SHIPPING $3.95 OR FREE FOR ORDERS OVER $50 TOLL FREE: 800.818.4726 TEL: 503.639.5474 Shopping Cart 0 Shipping $3.95 or FREE for orders over $50 HERO SPOTLIGHT HERO SPOTLIGHT 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. THE SAM IO PROVIDED GREAT FLOW OF FLUID ADMINISTRATION RESUSCITATION THROUGHOUT THE CARDIAC ARREST, REVIVING THE PATIENT. - LANE ABSHIRE 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. Previous SAM SPLINT KATIE CONTRERAS EMT LIEUTENANT SAM SPLINT COLTER HANSEN FATHER & OUTDOORSMAN Next #SIMORETHANSURVIVAL FOLLOW @SAMMEDICAL_ ON INSTAGRAM The hurt business is not for everybody, but it is for every body. 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