We can't bone drill in my county. The only IO's we can do are on peds less than 6yo, in the leg, with a big-*** needle. No chests - I've never seen some of the equipment people have been talking about here.
That FAST 1 looks very intimidating to people who don't know what it is - somewhat of a medieval tool.
I used it one time on a patient and a cop happened to be peeking in the side of the ambulance - his eyes popped out and yelled, "What the h*ll is that???!!!!!"
We had to get him out of there to calm him down....
We are using the sternal IO's and have the same reaction but have also had several good successes with its use. Bone drilling though seems a bit more intimidating than the Sternal IO. I guess it depends on the provider and what they like or dislike. Oh well!!
My dad had cancer inside his humerous, they had to drill a hole and clean out the tumor, freeze everything with liquid nitrogen, then reconstruct the interior of the bone with a rod and cement. He was under general and out of work for a month!
this is the #1 thing that makes my stomach churn, second ONLY to maggots. We are allowed to do IO's in Kansas City, and one suburb has a "spring loaded" IO gun. I haven't seen it personally, but heard that its pretty gnarly. Anything that keeps me from breaking a sweat trying to give fluids to a sick kid is alright by me and I wish we had more.