I.O. - I.V. in the chest

[jlidral]

"there's a heineken in the fridge" lol maybe you should have had a few of those before you let them do this.

[tehBLAX]

/watch?v=H_oAIdn1fwE 

[mambeux]

@alaskanmedic there's no substitution for training like you practice in real world, except when it could cause harm to those learning. Why not defib a guy with a mere 5 or 10 joules just to train? Aseptic technique in training or the field is a must. Yes there are rare cases that you may be the only one there and need to hurry but those instances are rare. 1-2 seconds scrub of a chlorprep will save lives.

[Doodlebuggie95]

Why'd you have to take that pill?

[firefighterENG32]

@psaboy1 actually its no worse than having IV inserted it looks like it hurts but its just a needle that goes into you freaked me out the first time i saw it though lol

[nissanlover]

holy shit what did i sign up for :(

[mambeux]

Why the lack of aseptic technique? Drives me nuts. Gonna have a whole lot of sternal infections

[alaskanmedic]

@mambeux fact is in a combat situation specially if u hafta to resort to a fast one aseptic technique is the last thing ur worrying about and also the last thing the soldier ur doing it to is indanger of

[armymedic98]

@THEBIGCAGEY ouh oh didnt answer my question

[armymedic98]

why the hell is he using epin nevrin or how ever you spell it(im not a real army medic like my name says)but im about to become a medevac in the airforce,

[Anthony2614]

@armymedic98 He's talking about how the soldier's hands are sweating due to the natural epinephrine his body is producing from the "Adrenaline rush" he had from being brave enough to take a FAST1. Haha!

[tomermoderchai]

I did this with a bunch of marines last year. Except it didnt initiate.....

[camdizzle17]

hard as nails...badass



[MadeInHeaven0]

in my country we dont have this equipment for do something like this, can do this procedure whit a normal cateter number 14?

[battygirl31]

@MadeInHeaven0 NO!! The introducer (the big, thick red thing) puts a HUGE amount of pressure down onto the patient and then shoots a needle catheter into the bone, infusing the fluids through the marrow. A regular 14g catheter would just bend and cause the patient more pain. Do NOT, NOT, NOT try to permiate the bone with a 14g needle.

[battygirl31]

@MadeInHeaven0 BTW, I'm an Army medic (just like these guys), that's how I know lol

[annemunceyabsher]

OMGOODNESS! Why won't my partners let me try this.

[amiemashell]

WOW, not something i would prefer thats for sure! lol

[ropesnbarrels]

I am a paramedic student in Michigan. We have been covering IO's and I must say that was pretty badass!! Good job and thank you for what you guys do.

[xEmoLov3rx]

HOLY SHIT. That's all I have to say...

[anteracmacash]

"Combat photographer...most worthless job on the planet" :D:D

hahahaha XD

[ahbawlz]

IO IV's barley hurt until you start to push med's or flush the line.

[SpaceSnaxxx]

Thank you for sharing, this was great to see. The subject is a bada**, hardly even flinched. And it probably did hurt; bone marrow donation is one of the most painful procedures, so I'm sure that stabbing something into the bone marrow without anesthetic would hurt, too.

Thank you for your service, soldiers. But come back soon, and safe.

[breakdance1441]

while watching this, my side was hurting.

[ocwhiteguy85]

don't worry you aren't allergic muahahaha.

[unabellisima]

That's pretty awesome. I'm just doing an EZ IO in the leg later this semester. (extra credit for any medic student who does it.)

[Argentinesk8er]

When would you need to do this?? Sorry I just saw this for a class and they didn't explain it well enough



[1sassysoldier]

I wanted one of these when i was in medic training. lol this is bad ass. removal doesnt seem fun. this guy is a trooper tho :) good job for taking it.

[ChristewieTV]

DAAAAAAAAAAMNN, takes a real man not to scream

[lollipopleahh123]

I'll try neck and maybe forehead but hell no to that lol looked so painful

[dragonflysRcool]

did that hurt? that had to hurt

[TheSoccerDude923]

I.O.s are never fun.

[XxBigBrother]

its called a fast one...

[TheHellBound666]

oh fuck that man id rather get shot.

[firerescue581]

Fuck yes sternal gun! so awesome

[vickiormindyb]

Our medical director only lets us do IO/IV insertion on children and in their legs.

IDK why but that's his order for IO/IV insertion.

[vickiormindyb]

Is this equivalent to a CVL? Like, instead of placing a central venous line, they do this?

[GreenDayisAmazing]

Kinda looks a bit painful???

[MrNinecrimes]

what is it for?

[fr33d0m09]

the IOs we use in the field are drills.

[68whiskey2010]

haha holy shit that sounded painful

[insign123]

this is what im going to do when im in the army

[TheMrsgregory]

I was told they run IO c/ lidocaine... i can't see it in the army... but still I heard running the fluid hurts more then initiation... I also like how he cleaned the site... then touched it afterward before he initiated in the same area....

[tludin]

nuts. ive only ever used it on people i was getting ready to pronounce anyway. glad to have fellows like this on our side

[pusshead80]

dude 2 words "HARD CORE"

[backcatcher04]

They actually have a new Fast 1 out- but with the new blue ones you don't need the removal stick- you simply grasp at the insertion site and pull. Much easier!

[MsGymnast77]

Do you have any advice on the fear of needles?

[idigghx]

...if you need one of these, you probably won't have time to worry about aichmophobia.

[dklein2008]

yeah, no kidding, also you should have just said fear of needles instead of aichmophobia, I know you are trying to be smart and all, but aichmophobia only means the fear of pointed objects, not the fear of the medical procedure involving needles or injections, which is trypanophobia.

[idigghx]

Huh.. I didn't know that, but your reply is too text book, what did you have to Google the word to discover that?

[dklein2008]

@idigghx No, Wikipedia, lol, but I only looked into it because I myself am afraid of needles.

[nicechamp]

the medic was touching ground while handling IO set.

its not a war zone at least better sterilization was to be practiced.

[Whistleblower38]

Haha! "better sterilization" ..um.. sweat,blood, tears, dirt, bugs... aaaaah the life of a combat medic!

[vickiormindyb]

So I hope this stuff will work with my brother if he gets hurt while he's in Afghanistan. He thought I was making a comment about his ability as a soldier when I voiced my concerns, but people HAVE died in wars. I don't think they were "bad" soldiers.

Do you guys go with the people who are deploying to Afghanistan?

[rubberduckyboxers]

it doesnt hurt to get this inserted. its just alot of pressure. the pain is when they flush it with the fluids. these are very rarely used. the only time i could see myself doing this to someone is if he had massive burns!

as to tq's, the army uses them first thing. we dont do direct pressure or pressure bandages. it is the best way to stop bleeding when needed. the army is usually what sets the standard in pre hospital care and then the civilian world picks those standards up shortly.

[FACTproduction]

remember that IO is only used if 2 attempts in IV has been missed or if you dont wanna loose time finding a vein like in combat situation

[Bitterbub]

dang! I'm an nurse, and am IMPRESSED with this guy! What on earth did he get for volunteering for this?!?!? I hate even having IV's done to me!

[vickiormindyb]

We don't do an IO/IV insertion in the chest in the civilian sector.

Doctors reserve that for themselves, along with open cricothyrotomies (where I live).

We put tourniquets on only as a last resort.

We don't do chest tubes either, which doctors do at the emergency room. They might do it on med-flight, but the ambulance doesn't do it.

[Linussbugg]

You're service is a bit behind than, because the NREMT, NAEMT, and NAEMP all have tourniquets RIGHT AFTER direct pressure now. No more elevating, no more pressure points.

If you apply pressure and bleeding continues, you do an TQ.

On top of that FAST1's are still used in a lot of areas. (He's using a FAST1 in the video)

[vickiormindyb]

You're right about tourniquets coming after direct pressure.

For some reason I was thinking tourniquets before direct pressure. Besides that, I actually put a tourniquet on a patient about 4 months ago.

I shouldn't write these things at night, b/c I'm usually too tired to say things the way I mean them.

I don't like tourniquets b/c I was in a car accident (in 1990) and cut my arm so bad direct pressure didn't work.

If they'd put a tourniquet on it, I might have lost my dominant hand.

[Whistleblower38]

I was at Fort Sam- TQs and then change to a pressure bandage if able to control bleeding. We were told civilian side would be moving to the same and the NREMT exams would be changing to reflect this.

[dan813r]

I just have a question about the TQ, I took FR this year and my instructors told me that direct pressure and elevation, pressure dressing, and pressure points are the best ways to control bleeding, also depending if its aterial. Adding more gauze to create clotting. Arent TQ's completely cutting off circulation by collapsing the arterie, killing cells that are not in circulation becuase a lack of 02?

[Linussbugg]

TQs actually have a time window of a few hours before they cause any major tissue death, and considering a TQ can mean the difference between life and death, go TQ.

The National Registry, the test you'll have to take to get your FR, has dropped pressure points and raising the wound. Now to stop bleeding its direct pressure and if that fails, go straight to a TQ.

[vickiormindyb]

When we first started this little war on terrorism, I thought we were supposed to find Osama bin Laden.

Are we still looking for him? Because I'd like you to find him, even if you have to find his grave and dig up his bones to PROVE he's dead.

Someone in my family died in Tower 1 of the World Trade Center. He may have taken 15 minutes to die-or an hour and 40 minutes.

Are we still trying to find Osama bin Laden?

[vickiormindyb]

The guy being the patient is really hot.

[caitlinandleticia]

"There's a Heineken in the fridge!" ....nice.

[armymedicbnw]

Reminds me of when I went thru 91W school.....and subsequently deployment medic training.....damn.....those were the days. Rock on.

[Kadavr]

FAST1's rule. They really do work. Saved my buddies life.

[Farfignewton1]

I don't think the demonstrator is a Doctor, but probably a Paramedic Teacher; where I am in San Diego Country, Medics can administer IO's on Pediatric Patients without consulting medical direction, but I believe we're looking at a more adult applications, just like in the war-zone. Props to that guy, it takes a fair amount of guts to get it done in the chest, especially if you've never seen one, or had one administered before.

[ashara1na]

-I would of went into shock immed.

[hockeygirl727]

thats hot :)

[TrishMeyer]

He's a champ I'm a PS and I don't even let students practice IV's or IM injections on me

[XXX250788XXX]

holy crap! we were talking about IO's in the knee in EMT class but i've never seen one done in the chest! eehh!!!

[shortstuff2549]

omg this guy is a champ if he volunteered for this crap

[Nightix]

ohh shiiiit man that is seriously wicked...i wonder how the guy can just lie down there as if nothing happened. I'd shake like shit just getting a 16g needle from an IV....

[jordanamed]

This is why I fucking love the Army! That's some might HUA shit right there. I'm an Army medic, and I wouldn't fucking trust an Army medic to give me an IO infusion. :)

[SmoodLee]

thats awesome.. haha

[juzores]

dose that doctor used the f word to those soliders ?????

[JDeacon88HATE]

its the military if you couldn't tell, and this is awesome

[MrGatoMan1]

ummm OUCH!

[Makezra]

Awesome, I was waiting for him to yell in pain when they started infusing fluids. I volunteered for an IO in my ankle bone and the drill wasn't bad but damn the infusion sure was terrible.

[rn1gt2]

yeah it's very painful, that's for sure. However if you ever needed one, you would be deeply, deeply unconscious - hence the need for IO - you would be shutdown down that badly that the practitioner couldn't find a vein.

[Makezra]

yea I am familiar with the procedure. As a paramedic I have done a few, our protocols call for them in cardiac arrest and major trauma pts.

[Bebegurrl82]

"If you're happy then I'm happy with it, yep close enough"

...hahaha - I love it. I'm just a basic EMT, and I love watching medics use these :)

Never have seen one in person...but I think it would be interesting...

[Vertigo017]

ow dude, the guy taking the needle is nuts..

[mithrandirsannita]

O my God! You American are very crazy!

I'll be soon an Italian Army Military Doctor, and schools in Italy are so afraid to make us training on alive people! I admire you American for this! You are so pragmatic! You know that if you don't train in the right way, you won't learn anything!

[rn1gt2]

This is not an 'IV in the chest'!!! IV stands for 'intravenous' intra = within, venous = vein. This is intraosseous ie., into bone, it is absolutely not into a vein. If you must call anything an 'IV in the chest', then you're talking about a central venous catheter (CVC) inserted into the subclavian vein, or internal jugular vein. The point is, this is absolutely not the same as an IV. It is used in vascular shutdown, due to massive hypovolaemia, cardiac arrest etc (usually in kids).

[abemoon]

the chest IV is used when the casualty goes into shock and the veins are less visible due to a weak pulse. this method of IV is usually a last resort.

[SmallBrownBass]

fire depts across the country are actually going to io on the chest for all working codes. it's def not a last resort type thing

[jollyvolley02]

what is it used for?

[spirtfoxfox]

hot guy

[kalada798]

thers a hina kin in the frige lol

[bumgold]

fucked up....

[brat597]

did that hurt or were you on meds

[butterflies808]

no there we no meds and im not sure if it hurt it wasnt my husband it was one of his classmates.

[ncn8ochaser]

@butterflies808 I can tell you first hand... this is extremely painful! I was volunteered to do this little exercise a few years ago and it's about as unpleasant as it gets!

[ncn8ochaser]

@butterflies808 Just FYI though, this is called the FAST-1 device. The pain is about the same as slamming your shin into a table at a good pace, but only if the medic does it correctly. If they don't use the right technique, it can hurt quite a bit more. Usually they'd use a topical anesthetic but for training purposes and on an unconscious patient, pain isn't regarded as an issue. ;)

[BasaraTakeda]

@ncn8ochaser lol yeah i feel for the volunteered lol XD

[sk8ter1000988]

is that you on the ground?

[butterflies808]

no one of my husbands classmates

[annaasun]

if you cant get access through the vein then you can do it this way.

[AIRBORNE916]

What is the point of getting a IV into the bone marrow?

[bobeskimo]

If your unable to get an IV. It is also quicker then an IV in patients who don't have time i.e. cardiac arrest.

[aaronlongale]

great video of the F.A.S.T. 1...no way I'd ever let somebody do that to me if didn't absolutely need it...and I'm a medic

[rhti]

is he using local ansthetic?

[butterflies808]

no there is no ansthetic

[norway1888]

@butterflies808 eponprin i a anstheic

[msteward84]

We've been taught to give 1 cc of lidocaine before we set our drip rate if the patient is alert.

[emt237192]

FU..ING  OUCH

[NickEMT]

army combat medic training or special forces medical sergeant training or what?

[butterflies808]

this is just live tissue training for us regular infantry types

[CoreyHM]

like id trust an Army Medic to give me one....fuck that!

HN (FMF) USN