[SouthernDZ]

I have used the F.A.S.T.1 and have seen the Vidacare (which they're using in SOFMSSC) used; each comes with a removal device which needs to be taped to the casualty. One of the JSOC 18Ds (we didn't own any of the cities in Afghanistan yet) removed one with a letterman; it wasn't pretty. Tape the removal device (still in the plastic) to the port.

For what it is worth, an 18D has to have the mindset that medicine isn't always pretty and with some procedures, pain just maybe "is the patient's problem" - this sounds cold and uncaring, it isn't. Proper medical care sometimes hurts; bury your emotions and do what is proper and necessary. I've inserted a chest tube on a semi-conscious patient at Baltimore Shock Trauma - woke his butt up screaming pretty quick, but he survived a tension hemo/pneumothorax.