PM 002j FAST1 Trainers Manual

FAST 1
Intraosseous Infusion System
Trainers Manual
May 2011 www.pyng.com
2011 Pyng Medical Corp.
FAST 1
TRAINERS MANUAL
This Trainers Manual is an essential component of the FAST1

education program. It contains the guidelines and information needed
to effectively and efficiently teach emergency personnel how to
perform adult intraosseous (IO) infusion using the FAST1.
Although the FAST1 can be quickly and easily mastered, this is a
SPECIALIZED MEDICAL PROCEDURE WHICH SHOULD NOT BE
ATTEMPTED BY UNTRAINED PERSONNEL.
Quality education is paramount to ensure users achieve the highest
levels of competence and confidence with this lifesaving device.
Upon completion of training, students will be able to:

Discuss the principles of intraosseous infusion
List indications and precautions for use of the FAST1
Demonstrate safe and effective use of the FAST1 on a manikin
Explain and demonstrate the removal procedure for

the FAST1
Pyng Medical Corp. is committed to saving lives in seconds.

Comments and suggestions for improvement of training and use of the
FAST1 are greatly appreciated.
Pyng Medical Corp.
7 - 13511 Crestwood Place
Richmond BC V6V 2E9 Canada
Phone:
604-303-7964
1-800-349-7964
info@pyng.com
Pyng Medical Corp.
www.pyng.com
PM-002j
FAST 1
FAST1 LESSON PLAN
TABLE OF CONTENTS
INTRODUCTION ....................................................... 1
INTRAOSSEOUS INFUSION AND FAST1 ................ 2
INDICATIONS ............................................................ 5
PRECAUTIONS/WARNINGS .................................... 5
DEMONSTRATION .................................................... 6
STEP-BY-STEP INSTRUCTIONS ............................. 7
SKILL PRACTICE TO MASTERY ........................... 10
REMOVAL ................................................................ 11
FAST1 TRAINING DEVICE INSTRUCTIONS ......... 12
SIMIO TRAINING DEVICE INSTRUCTIONS .......... 18
TROUBLESHOOTING ..............................................22
FAST1 SKILLS EVALUATION .................................. 24
FAST1 WRITTEN EVALUATION ............................. 25
ANSWER KEY ......................................................... 27
REFERENCES ........................................................ 29
Pyng Medical Corp.
www.pyng.com
PM-002j
FAST 1
INTRODUCTION
(5 minutes)
1. Introduce yourself and welcome students
2. Display course objectives:

By the end of this session you will be able to:

Discuss the principles of intraosseous infusion
List indications and precautions for use of the FAST1
Demonstrate safe and effective use of the FAST1

on a manikin and training device
Explain and demonstrate the procedure for removal

of the FAST1
3. Provide overview of training:
Pyng Medical Corp.
www.pyng.com
Brief discussion of intraosseous infusion and FAST1

device
Demonstration of FAST1 (done in real-time)
Step-by-step instruction
Skill practice to mastery
Troubleshooting
Evaluation
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PM-002j
FAST 1
INTRAOSSEOUS INFUSION AND FAST1

(10-15 minutes)
1. Have students recall their most recent cardiac

arrest patients (codes) or most recent attempt to
secure vascular access on a trauma casualty, and
then ask these questions:
Were you able to establish a patent IV?
How many attempts were required?
How long did this process take?
Were chest compressions interrupted to start
the IV?
Would your patients benefit from a faster, more
reliable procedure?

Studies show it takes an average of 3-12 minutes

to establish an IV with failure rates of 10-40% in
the pre-hospital setting. Transport is often delayed
due to the difficulty of inserting an IV in a moving
vehicle.
2. Ask:
Who is familiar with IO?

Who has done IO before?
How does IO work?

Fluids and medications infused into the bone
marrow are drained into the vascular/
circulatory system
Who has performed this Sternal IO procedure
on a patient?

Ask the student to share briefly about the experience.
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2
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FAST 1
3. FAST1
Provides vascular access comparable to a
central line.
Pyng Medical Corp.
The manubrium is the most effective IO site

(research shows fluids and medications reach the
heart in 20-30 seconds) due to its close proximity
to the heart and immediate absorption via internal
mammary and azygos veins which empty directly
into vena cava.
Takes about 10 seconds to insert, less than 60

seconds for entire procedure.
Does not interfere with other procedures and can

be used concurrently (compressions,
cricothyroidotomy, etc.).
The location of the manubrium insertion site high

on the torso is often protected in trauma and
military situations, and allows for emergency care
from a single area near the patients head.
Can be inserted while transporting the patient in

moving vehicles.
Fluids and medications can be administered as you

would for IV such as slow drip, boluses or pressure
infuser.
Fluids and medications have infused into sternums

at 30ml/min by 1 m gravity drip, 120ml/min by
pressurized source and 250ml/min by syringe
(infusion rates).
Safe for patient (penetrates 6mm into the

manubrium) and staff.
Is quick to learn and easy to retain the knowledge.
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FAST 1
4. Pass around sample Infusion Tubes

Note its flexibility - this allows it to move with

patients skin which prevents it from dislodging
Look at steel bone portal - it will be inserted just

inside marrow space
Approximately 14 gauge inner diameter tubing
Approximately 17 gauge inner diameter portal
See Page 3 for system infusion rates
5. Hold up FAST1 Introducer
Pyng Medical Corp.
Releases at a depth of 6 mm from the surface of

manubrium to place in the marrow space
Muscle-powered (not battery-dependent, springloaded or pneumatic)
Actual force will vary depending on patient

anatomy
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FAST 1
INDICATIONS
Establish a sternal intraosseous access route

for fluids or drugs
For patients 12 years of age and older

(adolescents to adult)
Use whenever vascular access is required to

facilitate emergency resuscitation
Can be left in place for up to 24 hours
PRECAUTIONS/WARNINGS
Pyng Medical Corp.
Trauma, infection or burns at insertion site may

prelude use.
Safety with very severe osteoporosis has not

been proven.
Use in patients with recent sternotomy may

prove less effective.
The function of the device may be affected by

fracture of the sternum or vascular injury which
may compromise the integrity of the manubrium
or it vascularization.
Insertion in sites other than the manubrium are

not approved and may result in ineffective
infusion and/or serious injury to the patient.
Reuse of the FAST1 is not recommended due to

the potential of cross-contamination, which may
lead to serious injury or death. The FAST1 is
unlikely to function after use.
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PM-002j
FAST 1
DEMONSTRATION
(Should be less than 1 minute)
1. Be sure the trainer, manikin, and other equipment

are ready for a speedy, flawless procedure.
Practice, practice, practice!
2. Invite someone to time it. Ask students to hold their

questions until afterward.
3. Describe a real-life scenario with the manikin as

your patient.

(ex1: Heres a 68 year-old male in cardiac arrest we need to give drugs Im going to use the
FAST1.)
(ex2: A 19 year-old male with bilateral lower

extremity amputation is in severe pain following
tourniquet application. Hemorrhage and
breathing have been controlled and the airway is
secure. There are no visible or palpable peripheral
veins because of significant blood loss. Im going to
use the FAST1 to secure vascular access.)
4. Perform procedure.
5. Ask if this appears to be superior to numerous IV

attempts, interrupting CPR, and/or delaying
transport.
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FAST 1
STEP-BY-STEP INSTRUCTIONS
(5-10 minutes)
1. Expose sternum and locate sternal notch.

Tell students to place index finger in the

sternal notch.

Have them pair up and do the same with their

partner.
This is the landmark its easy to find in any

patient. Thats where you put the Target Patch.
2. Clean insertion site.

Put Target Patch on manikin; pull off tabs #1, then

#2 to adhere.
(To preserve the manikins skin and avoid wasting

Target Patches, permanently affix a Target Patch
to the manikin and just demo this.)
Point out that it is just below the sternal notch with

Target Zone over manubrium.
Swab the insertion site
Pull tabs off Target Patch
Place Target Patch
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PM-002j
FAST 1
3. Stand at patients head, hold FAST1

Introducer in dominant hand (or as
comfortable).

Twist to remove Sharps Protection Cap.
Place Stabilizer Needles in Target Zone.
Hold Introducer perpendicular to manubrium

and PAUSE.
This position ensures the Infusion Tube tip

will be inserted correctly.
Give everyone an opportunity to see what

perpendicular to the manubrium looks like
and also model NOT perpendicular.
4. Press down smoothly with increasing force

until you hear and feel the Infusion Tube
separate from the FAST1 Introducer.
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Hold this position while you ask a couple of

students to describe the pressure you just
used.
Reinforce that it was smooth and steady.
Dont stab, jab, or twist just push until it

releases.
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FAST 1
5. Pull Introducer up, off Infusion Tube.

IMMEDIATELY push Stabilizer Needles into

the bright red Sharps Foam Plug (one-hand
procedure. The Sharps Foam Plug must remain
on the table-top, and NOT be picked up and
pushed on). Discard the FAST1 following local
contaminated sharps protocols.
Sharps Foam Plug
6. Remove BLUE cap and connect Infusion Tube

to friction fitting on tubing attached to Target
Patch.

Remove WHITE cap from Luer fitting and

connect IV tubing.
Or you could immediately inject medications/

fluid directly into this site.
Option: (refer to your protocols)
Flush with fluid to clear
Confirm placement by aspiration

7. Secure Protector Dome directly over Target
Patch and press down firmly.

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FAST 1
SKILL PRACTICE TO MASTERY

(Time variable)
Most medical providers will only need one or

two trials to be totally competent and confident:
however, since everyone achieves mastery of
psychomotor skills at a different rate, be sure to
plan for and allow plenty of time with this section.
Remember, once a medical provider feels
comfortable with the FAST1, he/she is more likely
to utilize it.
HANDY TEACHING HINT:

Put the students who finish first to work: they can
quickly be taught to reset the trainer, turn the
manikins disk, etc., which frees you up to work
more closely with anyone who requires a bit more
instruction. Reassure those who are struggling
that, I needed to practice that a few times too.
Pyng Medical Corp.
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10
PM-002j
FAST 1
REMOVAL
Students are taught how to remove the FAST1

because theres a strong possibility the hospital
staff may request assistance (or just reassurance)
with the procedure.
1. Remove Protector Dome.
2. Turn off the source of fluid and medication.

Disconnect IV and friction fitting from Infusion
Tube.
3. Grasp Infusion Tube with fingers or clamp and

pull perpendicular to the manubrium until entire
Infusion Tube (including metal tip) emerges from
patients chest.

Note: Pull in one continuous motion (do not

start/stop) until removed. Use the Tube to pull,
not the Luer connection. It is normal for the
tubing to stretch.
4. Peel off Target Patch and dress the site as per

standard protocol.
5. Discard Infusion Tube and Target Patch

following local contaminated sharps protocol.
Pyng Medical Corp.
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11
PM-002j
FAST 1
FAST1 TRAINING DEVICE INSTRUCTIONS
DEPLOYMENT
1. Place Target Patch on a SimStern block
(yellow foam with plastic over white foam).

a. The clear, hard plastic represents the bone.
b. The yellow foam represents the skin and fat

tissue.
c. The white Styrofoam represents the

marrow.
2. Peel off tabs #1, then #2 and adhere to

SimStern block.
3. Hold FAST1 Training Device in dominant hand

(or as comfortable).
4. Remove the Sharps Protection Cap from the

FAST1 Training Device.
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12
PM-002j
FAST 1
5. Place Stablizer Needles in the Target Zone

of the Target Patch, perpendicular to the
SimStern block.
6. Press down with firm and increasing force until

the Introducer releases.
7. Pull the FAST1 Training Device straight back

to separate the Handle from the Infusion
Tube, which is now inserted into the SimStern
bone.
8. Push the Stabilizer Needles straight into the

red Sharps Foam Plug and reattach Sharps
Protection Cap.

Pyng Medical Corp.
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This is a one-handed procedure and the

Sharps Foam Plug must remain on the table/
surface and NOT be picked up.
13
PM-002j
FAST 1
9. Remove BLUE cap and connect the Infusion

Tube to the connector tubing attached to the
Patch. Remove the WHITE cap from Luer
fitting and connect IV tubing.
10. Secure Protector Dome to Target Patch.
REMOVAL
11. Remove the Protector Dome.
12. Disconnect the IV line from the Connector

Tube on the Target Patch and the friction fitting
from the Infusion Tube.
13. To remove, grip as close to the lower end of

the Infusion Tube as possible.
Pyng Medical Corp.
Pull the Infusion Tube out from the SimStern

bone.
Note: Pull in one continuous motion (do not

start/stop) until removed. Use the Tube to
pull, not the Luer connection. It is normal for
the tubing to stretch.
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PM-002j
FAST 1
RESETTING THE FAST1 TRAINING DEVICE
RESETTING THE STABILIZER NEEDLES

1. Remove the Sharps Protection Cap and/or
Sharps Foam Plug.
2. Ensure that there is no Infusion Tube on the

Stylet.
3. Reset the FAST1 Training Device using the

Reset Tool.

Insert the Reset Tool through the small hole in

the distal end (opposite end from the Stabilizer
Needles) of the Training Device.
4. Hold the FAST1 Training Device in one hand

and the Reset Tool in the other, so that the
Reset Tool can be pushed while keeping the
Stabilizer Needles pointed away from you and
anyone else.

Warning: When you reset the Training Device,

its sharp Stabilizer Needles will snap forward
into place. Keep fingers well away from this
end.
5. Reset the FAST1 Training Device by pushing

on the Reset Tool (as shown) until the Stabilizer
Needles snap forward into place. Remove the
Reset Tool.

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The Stabilizer Needles are now reset.
15
PM-002j
FAST 1
REPLACING THE INFUSION TUBE AND STYLET SUPPORTS
Warning: The Stabilizer Needles are very

sharp. Use caution when replacing the
Infusion Tube and Stylet Supports. Use the
Reset Tool to prevent needle stick injuries.
1. After the Stabilizer Needles have been reset,

place the Infusion Tube into the center of the
Stabilizer Needles.

Ensure the Stylet enters the Infusion Tube. Be

careful not to puncture the Tube with the Stylet
tip.
2. Use the Reset Tool to seat the stainless steel

bone portal tip on the tip of the Stylet.
3. Pick up one Stylet Support. Loosely place

its bulb end into the bore of the Stabilizer
Needles, on one side of the Infusion Tube.
The bulb end must face into the Introducer.
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PM-002j
FAST 1
4. Hold the Reset Tool as shown to push the

Stylet Support gently into the bore until it clicks
into place. The Reset Tool will slide between
the needles.

Once in place, the end of the Stylet Support

should be approximately flush with the
proximal face of the bone probe.
Note: Holding the Reset Tool as shown

prevents over-insertion of the Stylet Supports.
5. Repeat steps 3 and 4 with the second Stylet

Support.

Be careful to insert the second Stylet Support

on the opposite side of the Infusion Tube from
the first support. Ensure the Stylet Support is
inserted bulb end first.
6. Replace the Sharps Protection Cap.

Pyng Medical Corp.
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The FAST1 Training Device is now reset and

reloaded. It is ready to be used in the
SimStern.
17
PM-002j
FAST 1
FAST1 SIMIO TRAINING DEVICE INSTRUCTIONS
DEPLOYMENT
1. Have volunteer patient lay down on the floor
in the supine position.

Expose sternum and locate the sternal notch

by placing index finger in the notch.
2. Place SimIO Target Patch on patient by

removing the adhesive backing. Pull off tabs
#1, then #2 and adhere.
3. Stand at the patients head and hold the SimIO

Training Device in dominant hand (or as
comfortable).

Place the hook-sided Velcro Patch that is on

the SimIO Training Device, on the Target Zone
of the SimIO Target Patch (loop-side).
Hold SimIO Training Device perpendicular to

the manubrium.
4. Press down smoothly with increasing force

until you hear the Infusion Tube separate from
the SimIO Training Device.
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PM-002j
FAST 1
5. Pull SimIO Training Device up, off of the

SimIO Infusion Tube.
6. Remove BLUE cap and connect SimIO

Infusion Tube to friction fitting on tubing
attached to the SimIO Target Patch.

Remove WHITE cap from Luer fitting and

connect IV tubing.
7. Secure Protector Dome to SimIO Target

Patch.
Pyng Medical Corp.
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19
PM-002j
FAST 1
REMOVAL
8. Remove the Protector Dome. The SimIO
Target Patch may have to be held down while
the Dome is being removed.
9. Disconnect the IV line from the Connector

Tube on the SimIO Target Patch and the
friction fitting from the SimIO Infusion Tube.
10. Remove the SimIO Infusion Tube from the

SimIO Target Patch by disengaging the Velcro
fastening.
11. Remove the SimIO Target Patch.
Pyng Medical Corp.
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20
PM-002j
FAST 1
RESETTING THE SIMIO TRAINING DEVICE
1. Reset the SimIO Training Device by using the

Reset Tool.

Insert the Reset Tool through the small hole in

the distal end (opposite end from the Velcro
Patch) of the SimIO Training Device.
2. Push the Reset Tool forward until the SimIO

Foot snaps into place. Remove the Reset
Tool.
3. Insert the SimIO Infusion Tube, Luer end first,

into the SimIO Foot. The Foot is magnetized
and will attach itself to the SimIO Infusion
Tube.
4. The SimIO Training Device is now reset and

reloaded, and is ready to be re-used.
.
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FAST 1
TROUBLESHOOTING
1. Fluid or medication does not flow through IV line to

site:

Flush to clear. If fluid or medication does not flow

even after flushing, infusion should be
discontinued and an alternative method of vascular
access should be used.
2. Leakage at Insertion Site (Extravasation):

If excessive, use alternative method of vascular

access.
3. First attempt to place FAST1 fails:

Double check insertion site, patient position, medic

position, and try again with a new device. Be sure
to remind students to save a device if the
procedure/attempt with the FAST1 was not
successful (after protecting the sharps) for shipment
back to Pyng for replacement and examination.
4. Removing entire Infusion Tube:
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Pull perpendicular to the manubrium until the entire

Infusion Tube (including metal tip) emerges from
the patients chest.
Ensure to pull in one smooth continuous motion (do

not start/stop) until removed. Use the tube to pull,
not the Luer connection. It is normal for the tubing
to stretch.
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PM-002j
FAST 1
5. Introducer does not release:

Pull Introducer back. If Infusion Tube remains in

patient, verify placement by aspirating marrow, and
proceed with use.
If marrow cannot be withdrawn, remove tube and

insert a second FAST1.
6. Introducer releases but Infusion Tube is not secured

in patient:

Use new FAST1.
7. Force is applied but Introducer does not release:

Without pulling back, ensure Introducer is

perpendicular to manubrium and force is being
applied directly along this line.
Pyng Medical Corp.
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23
PM-002j
FAST 1
FAST1 SKILLS EVALUATION
1. Clean insertion site.

2. Apply Target Patch (just below sternal notch).
3. Stand at patients head, hold Introducer in
dominant hand (or as comfortable).
4. Twist to remove Sharps Protection Cap.
5. Place Stabilizer Needles in Target Zone
(perpendicular to manubrium).
6. Press down smoothly with increasing force until
Infusion Tube separates from Introducer.
7. Pull Introducer up, off Insertion Tube.
8. Immediately push Stabilizer Needles into bright
red Sharps Foam Plug (MUST remain on tabletop). Discard following local contaminated sharps
protocols.
9. Remove BLUE cap and connect Infusion Tube to
friction fitting on tubing attached to Target Patch.
10. Remove WHITE cap from Luer fitting and connect
IV.
11. Secure Protector Dome directly over Target Patch
and press down firmly.
Pyng Medical Corp.
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24
PM-002j
FAST 1
FAST1 WRITTEN EVALUATION
1. Precautions for the FAST1 include:

a) previous sternotomy
b) compromised skin over site
c) severe osteoporosis
d) all of the above
2. The landmark for the Target Patch is the:

a) xiphoid process
b) sternal notch
c) subclavian ridge
d) Angle of Louis
3. Preparation of the site should include:

a) sterile draping
b) wash with soap and water
c) maintain asceptic technique throughout the

procedure
d) no preparation is recommended
4. Approved sites for the FAST1 include:

a) manubrium of sternum
b) medial tibia
c) proximal humerus
d) none of the above
5. Proper placement of the Infusion Tube can be ensured

by holding the Introducer:
Pyng Medical Corp.
a) at a 45-degree angle to the floor
b) perpendicular to the manubrium
c) vertical to the body of the sternum
d) aimed toward the heart
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PM-002j
FAST 1
6. The Introducer is powered by:

a) pneumatic force
b) batteries
c) springs
d) muscles
7. How should force be applied to the Introducer?

a) with a quick thrust
b) smooth, increasing until release
c) steady, decreasing for 5 seconds
d) any of the above is acceptable
8. The FAST1 can be left in place for:

a) 24 hours
b) 1 hour
c) only until the patient is stabilized
d) 48 hours
9. Which of these can be delivered through the

FAST1?

a) epinephrine
b) blood and blood products
c) normal saline or Ringers Lactate
d) all of the above
Pyng Medical Corp.
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26
PM-002j
FAST 1
ANSWER KEY
1. Precautions for the FAST1 include:

a) previous sternotomy
b) compromised skin over site
c) severe osteoporosis
d) all of the above
2. The landmark for the Target Patch is the:

a) xiphoid process
b) sternal notch
c) subclavian ridge
d) Angle of Louis
3. Preparation of the site should include:

a) sterile draping
b) wash with soap and water
c) maintain asseptic technique throughout the

procedure
d) no preparation is recommended
4. Approved sites for the FAST1 include:

a) manubrium of sternum
b) medial tibia
c) proximal humerus
d) none of the above
5. Proper placement of the Infusion Tube can be

ensured by holding the Introducer:
Pyng Medical Corp.
a) at a 45-degree angle to the floor
b) perpendicular to the manubrium
c) vertical to the body of the sternum
d) aimed toward the heart
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FAST 1
6. The Introducer is powered by:

a) pneumatic force
b) batteries
c) springs
d) muscles
7. How should force be applied to the Introducer?

a) with a quick thrust
b) smooth, increasing until release
c) steady, decreasing for 5 seconds
d) any of the above is acceptable
8. The FAST1 can be left in place for:

a) 24 hours
b) 1 hour
c) only until the patient is stabilized
d) 48 hours
9. Which of these can be delivered through the

FAST1?
Pyng Medical Corp.
a) epinephrine
b) blood and blood products
c) normal saline or Ringers Lactate
d) all of the above
www.pyng.com
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FAST 1
REFERENCES
Macnab, Andrew, Christenson, Jim, Findlay, Judy,

Horwood, Bruce, Johnson, David, Jones, Lanny,
Phillips, Kelly, Pollack,Charles, Robinson, David
J., Rumball, Chris, Stair, Tom, Tiff any, Brian and
Whelan, Max : A new system for sternal intraosseous infusion in adults. Prehospital Emergency
Care, 4:2, 173-177.
Findlay J, Johnson DL, Macnab AJ, MacDonald D,
Shellborn R, Susak L: Paramedic evaluati on of
an adult intraosseous infusion system. Prehospital and Disaster Medicine 2006; 21(5), 329335.
David L Johnson; Judy Findlay; Andrew J Macnab;
Lark Susak: Cadaver testi ng to validate design
criteria of an adult Intraosseous infusion system.
Military Medicine, March 2005; 170, 3; ProQuest
Medical Library, 251-257.
Pyng Medical Corp.
www.pyng.com
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FAST 1

Intraosseous Infusion System

2011 Pyng Medical Corp.

Intraosseous Infusion System

This Trainers Manual is an essential component of the FAST1

Discuss the principles of intraosseous infusion

List indications and precautions for use of the FAST1

Demonstrate safe and effective use of the FAST1 on a manikin

Explain and demonstrate the removal procedure for

Pyng Medical Corp. is committed to saving lives in seconds.

Pyng Medical Corp.

Intraosseous Infusion System

FAST1 LESSON PLAN

Pyng Medical Corp.

Intraosseous Infusion System

2. Display course objectives:

By the end of this session you will be able to:

Discuss the principles of intraosseous infusion

List indications and precautions for use of the FAST1

Demonstrate safe and effective use of the FAST1

Explain and demonstrate the procedure for removal

3. Provide overview of training:

Pyng Medical Corp.

Brief discussion of intraosseous infusion and FAST1

Demonstration of FAST1 (done in real-time)

Skill practice to mastery

Intraosseous Infusion System

INTRAOSSEOUS INFUSION AND FAST1

1. Have students recall their most recent cardiac

Studies show it takes an average of 3-12 minutes

Who has done IO before?

How does IO work?

Pyng Medical Corp.

Intraosseous Infusion System

Pyng Medical Corp.

The manubrium is the most effective IO site

Takes about 10 seconds to insert, less than 60

Does not interfere with other procedures and can

The location of the manubrium insertion site high

Can be inserted while transporting the patient in

Fluids and medications can be administered as you

Fluids and medications have infused into sternums

Safe for patient (penetrates 6mm into the

Is quick to learn and easy to retain the knowledge.

Intraosseous Infusion System

4. Pass around sample Infusion Tubes

Note its flexibility - this allows it to move with

Look at steel bone portal - it will be inserted just

Approximately 14 gauge inner diameter tubing

Approximately 17 gauge inner diameter portal

See Page 3 for system infusion rates

5. Hold up FAST1 Introducer

Pyng Medical Corp.

Releases at a depth of 6 mm from the surface of

Muscle-powered (not battery-dependent, springloaded or pneumatic)

Actual force will vary depending on patient

Intraosseous Infusion System

Establish a sternal intraosseous access route

For patients 12 years of age and older

Use whenever vascular access is required to