We only carried a needle kit and then a few years before I left EMS we had the Nu-Trakes. I remember there was some controversy as to whether or not a Paramedic in KY could use the Nu-Trake since it came with a scapel. Out medical director said we could use it so thats all I needed to hear on that.
I remember only being on 2 calls where we called for orders to use it but was denied both times only to have the ER Doc use it once we got there.
Hell it cant be that hard Radar did it on MASH after all!