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SAM IO Field Storage Case

Lane Abshire

FTO, NRP, FP-C, MEDEXPRESS

UNABLE TO ESTABLISH INTRAVENOUS ACCESS, SO I MADE THE DECISION TO PERFORM THE AWAKE IO PROCEDURE WITH THE SAM IO IN ORDER TO PROVIDE THE NECESSARY ADENOSINE ADMINISTRATION QUICKLY. THIS WAS A TIME-SENSITIVE EMERGENCY REQUIRING EMERGENT INTERVENTION.

October 19, 2020

CARDIAC ARREST AND CRITICAL SVT PATIENTS

REVIVED BY SAM IO DURING COVID-19 PANDEMIC

On the frontlines of the fight against COVID-19 within New Orleans - a hot spot area that was killing residents at higher rates than in other parts of the US - seasoned first responder with experience as a search and rescue paramedic, hoist operator and flight paramedic, Lane Abshire raced to help two different patients suffering from cardiac arrest and a serious supra-ventricular tachycardia (SVT) episode. In these cases, intravenous access was necessary, but both were unattainable with an IV. He recalls the scenes of the incidents:

“The first patient was an adult male suffering cardiac arrest. Based on his critical condition, I reached for the SAM IO to access the vascular system fast. The first insertion was a proximal tibia insertion. The device fit comfortably in my hand and the 25mm SAM IO needle was easy to seat on the device. I had no issues with insertion of the needle after identification of landmarks. The needle was successfully inserted after puncturing the skin and performing 2-3 full squeezes of the device.

I was impressed I could easily remove the needle while still attached to the device and securing the needle in the sharps device that came with the needle. I found that having the needle attached to the device during removal provided good leverage and safety as opposed to having to remove a needle bare-handed with the potential of having soiled gloves and slippery hands depending on the type of emergency. The SAM IO provided great flow of fluid administration resuscitation throughout the cardiac arrest, reviving the patient. I have not had to use a pressure bag to infuse fluids on any attempt that I have had with the SAM IO. To me, the SAM IO has a better flow rate than other IO devices I have used. The second incident was with an alert adult male experiencing supra-ventricular tachycardia (SVT). I had an additional medic on scene who was unable to establish intravenous access, so I made the decision to perform the awake IO procedure with the SAM IO in order to provide the necessary Adenosine administration quickly. This was a time-sensitive case requiring emergent intervention.

Given the patient was awake, I was concerned about the pain he was about to experience with the insertion, especially because the SAM IO is not a continuous rotation of the needle. I prepared all the equipment and identified landmarks without incident. I punctured the skin with the device and began squeezing the SAM IO device upon feeling the needle on the head of the humerus. I believe I squeezed a total of 4 times by the time the needle was inserted to an appropriate depth.

To my surprise, the awake patient barely noticed that I had completed the procedure. I secured the SAM IO, administered lidocaine to numb the intraosseous space in accordance with protocols and procedures, and moved forward with the SVT treatment.

Of these two incidents, there was no major difference in the pros and cons between the two IO insertions. The biggest difference for me was the awake insertion and the less than anticipated discomfort to the patient, which was a pleasant surprise and a deciding factor for me personally in continuing to utilize the SAM IO on future calls! While called to New Orleans during COVID-19 pandemic, I actually used the SAM IO six or seven times - all of which were my first times using the device. It was very straightforward to use!”

THE AWAKE PATIENT BARELY NOTICED THAT I HAD COMPLETED THE PROCEDURE.

- Lane Abshire

3 THINGS EVERY EMERGENCY MEDIC SHOULD KNOW ABOUT IO DEVICES

01 01

The actuation of the IO needle system should occur only after the stylet is in full contact with the targeted bone.

02 02

Because IO access provides a rapid, safe, and efficient route for the treatment of all types of hypovolemic and vascular compromised patients as well as a medication life-line, IO devices are an acceptable primary or alternative route for all medications, fluids, or blood products that are approved to be delivered intravenously.

03 03

Absorption rates via the IO route is comparable to IV routes including short half-life medications like Adenosine.

SAM SPLINT

Colter Hansen

FATHER & OUTDOORSMAN
Emergency situations can happen in a flash-- just ask father and SAM Medical customer Colter Hansen. He and his family were in the midst of an adventurous tour across the U.S.-- 50 states in 50 weeks-- when a sudden accidental injury occurred to his young daughter.

SAM XT

Officer Lorne Juday

BIG RAPIDS DEPT. OF PUBLIC SAFETY
There are many instances in which severe blood loss can pose life threatening outcomes. In this case, Police Officer Lorne Juday with Big Rapids Dept. of Public Safety was dispatched for a possible suicide attempt.

SAM XT

Ian Six

EMT & FORMER MARINE
A former Marine, Ian Six was part of the Emergency Medical Services (EMS) rescue team that was called to a metal scrap yard where a man had slipped on a conveyor belt and entrapped his leg between the gears.

SAM XT

Eddy Vershilovsky

EMT & FORMER MILITARY MEDIC
A former combat military medic and an EMT for 13 years, Eddy Vershilovsky happened to be off-duty when a female pedestrian was severely injured after being hit by a vehicle. Now, a volunteer paramedic who works on trauma and pressure control.

SAM IO Field Storage Case

Lane Abshire

FTO, NRP, FP-C, MEDEXPRESS
On the frontlines of the fight against COVID-19 within New Orleans - a hot spot area that was killing residents at higher rates than in other parts of the US - seasoned first responder with experience as a search and rescue paramedic, hoist operator and flight paramedic, Lane ...

SAM SPLINT

Katie Contreras

EMT LIEUTENANT
Having an emergency kit with medical devices on hand is important - not just for severe, life-threatening situations. Katie Contreras, a Training Lieutenant and EMT for San Marcos Hays County, was off-duty playing football when she suffered from a minor but painful injury.

#SIMORETHANSURVIVAL

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