FAST1 Training Instructions & Materials

This page includes information, links and materials to support your training on the FAST1® Intraosseous Infusion System.

Warning: These instructions are for medical personnel who have participated in aFAST1training session. Do NOT attempt to use theFAST1Intraosseous Infusion System unless you have been formally trained to perform this procedure.

FAST1 Intraosseous IO Infusion System

FAST1 Training Video:

Training Quick Links:


FAST1 Removal Video:

The video below provides specific instructions on how to remove the FAST1 Sternal IO device.


FAST1 Training Devices

There are three training devices available for FAST1:

FAST1 Training Device

The FAST1 Training Device (also referred to as the “Demo Introducer”) allows students to practice on a device very similar to the actual FAST1 and to become acquainted with proper deployment and safety procedures. As a training device, the FAST1 Trainer can be re-set and re-used multiple times. The FAST1 Training Device is used on simulated devices such as the SimStern, allowing students to get hands-on experience with a similar replicate of the device and get a feel for how the device really works.

SimIO Simulator System

The SimIO Training Device (also referred to as the “SimIO Introducer”), a simulated FAST1 device, is used to practice the FAST1 Intraosseous Infusion System on “volunteer patients” and allows for realistic practice scenarios without needles. The SimIO Training Device duplicates all aspects of the FAST1, except for actual penetration of the skin or sternum by the Stabilizer Needles or Infusion Tube. The Stabilizer Needles and Infusion Tube have been replaced with a “hook-sided” Velcro patch that is attached to the end of the Infusion Tube. The SimIO Infusion Tube is held in place on the Target Patch by a Velcro “loop-sided” fastener. Since the SimIO Training Device does not contain any needles or sharps, it can be deployed on a live person in order to practice emergency scenarios.

Chest-MATT

Chest-MATT is a training model for FAST1. Chest-Matt allows students to successfully perform a Sternal Intraosseous (IO) insertion correctly and accurately on a real person increasing learning retention and real world applicability. The Chest-Matt is a human worn reusable training model that contains all the pertinent anatomical landmarks to successfully perform a Sternal Intraosseous insertion. The device contains palpable clavicles, manubrium, and a sternal notch. The wearer is protected by a puncture resistant ABS plastic shield built into the anatomically similar manikin covered in lifelike silicone skin. The Chest-Matt contains removable and reusable training pucks covered in silicone skin that have the ability to accept between 6 and 10 insertions each.

FAST1 Insertion Instructions

The following steps outline the correct procedure for applying the FAST1 Intraosseous Infusion System. Click on the video link (where available) with each step to see a short explanatory video segment.

FAST1 Insertion 11. Prepare the Site

Note: Consider administering local anesthetic if the patient is conscious and alert and maintain aseptic technique throughout the procedure.

  • Expose the sternum and clean the infusion site.

View video here

2. Place Target Patch

  • FAST 1 Insertion 2Remove the top half of backing (labelled “Remove 1”) from the Target Patch.
  • Locate the sternal notch using an index finger.
  • Holding your index finger perpendicular to the skin. Align the locating notch in the Target Patch with the sternal notch, keeping your index finger perpendicular.
  • Secure the top half of the Target Patch to the body by pressing firmly downward on the Target Patch, engaging the adhesive.
  • Remove the remaining backing (labelled “Remove 2”) and secure Target Patch to patient.
  • Verify correct Target Patch placement by checking the alignment of the locating notch with the patient’s sternal notch.

Note: The correct Target Patch placement is critical for safe and effective placement of the device.

View video here

3. Insert Introducer

  • FAST1 Insertion InstructionsTwist to remove Sharps Protection Cap.
  • Place Stabilizer Needles in Target Zone of Target Patch, and ensure that all the Stabilizer Needles are within the Target Zone. Hold the Introducer perpendicular to the manubrium.
  • Pressing straight along the Introducer axis, with hand and elbow in line, push with firm and constant force until a distinct release is heard and felt.
  • After the release, expose the Infusion Tube by gently withdrawing the Introducer along the same path used to insert it (perpendicular to the skin). The Stylet Supports will fall away.
  • Locate the red Sharps Foam Plug, and place it on a flat surface with foam facing up. Keeping both hands behind the needles, push the Stabilizer Needles straight into the foam. After the Sharps Foam Plug has been engaged and the sharps are safely covered, reattach the Sharps Protection Cap to the Introducer. This completes the dual sharps protection.
  • Dispose of the Introducer using contaminated sharps protocols.

View video here

4. Connect Infusion Tube

  • FAST1 Insertion - Connect Infusion TubeConnect the Infusion Tube to the right-angle female connector on the Target Patch. Note: This connection is a slip luer.
  • Attach the straight female connector to the source of fluid or drugs. Fluid can now flow to the site.

Optional Step: To verify placement:

  • Attach the syringe to the straight female connector on the Target Patch and withdraw marrow into the Infusion Tube.
  • Flush with 3-5cc saline if needed to clear.
  • Attach the straight female connector on the Target Patch to the IV set.

View video here

5. Secure Protector Dome

  • FAST1 Insertion - Secure Protector DomePlace Protector Dome directly over Target Patch and press down firmly to engage the Velcro™ fastening.

View video here

FAST1 Removal Instructions:

1. Remove Dome

  • Remove the Protector Dome from the Target Patch.

View video here

FAST1 Removal Instructions - Remove the Dome

2. Disconnect Infusion Tube

  • Ensure that the clamp controlling the IV fluid flow is turned off.
  • Disconnect the IV line from the straight female connector tube on the Target Patch.
  • Disconnect the Infusion Tube from the right-angle female connector on the Target Patch.

FAST1 Removal 2

3. Remove the Infusion Tube

  • Grasp Infusion Tube with fingers or clamp and pull perpendicular to the manubrium until entire Infusion Tube (including metal tip) emerges from patient’s 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.

FAST1 Removal 3

 

4. Remove the Target Patch

  • Gently peel the Target Patch away from the patient and discard the Target Patch following local contaminated sharps protocol.

View video here

Removal 4 remove-target-patch

 

 

5. Dress the Infusion Site

  • Apply pressure and dress the wound appropriately.

Disposal Recommendations: After use, the Introducer and Infusion tube should be treated as contaminated sharps and disposed of using appropriate protocol.