FASTx (next gen FAST 1 for IO)

[Iraq Ninja]

but also have one of the original SOF insertion devices (do they even still make those?).

If that is the manually inserted version, I think Chinook still sells them. I must admit I am interested in it, but we have liability issues. FAST is our issued kit, and if we use something else we are not certified on it may cause issues with our Head Shed. Price is always a factor in contracting. Worse case situation is that you could save someone's life, but loose your job if you could not show you were qualified to use it.

[MIKE G]

.....

[Iraq Ninja]

Hmm, I guess I should look up the local 18D here on the FOB.

BTW, if you want to make a training FAST, just drill a hole in the top of the handle and use a screwdriver to push it down to reset. A bit more realistic compared the the velcro verson in the Pyng training kit. Obviously there is the sharps concern with such a modification.

[NinjaMedic]

Definitely stick with what you are issued. And I agree that the FAST is a great tool for use on healthy adults wearing body armor the real limitations show up on the civilian side.

[Gutshot John]

Neat piece of kit but OUUUCCCHHH!!!

My experience with I/O needles is exclusively pediatric.

Why did they choose the sternum rather than say a shin bone?

[Iraq Ninja]

I suspect that a sternal IO is a bit faster than one put in at the tibia. Not sure how important this is for fluid resus, but probably more important for drugs.

[Gutshot John]

I suspect that a sternal IO is a bit faster than one put in at the tibia. Not sure how important this is for fluid resus, but probably more important for drugs.

So essentially the sternum is proximal to the vitals so drugs get there faster?

[Danny Boy]

Why did they choose the sternum rather than say a shin bone?

Extremities get blown off but are survivable. Chances are if you've been in a blast and are alive then you have your sternum, but maybe not your arms and legs.

[lexmedic157]

I dunno, proximal humerus is pretty quick to central circulation. Fast enough to give adenosine. I watched a fluoroscope with a patient getting contrast through a prox humerus and the drug got to heart in less than a sec.

[lexmedic157]

Sternal is pretty convenient for healthy soldiers especially with extremity trauma. Another toy in the bag I guess.