Intraosseous route – The F.A.S.T.1-System… März 3, 2007Posted by JamL in Products & Technology, Science & Medicine.
The ERC guidelines of 2005 recommend considering the intraosseous application route in situations where intravenous access is difficult or simply impossible. As I am just about to finish my work on a new lecture for the ERC Advanced Life Support Courses here in Vienna, I have been confronted with different systems aiming at accomplishing a pathway to the cardiovascular system in an acceptable time. One of these devices, the „First Access for Shock & Trauma“ (F.A.S.T.1) device, is an intraosseous access device which can be applied to the manubrium sterni very easily, ensuring a quick pathway to the cardiovascular system.
I myself had the opportunity of trying the system in the course of the last ERC Congress in Stavanger (Norway), and I was very surprised at how easy it is to handle. There are only a few steps that need to be done and since the manubrium is a structure which can be found easily, the risk of dislocation is small. The IO sternal device is designed for insertion into the adult manubrium on the midline 1.6 cm below the sternal notch. For this purpose, there is an enclosed patch, which has a hole showing the operator where to place the device. After pushing it into the bone, an infusion can be attached.
The first studies with paramedics have already been conducted (check out the link below for the abstract of one of the studies) and had a fantastic outcome. Different studies show that the intraosseous route for drug delivery achieves effective plasma concentrations more reliably than the outdated concept of applying medication through the tracheal tube. With the new recommendation in the guidelines there is no doubt that the number of different products will rise since the demand will be rising as well. Today, however, the devices are still very expensive and an acceptable price is the basic requirement for this measure to become widely accepted.
Did you ever use the F.A.S.T.1-System? What were your experiences?
Study sighted in PubMed: „The paramedic evaluation of adult Intraosseous Infusion System“