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Gold/Mining/Energy : PYNG Technologies

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To: doby who wrote (1641)	3/27/1998 10:24:00 AM
From: fast-tracker	Read Replies (3) of 8117

Good morning Doby and Gil 1. The Pyng company apparently developed the device with the paramedic and the military medic as the specific end-user. The fact that it has many applications in the hospital is gravy. Rural use would seem to be a wonderful use of the device - paramedics who get very few calls would easily be able to maintain the skill to insert a FAST1 (I feel like I could still do it a year from now after my time at the conference yesterday). There was an enormous amount of interest from the Australians yesterday. ?I wonder if they'll be the next ones added to the field trials?? I guess rural use will be up to each paramedic service. Wouldn't the cost of stocking the device in a lot of outlying posts and training the paramedics be the deciding factor? I'm from BC, so I know that we have a huge ambulance service. 2. One of the questions I heard the physicians ask most often was "What gauge is the needle, and what kind of flow rates do you get?" The answer given was that the gauge doesn't matter, the resistance factor is the size of the emissary veins leading out of the sternum. the marrow didn't seem to be a factor. Their flow rates are published on the back of their brochure, and the physicians who looked at them seemed very impressed. Particularly one who came in as a "Doubting Thomas" and left with a handful of brochures. He started out talking about not being able to use it very really aggressive resuscitation and ended up saying "that's good enough for me". Very encouraging. 3. In the video with Tom Stair, I saw them using an IV bag at regular height and it was running wide open. 4. You can't compare sternum to tibia because sternum is adult and tibia is pediatric (and some of those pediatric tibias are pretty darn small). They're comparing sternum to IV very satisfactorily. 5. You made me do my homework on the air embolism question. The system is the same as an IV - you have to use a flushed line.The amount of air in the infusion tube is insignificant. The medical literature says that the risk of embolism with intraosseous infusion "is not of any immediate clinical importance and should not preclude the use of the IO route for resuscitation drugs when IV access is delayed or impossible". (Orlowski - a study done in an animal model). Fast-tracker

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