I'm a ski patroller and use multitools both for the medical aspects and for the equipment aspects. I own a Wave, a Charge XTI and a Charge TI (will probably sell the TI), and a new Wave.
The only two that make sense for EMS are the Charge XTI and the SwissTool. Of the two, for pure EMS, the best is clearly the SwissTool.
The *ONLY* beef I have with the SwissTool RS is that the blades are not one handed opening. The serrated blade is awesome for using around a patient as a seam ripper, for cutting rope, seatbelts, etc... The XTI's gut hook, would be, in my opinion something I would need to be very careful of in a rescue situation since it could conceiveably hook a patient. The Serrated blade on the SwissTool will not.
In an EMS situation, you don't have time to be selecting bits. While the having the extra bit kit and then picking one full holders worth of bits gives a lot more utility to a tool, in EMS situations you don't want to be fiddling with all these little bit thingies - especially if you are gloved up. On top of that, if you drop one of these in the field - especially at night - you will never find it. In an EMS situation, you won't have time to look. The Swisstool has most of the bits easily accessible from the knife. It has a much more complete ala SAK, selection of blades making it selection easy.
Also, the XTI blades with the bits cannot be used for prying unless you really want to lose the bit. The Swisstool blades can be used for this and will take the punishment (like opening a stuck container with important supplies, a stuck latch on defig or AED, or a stuck equipment locker) no problem.
I think the Swisstool would be easier to clean if it got blood or other body fluids on it. The Charge TI has an exterior surface that might make this difficult. It is textured and has a lot of raised letter and other places that can entrap this material. Since these tools are so expensive, I don't think you want to be disposing them in the sharps container... ;-)
The XTI also does not have scissors. While I tend to use a knife blade for most tasks like this anyhow, scissors can be incredibly useful in all sorts of EMS situations. So, I include this as a necessary part of my EMS kit. If you decide that you can use the XT instead, then you get these really inadequate scissors.
Leatherman reduced the size of the scissors from the Old Wave in both the XT and the new Wave so that they are about 2/3 the size of the old scissors. The blade size doesn't seem to be the issue, but the part that you squeeze is smaller and you (a) can't get the leverage, (b) have a smaller target for your finger - easier to slip off.
So, the Leatherman XT and XTI are, I think, deficient compared to the SwissTool for EMS and rescue purposes. The big advantage that the Leatherman XT, XTI and new and old Wave have is that the they offer one handed blade opening - a nice feature in gloves.
(edited this in later)
The case for the Swisstool is, IMO, better. It completely encloses the tool protecting it from dust and dirt. It is also easy to insert the tool into the case/sheath with one hand. The new style Leatherman sheaths are open on about 1/3 to 1/2 of each side. The sides are made from elastic attached to the front and back that are ballistic nylon. If you are in dirty areas, the tool gets little protection. Also because of the elastic sides, it is not as easy to insert the tool into the sheath. You have to kind of dig it around until it goes in - not as easy, one handed or without having to look at it as the Swisstool's sheath.
If, for either tool, you choose a third party sheath (highly recommended) you will be much happier. However, out of the box, the Leatherman sheaths just suck and are, in my opinon, worthless.
Overall, the recommendation is for the Swisstool RS - and by a fair margin. That all being said, I use my XTI as my EDC for fixing things.
J.
The only two that make sense for EMS are the Charge XTI and the SwissTool. Of the two, for pure EMS, the best is clearly the SwissTool.
The *ONLY* beef I have with the SwissTool RS is that the blades are not one handed opening. The serrated blade is awesome for using around a patient as a seam ripper, for cutting rope, seatbelts, etc... The XTI's gut hook, would be, in my opinion something I would need to be very careful of in a rescue situation since it could conceiveably hook a patient. The Serrated blade on the SwissTool will not.
In an EMS situation, you don't have time to be selecting bits. While the having the extra bit kit and then picking one full holders worth of bits gives a lot more utility to a tool, in EMS situations you don't want to be fiddling with all these little bit thingies - especially if you are gloved up. On top of that, if you drop one of these in the field - especially at night - you will never find it. In an EMS situation, you won't have time to look. The Swisstool has most of the bits easily accessible from the knife. It has a much more complete ala SAK, selection of blades making it selection easy.
Also, the XTI blades with the bits cannot be used for prying unless you really want to lose the bit. The Swisstool blades can be used for this and will take the punishment (like opening a stuck container with important supplies, a stuck latch on defig or AED, or a stuck equipment locker) no problem.
I think the Swisstool would be easier to clean if it got blood or other body fluids on it. The Charge TI has an exterior surface that might make this difficult. It is textured and has a lot of raised letter and other places that can entrap this material. Since these tools are so expensive, I don't think you want to be disposing them in the sharps container... ;-)
The XTI also does not have scissors. While I tend to use a knife blade for most tasks like this anyhow, scissors can be incredibly useful in all sorts of EMS situations. So, I include this as a necessary part of my EMS kit. If you decide that you can use the XT instead, then you get these really inadequate scissors.
Leatherman reduced the size of the scissors from the Old Wave in both the XT and the new Wave so that they are about 2/3 the size of the old scissors. The blade size doesn't seem to be the issue, but the part that you squeeze is smaller and you (a) can't get the leverage, (b) have a smaller target for your finger - easier to slip off.
So, the Leatherman XT and XTI are, I think, deficient compared to the SwissTool for EMS and rescue purposes. The big advantage that the Leatherman XT, XTI and new and old Wave have is that the they offer one handed blade opening - a nice feature in gloves.
(edited this in later)
The case for the Swisstool is, IMO, better. It completely encloses the tool protecting it from dust and dirt. It is also easy to insert the tool into the case/sheath with one hand. The new style Leatherman sheaths are open on about 1/3 to 1/2 of each side. The sides are made from elastic attached to the front and back that are ballistic nylon. If you are in dirty areas, the tool gets little protection. Also because of the elastic sides, it is not as easy to insert the tool into the sheath. You have to kind of dig it around until it goes in - not as easy, one handed or without having to look at it as the Swisstool's sheath.
If, for either tool, you choose a third party sheath (highly recommended) you will be much happier. However, out of the box, the Leatherman sheaths just suck and are, in my opinon, worthless.
Overall, the recommendation is for the Swisstool RS - and by a fair margin. That all being said, I use my XTI as my EDC for fixing things.
J.