RE: Sternal IO

["Laurie A. Romig, MD" <laurie.romig@verizon.net>]

We're in the process of educating our receiving hospitals about our sternal
IO now, and have had the same concerns. (We're holding off on actually using
the device until we know that everyone's been trained.) We've teased our
folks about taping the removal tool directly to the senior trauma
surgeon/resident, but probably the best idea we've come up with is to attach
a sticker to the infusion device that says something like "Remove only with
removal tool" in some revolting but eyecatching neon color. Combine this
with consistently giving the removal tool to a specific person, such as the
documentor or the senior surgeon, and we might stand a chance of cutting
down on problems. Hopefully it won't take as long as training ED personnel
not to cut straps and PASG's (in places where they're still used)!

Laurie Romig, MD
Bayflite, St. Pete, FL

> -----Original Message-----
> From: flightmed-admin@flightweb.com
> [mailto:flightmed-admin@flightweb.com]On Behalf Of Bob Hesse
> Sent: Tuesday, February 19, 2002 5:00 PM
> To: flightmed@flightweb.com
> Subject: Re: Sternal IO
>
>
> I would like to know how the services out there have addressed
> the issue of
> assuring that the removal tool stays with the patient. This has been a
> stumbling block to us even considering use of the device. Our fear is that
> the device will inadvertantly get thrown out or misplaced. Even
> worse would
> be a physician not trained in it's removal who decides to remove it with a
> pair of vice grips......Any suggestions???? There are too many physicians
> and residents to keep them trained up......
>
>
> Bob Hesse
>
> > >>> daceresa@penn.com 02/18/02 10:21AM >>>
> >     I know not too long ago there was discussion on the FAST 1 Sternal
> > IO device, as I recall most users expressed satisfaction with the
> > product. I would like examples of your protocols for use of the
> > device,
> > also I have read in the product info, that burns are a
> > contraindication
> > to its use. Is this relative or absolute contraindication?, seems to
> > me
> > in extensive 2nd and 3rd degrees burns this would be an avenue to
> > consider. Please reply to daceresa@penn.com, Thanks for any response.
> >
> > Dan Ceresa
> > Flight Paramedic
> >
> >
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