sent to 559 departments listed in the 1996 British Association for Accident...
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ورودعنوان ژورنال:
- Prehospital and disaster medicine
دوره 21 5 شماره
صفحات -
تاریخ انتشار 2006