EMS World

MAR 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

Issue link: https://emsworld.epubxp.com/i/944334

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Page 46 of 59

PRODUCT APPLICATIONS FROM THE FIELD SPONSORED CONTENT 46 MARCH 2018 | EMSWORLD.com In an era when mass shootings and other violent attacks are common, emergency responders face the challenge of evacuat- ing patients quickly from dangerous environ- ments. Some of those victims, like the every- day patients we treat, will be very large or in places that are hard to reach. Graham Medical's Mega Mover is a popu- lar solution for such scenarios; it's a portable device used to transport, transfer, and rescue patients from areas inaccessible to stretch- ers. Its nonwoven, latex-free construction can carry up to 1,000 lbs., and 14 surrounding handles allow ergonomic lifting by multiple team members. But it's not created specifi- cally for the tactical situations rescue crews sometimes face. Leaders of the Fitchburg (Wisc.) Fire Department wanted a product for that need. For a year now they've been working with Graham to develop and test a Mega Mover design suitable for tactical, special-opera- tions, and other extreme responses. "Obviously we've all seen responses to active-shooter incidents, but the rescue task force environment is constantly developing, and we're trying to equip it appropriately," says Fitchburg Fire Chief Joe Pulvermacher. "We needed something that would work in that environment, and Graham has been working with us on that." Tweaks they've made to the traditional Mega Mover (also used by Fitchburg fire- fighters) include a strap to secure the patient, reduced size, and ruggedized con- struction that will let fewer rescuers drag a victim than would be required to carry them. "Often we don't have a lot of people in the tactical environment," says Pulvermacher. "If we don't have 3–4 people to lift a patient, we still need to get them out, and that's through dragging. So it's rugged to the point where it will allow us to drag the patient without product failure." Application also has to be quick and easy; to that end the head and foot of the product are interchangeable, even with the strap. The compact, lightweight design will allow one to be carried on each of the department's ballistic vests. And while it's a disposable product, it's strong enough to be used for multiple patients at a mass-casualty scene. Local rescuers, including tactical provid- ers around the region, are helping trial the prototypes and providing feedback to Gra- ham, and a final design isn't far off. That will ultimately be available to all customers. "So far," says Pulvermacher, "it's overperformed our expectations." Visit www.grahammedical.com Circle 33 on the Product Information Card Fast Removal From Unsafe Scenes Interviews with end users of EMS products and services Fitchburg is testing a prototype; the product is still in development, with a patent pending. Gunshot wounds are unfortunately com- mon challenges for EMS providers in the field and military medics on deployment. Junctional wounds in the groin or axilla or even some extremity wounds often cannot be treated effectively using tourniquets. As a retired commander in the U.S. Navy Medical Corps with 30 years of naval ser- vice and special-operations/diving medical officer experience, emergency physician Timothy A. Coakley, MD, knows this all too well. Moreover, as an expert who has devel- oped combat medical technologies for both the U.S. Navy and Marines, Coakley is always interested in products that can treat wounded personnel effectively. Panakeia's syringe-delivered XSTAT-30 hemostatic medical device caught his attention. Designed to treat gunshot and shrapnel wounds in the field, the XSTAT works by injecting a group of small, rapidly expanding sponges into a wound cavity using a syringe- like applicator. The sponges expand to fill the wound cav- ity within 20 seconds of contact with blood, thereby creating a temporary barrier to blood flow and providing hemostatic pressure. Each XSTAT sponge contains a radio-opaque marker easily visible via x-ray. "I have trained with the XSTAT on several occasions, and it provides the ability to stop hemorrhage from such wounds for ER per- sonnel, EMS technicians on scene, and bat- tlefield medics in combat operations," Coak- ley says. "It temporarily controls hemorrhage until arrival for definitive care by emergency/ trauma team personnel in the hospital. "I would utilize this product in any deep penetrating wound with hemorrhage," Coakley adds. "XSTAT affords the on-scene provider a quick delivery system to stem hemorrhage in penetrating wounds." Visit www.panakeiausa.com Circle 28 on the Product Information Card Syringe-Delivered XSTAT-30 Addresses Hard-to-Treat Wounds

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