What are the opening hours?

Monday 8am - 5pm Tuesday 8am - 5pm Wednesday 8am - 5pm Thursday 8am - 5pm Friday 8am - 5pm

Handtevy - Pediatric Emergency Standards, Inc., 11860 SR-84 Suite B1, Davie, FL (2025)

11/17/2025

👩‍🚒 You're 6 minutes into CPR after a building collapse.

Your arms are burning, you're drenched in sweat, and you're not done yet.

𝐇𝐨𝐰 𝐝𝐨𝐞𝐬 𝐟𝐚𝐭𝐢𝐠𝐮𝐞 𝐫𝐞𝐚𝐥𝐥𝐲 𝐢𝐦𝐩𝐚𝐜𝐭 𝐲𝐨𝐮𝐫 𝐂𝐏𝐑 𝐪𝐮𝐚𝐥𝐢𝐭𝐲?

A recent article in Prehospital Emergency Care took a hard look at a study evaluating CPR performance during simulated disaster rescues and offered some sharp (and well-deserved) critiques

Here’s what you need to know ⬇️

The original study examined rescuers performing CPR during simulated post-earthquake conditions.

Rescuers did 5 uninterrupted CPR cycles (~2.5–3 min) per person before switching.

CPR “quality” was assessed based only on compression depth (green light on the simulator).

Key Concerns Raised by Imamoglu et al.:
➊ No chest compression fraction (CCF) reported, even though we know this is a strong predictor of survival. Guidelines recommend CCF >80%.
➋ Ventilation measurement was vague — no detail on volume, pressure, or visual confirmation of chest rise.
➌ Rescuer switches every 2.5–3 min, instead of the recommended 2 min
➍ CPR quality was based solely on compression depth, but no data on recoil, rate, or no-flow time
➎ Gender distribution was inconsistent between methods and randomization, raising reproducibility concerns.

𝐖𝐡𝐲 𝐓𝐡𝐢𝐬 𝐌𝐚𝐭𝐭𝐞𝐫𝐬 𝐟𝐨𝐫 𝐄𝐌𝐒:
Fatigue during prolonged CPR, especially in disaster settings, can rapidly degrade performance.

Simply counting compressions isn’t enough. Metrics like rate, recoil, ventilation quality, and CCF must be tracked.

Using feedback-enabled manikins can help simulate real-world stress and improve future training

Bottom Line:�High-stress, high-fatigue scenarios demand more than just effort. They demand data-driven, guideline-based performance.

Read the full paper: https://ow.ly/LVrf50XnN5I

hashtag hashtag hashtag hashtag hashtag hashtag hashtag

11/14/2025

🚨 𝐘𝐨𝐮 𝐚𝐫𝐫𝐢𝐯𝐞 𝐨𝐧 𝐬𝐜𝐞𝐧𝐞 𝐭𝐨 𝐟𝐢𝐧𝐝 𝐚 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐢𝐧 𝐜𝐚𝐫𝐝𝐢𝐚𝐜 𝐚𝐫𝐫𝐞𝐬𝐭. 𝐓𝐡𝐞 𝐛𝐲𝐬𝐭𝐚𝐧𝐝𝐞𝐫 𝐬𝐚𝐲𝐬, “𝐈 𝐣𝐮𝐬𝐭 𝐬𝐚𝐰 𝐡𝐢𝐦 𝐚𝐥𝐢𝐯𝐞 3 𝐦𝐢𝐧𝐮𝐭𝐞𝐬 𝐚𝐠𝐨.”

Does this change your plan?

𝘐𝘵 𝘴𝘩𝘰𝘶𝘭𝘥.

A new peer-reviewed study in Prehospital Emergency Care reveals that not all unwitnessed cardiac arrests are the same, and that using a bystander’s estimated last seen alive time (ELSA) can help identify patients with better chances of survival, similar to those who had witnessed arrests.

𝐇𝐞𝐫𝐞’𝐬 𝐰𝐡𝐚𝐭 𝐭𝐡𝐞𝐲 𝐟𝐨𝐮𝐧𝐝:
Over 4,800 cases of out-of-hospital cardiac arrest were analyzed.

Among them, 2,067 were witnessed and 2,755 were unwitnessed.

For patients with an ELSA time under 5 minutes, the outcomes looked much better than expected, and almost the same as witnessed arrests.

𝐅𝐚𝐯𝐨𝐫𝐚𝐛𝐥𝐞 𝐧𝐞𝐮𝐫𝐨𝐥𝐨𝐠𝐢𝐜 𝐨𝐮𝐭𝐜𝐨𝐦𝐞 𝐚𝐭 𝐝𝐢𝐬𝐜𝐡𝐚𝐫𝐠𝐞 𝐰𝐚𝐬:
◆ 18.9% for witnessed arrests
◆ 14.0% for ELSA

11/13/2025

Telephone CPR is a life-saving process that improves survival for out-of-hospital cardiac arrest.

𝐃𝐨𝐞𝐬 𝐢𝐭 𝐦𝐚𝐤𝐞 𝐚 𝐝𝐢𝐟𝐟𝐞𝐫𝐞𝐧𝐜𝐞 𝐢𝐟 𝐭𝐡𝐞 𝐛𝐲𝐬𝐭𝐚𝐧𝐝𝐞𝐫 𝐢𝐬 𝐠𝐮𝐢𝐝𝐞𝐝 𝐛𝐲 𝐯𝐢𝐝𝐞𝐨 𝐢𝐧𝐬𝐭𝐞𝐚𝐝 𝐨𝐟 𝐣𝐮𝐬𝐭 𝐚 𝐩𝐡𝐨𝐧𝐞 𝐜𝐚𝐥𝐥?

A new study compared video-assisted vs audio-assisted dispatcher CPR in simulated cardiac arrests using high-fidelity manikins, and the results may change how we train and support lay rescuers 📲

Here’s what they found:

𝐂𝐨𝐦𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧 𝐑𝐚𝐭𝐞:
𝘝𝘪𝘥𝘦𝘰 𝘨𝘶𝘪𝘥𝘢𝘯𝘤𝘦 𝘴𝘪𝘨𝘯𝘪𝘧𝘪𝘤𝘢𝘯𝘵𝘭𝘺 𝘪𝘮𝘱𝘳𝘰𝘷𝘦𝘥 𝘳𝘢𝘵𝘦𝘴:
➡️ Video vs Audio: +21 compressions/min (95% CI: -36.10 to -7.41)
➡️ Video vs Control: +43 compressions/min (95% CI: -63.05 to -22.52)

⏱️ 𝐓𝐢𝐦𝐞 𝐭𝐨 𝐅𝐢𝐫𝐬𝐭 𝐂𝐨𝐦𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧
𝘝𝘪𝘥𝘦𝘰 𝘩𝘦𝘭𝘱𝘦𝘥 𝘣𝘺𝘴𝘵𝘢𝘯𝘥𝘦𝘳𝘴 𝘨𝘦𝘵 𝘩𝘢𝘯𝘥𝘴-𝘰𝘯 𝘧𝘢𝘴𝘵𝘦𝘳 𝘵𝘩𝘢𝘯 𝘯𝘰 𝘨𝘶𝘪𝘥𝘢𝘯𝘤𝘦:
Video vs Control: 42 seconds faster (95% CI: -83.31 to -1.42)

𝐂𝐨𝐦𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧 𝐃𝐞𝐩𝐭𝐡 𝐚𝐧𝐝 𝐂𝐏𝐑 𝐈𝐧𝐭𝐞𝐫𝐫𝐮𝐩𝐭𝐢𝐨𝐧𝐬
𝘝𝘪𝘥𝘦𝘰 𝘨𝘶𝘪𝘥𝘢𝘯𝘤𝘦 𝘵𝘳𝘦𝘯𝘥𝘦𝘥 𝘣𝘦𝘵𝘵𝘦𝘳, 𝘣𝘶𝘵 𝘳𝘦𝘴𝘶𝘭𝘵𝘴 𝘸𝘦𝘳𝘦𝘯’𝘵 𝘴𝘵𝘢𝘵𝘪𝘴𝘵𝘪𝘤𝘢𝘭𝘭𝘺 𝘴𝘪𝘨𝘯𝘪𝘧𝘪𝘤𝘢𝘯𝘵:
➡️ Depth: +3.28 mm deeper than audio-only
➡️ Fewer interruptions, but wide confidence intervals

𝐖𝐡𝐲 𝐝𝐨𝐞𝐬 𝐭𝐡𝐢𝐬 𝐦𝐚𝐭𝐭𝐞𝐫 𝐟𝐨𝐫 𝐄𝐌𝐒?
Better bystander CPR = better outcomes when you arrive. Video guidance lets dispatchers see the scene and correct poor technique in real time, making those first few minutes before you get there potentially more effective.

𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲:
Video-assisted CPR improves compression rate and shows promise across other quality measures. It’s not ready for the street just yet, but it’s coming — and could be a game-changer for early resuscitation.

📚 Read the full study here:
https://ow.ly/ZUOG50XnPA0

11/12/2025

Our 𝗛𝗮𝗻𝗱𝘁𝗲𝘃𝘆 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗦𝗲𝗿𝗶𝗲𝘀 returns with a special session on 𝗔𝘂𝘁𝗶𝘀𝗺 𝗮𝗻𝗱 𝗣𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰 𝗥𝗲𝗮𝗱𝗶𝗻𝗲𝘀𝘀 💙💪 Join us 𝗡𝗼𝘃𝗲𝗺𝗯𝗲𝗿 𝟭𝟴𝘁𝗵 𝗮𝘁 𝟭𝟭𝗔𝗠 𝗘𝗦𝗧 for a LIVE webinar with Dr. Peter Antevy and Lt. Ryan Woodard, spotlighting real-world communication, scene management, and readiness strategies to improve outcomes for children and families on the autism spectrum.

Lt. Woodard—an Oklahoma City Fire Officer with 32 years in EMS—brings nationally recognized expertise in autism awareness and emergency care, featured at EMS World Expo, Gathering of Eagles, and beyond. 🌟

Perfect for EMS, fire, dispatch, hospital teams, and educators committed to pediatric readiness on every call. 👉 Register here and save your spot today! >> https://ow.ly/Zlar50Xq5JM

11/11/2025

To all who have served — your bravery, dedication, and sacrifice define true heroism. We honor you today and every day. 🤍🇺🇸

$Your patient was struck by a vehicle and is hypotensive. You suspect a pelvic fracture. Do you reach for the pelvic bind...$

11/10/2025

Your patient was struck by a vehicle and is hypotensive.
You suspect a pelvic fracture.

Do you reach for the pelvic binder?

A new NAEMSP Position Statement takes a deep dive into how we manage suspected pelvic fractures in the field, and the results might surprise you.

While pelvic fractures can cause major bleeding, studies show that most cases of shock in trauma patients are due to other injuries, like intra-abdominal or thoracic hemorrhage, not the pelvis itself.

⚠️ Physical exam alone? Not reliable.
⚠️ Manual palpation ("springing the pelvis") is neither sensitive nor specific and may cause harm.

When it comes to pelvic binders (aka PCCDs), evidence is mixed.

A recent EMS study of 5,880 patients found that 61% of those who received a binder had no pelvic injury at all. Over-triage and under-triage rates were both 55%. That's a coin toss.

Another study found that only about 10% of pelvic fractures are both unstable and associated with hemodynamic instability.

Even in those cases, binders didn’t consistently reduce mortality or transfusion needs.

✅ If you do apply a binder:
⊛ It must go over the greater trochanters, not the iliac crests.
⊛ Internally rotate the legs and secure the feet together.
⊛ Be aware this is a low-frequency, high-risk skill. Ongoing training is essential.

🚁 Suspect a pelvic fracture in a patient who also meets trauma triage criteria?
Transport to a trauma center and consider air transport when appropriate.

⚠️ Bottom line:
Pelvic fractures are serious, but binders are not a guaranteed fix. Be selective. Look for other sources of bleeding. And use PCCDs only when clearly indicated and applied correctly.

Read the full NAEMSP statement here:
https://ow.ly/6lv350XnNQj

11/07/2025

🚨 Introducing the 𝗣𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰 𝗥𝗲𝘀𝘂𝘀𝗰𝗶𝘁𝗮𝘁𝗶𝗼𝗻 & 𝗥𝗲𝗮𝗱𝗶𝗻𝗲𝘀𝘀 𝗖𝗼𝘂𝗿𝘀𝗲 (𝗣𝗥𝗥𝗖)—the newest education in pediatric training. 🚀

Comment below “𝗣𝗘𝗗𝘀 𝗥𝗲𝗮𝗱𝘆” to unlock an exclusive 𝟰𝟬% limited-time offer. 👇 👇

This case-based, practical course 𝗯𝘂𝗶𝗹𝗱𝘀 𝗿𝗲𝗮𝗹-𝘄𝗼𝗿𝗹𝗱 𝗰𝗼𝗻𝗳𝗶𝗱𝗲𝗻𝗰𝗲 𝗳𝗼𝗿 𝘁𝗵𝗲 𝗺𝗼𝘀𝘁 𝗰𝗵𝗮𝗹𝗹𝗲𝗻𝗴𝗶𝗻𝗴 𝗽𝗲𝗱𝗶𝗮𝘁𝗿𝗶𝗰 𝗰𝗮𝗹𝗹𝘀 your crews will ever face. Every scenario, every decision point, every skill is designed for one purpose: true readiness when seconds matter.

Empower your team. Be ready for every call. 🚑
Ready to register?? Click here to begin >> https://ow.ly/1FtU50XoH4r

11/06/2025

It's 𝗧𝗲𝗮𝗺 𝗠𝗲𝗺𝗯𝗲𝗿 𝗦𝗽𝗼𝘁𝗹𝗶𝗴𝗵𝘁 time! 🚀 This month, we're doing things a little differently and we're doubling up the spotlight! Meet Melanie Marconi, our Logistics Coordinator, and Carlos Moreira, Senior Software Engineer, who both brought their A-game thorough an incredibly busy season at Handtevy HQ.

𝗪𝗵𝘆 𝗠𝗲𝗹 & 𝗖𝗮𝗿𝗹𝗼𝘀 𝗦𝘁𝗮𝗻𝗱𝗼𝘂𝘁 🌟
Melanie’s positivity, reliability, and dedication keep everything running seamlessly — she truly goes the extra mile every day. Carlos lets his work speak for itself, delivering excellence with quiet dedication and helping drive Handtevy’s success forward.

𝗙𝘂𝗻 𝗙𝗮𝗰𝘁!
While Carlos roots for the Miami Heat and Melanie's happiest time is hanging out with her pups, cruising is a shared favorite for both. 🏀🛳️🐶

11/05/2025

You arrive on scene, and the patient refuses care despite signs of a serious medical condition.

What now?

Do you have a layered process at your agency that prevents these high-risk refusals from going wrong?

We know that high-risk refusals are one of the most dangerous liability points in EMS.

Today, we review a new 2025 PEC study that dives deep into how U.S. state protocols handle patient refusal of assessment, treatment, or transport, and the results might surprise you.

👇

📊 Key Findings from the Study:
▸ 24% of U.S. states have no guidance on patient refusals in their EMS protocols.
▸ Only 18% of states include at least one guideline in all 5 key domains:

✅ Here are the steps that should be included in a high-risk refusal:
1. Assess decision-making capacity
2. Evaluate medical risk
3. Attempt persuasion
4. Escalate to medical oversight
5. Properly document

Interestingly, only 3 states (9%) guide EMS on assessing all 4 elements of decision-making capacity:

Said another way, decision-making capacity isn't as simple as A/O x 4.

What else did the study show?
❇️ Only 1 state (New York) considers age ≥65 as a high-risk factor for refusal, despite older adults making up the majority of poor outcomes after refusal
❇️ Only 4 states include checklists to help identify high-risk refusals and guide EMS actions

📌 Additional notes:
These are the calls that will invariably go south. Patients with advanced age, abnormal vitals, or altered mental status are red flags, and simply having them refuse care without running a process is taking unnecessary risk.

📚 Read the Full Study:
https://www.handtevy.com/wp-content/uploads/2025/08/Current-Emergency-Medical-Services-Systems-Approaches-to-Refusal-of-Assessment-Treatment-or-Transport-Examination-of-Statewide-Protocols.pdf

11/03/2025

"𝐏𝐬𝐞𝐮𝐝𝐨-𝐏𝐄𝐀" 𝐢𝐬𝐧'𝐭 𝐚 𝐭𝐡𝐢𝐧𝐠 ‼️

The term was invented to suggest that the clinician sees a rhythm on the monitor, but can't feel a pulse.

But how good are humans at feeling a pulse? ......Not as good as the machines!

The problem? We’ve been relying on human fingers to detect pulses, and we're just not that reliable. 😬

Enter POCUS, point-of-care ultrasound, and two key terms that are changing how we think about cardiac arrest:

🟥 PRES = Pulseless Rhythm with Echocardiographic Standstill (aka PEA)
🟩 PREM = Pulseless Rhythm with Echocardiographic Motion (aka Pseudo-PEA)

This new case series reports real-world EMS use of POCUS during out-of-hospital cardiac arrest (OHCA), and the results are eye-opening:

𝐊𝐞𝐲 𝐅𝐢𝐧𝐝𝐢𝐧𝐠𝐬:
● PREM was identified in multiple cases using prehospital ultrasound
● Patients with PREM, despite no palpable pulse, achieved ROSC
● PREM may be a treatable state, not a terminal one

𝐖𝐡𝐲 𝐭𝐡𝐢𝐬 𝐦𝐚𝐭𝐭𝐞𝐫𝐬:
● PREM could indicate a hyperdynamic or obstructive physiology (PE, tamponade, tension pneumo)
● There are no current ACLS guidelines specific to PREM
● Treating PREM like traditional PEA may be missing a critical window for intervention

The authors suggest a pivotal shift:
Should PREM be treated as a unique shock state requiring targeted protocols?

Drop your thoughts in the comments.

📚 Link to case series:https://www.handtevy.com/wp-content/uploads/2025/08/Ultrasound-Detection-of-Pulseless-Rhythm-with-Echocardiographic-Motion-PREM-in-Prehospital-Cardiac-Arrest-A-Case-Series.pdf

Kudos to study authors Martha Watson, Jessica Barbour & David Rayburn for their contribution to the literature.

11/03/2025

𝐃𝐨𝐞𝐬 𝐒𝐢𝐳𝐞 𝐌𝐚𝐭𝐭𝐞𝐫? 💉

You’re treating a trauma patient with suspected tension pneumothorax.

You insert a needle for decompression… but are you using the right kind and size of catheter?

A new cadaveric study says your choice could make the difference between success and failure.

Today, we break down�a new study titled "𝐅𝐞𝐧𝐞𝐬𝐭𝐫𝐚𝐭𝐞𝐝 𝐂𝐚𝐭𝐡𝐞𝐭𝐞𝐫𝐬 𝐀𝐫𝐞 𝐒𝐮𝐩𝐞𝐫𝐢𝐨𝐫 𝐭𝐨 𝐍𝐨𝐧-𝐅𝐞𝐧𝐞𝐬𝐭𝐫𝐚𝐭𝐞𝐝 𝐍𝐞𝐞𝐝𝐥𝐞 𝐓𝐡𝐨𝐫𝐚𝐜𝐨𝐬𝐭𝐨𝐦𝐲 𝐂𝐚𝐭𝐡𝐞𝐭𝐞𝐫𝐬 𝐢𝐧 𝐚 𝐂𝐚𝐝𝐚𝐯𝐞𝐫𝐢𝐜 𝐓𝐞𝐧𝐬𝐢𝐨𝐧 𝐏𝐧𝐞𝐮𝐦𝐨𝐭𝐡𝐨𝐫𝐚𝐱 𝐌𝐨𝐝𝐞𝐥" (𝘗𝘳𝘦𝘩𝘰𝘴𝘱𝘪𝘵𝘢𝘭 𝘌𝘮𝘦𝘳𝘨𝘦𝘯𝘤𝘺 𝘊𝘢𝘳𝘦, 𝘈𝘶𝘨 2025)

🔍 What they did:

👉 Researchers tested the following catheters in fresh human cadavers
a. 14 ga fenestrated
b. 14 ga non-fenestrated
c. 10 ga fenestrated
d. 10 ga non-fenestrated

👉 Tension pneumothorax was induced and then relieved using the different catheter types at both the 2nd ICS mid-clavicular and 5th ICS anterior-axillary line.

📊 Key Findings:

1️⃣ Success rate for relieving pressure:
Fenestrated catheters worked 84% of the time vs only 44% for non-fenestrated (p < 0.01).

2️⃣ Time to decompression:
10 ga was faster than 14 ga (21.2 sec vs 36.0 sec, p = 0.01), but fenestration had a bigger impact than gauge size.

3️⃣ Audible air release:
Heard in 88% of fenestrated cases vs 69% with non-fenestrated (p = 0.06).

4️⃣ Insertion site matters:
At the 2nd ICS MCL, fenestrated catheters had a 94% success rate, compared to just 25% with non-fenestrated (p < 0.01).

🚑 Takeaway for EMS:
✔️ If you’re using needle decompression in the field, fenestrated catheters should be your go-to.
✔️ Protocols and equipment should evolve to reflect this superior performance, especially in anterior chest placements.

Kudos to study authors Adam Kruse, Jennifer Achay, Emily Epley, Jeff Swenson, Brian Ferguson, Jeffrey R., Erik DeSoucy, DO, FACS, Shannon Thompson, and David Wampler.

🔗 Read the full study here: https://ow.ly/91kG50XlO7N

10/31/2025

Happy Halloween from the Handtevy team! What a great time celebrating together and making so many team memories. Wishing you a safe, spook-free night. 👻🧡

Handtevy - Pediatric Emergency Standards, Inc.

11/17/2025

11/14/2025

11/13/2025

11/12/2025

11/11/2025

11/10/2025

11/07/2025

11/06/2025

11/05/2025

11/03/2025

11/03/2025

10/31/2025

Address

Opening Hours

Telephone

Website

Alerts

Contact The Practice

Shortcuts

Share

Category

Monday	8am - 5pm
Tuesday	8am - 5pm
Wednesday	8am - 5pm
Thursday	8am - 5pm
Friday	8am - 5pm