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Handtevy - Pediatric Emergency Standards, Inc.

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Davie, FL
Handtevy - Pediatric Emergency Standards, Inc.

Pediatric Emergency Standard’s mission is to improve the quality of pediatric emergency medical care for all sick and injured children.

12/29/2025

Your EMS drug box has been sitting in a hot, humid ambulance for months.

But how stable are the meds inside?
Are they still effective when you need them the most?

A new study from Thailand tested just that, and the results might surprise you. 🚑💉🔥

📊 Study Summary:
This 12-month prospective study looked at Epinephrine, Amiodarone, and Atropine stored in EMS drug boxes in real-world tropical EMS conditions (average temp: 86°F / 30.1°C, humidity: 72%).

📦 More details on the meds:
◆ Carried on 450 EMS missions
◆ Stored at 77.4 °F / 25.2°C inside the drug box on average
◆ Tested every 3 months for pH, color, sediment, and concentration

🧪 Key Findings:
✅ Epinephrine lost only 4.2% potency (from 100.1% → 95.9%)
✅ Amiodarone dropped 6% (107.7% → 101.7%)
⚠️ Atropine degraded the fastest: 7% drop (105% → 98%)

No visible changes in color, sediment, or pH for any drug
All drugs stayed within USP standards (

12/26/2025

Pushing an "Amp of Bicarb" should no longer be standard practice.

A new systematic review and meta-analysis looked at 126,013 out-of-hospital cardiac arrest patients and asked a simple question: Does sodium bicarbonate improve outcomes when used during cardiac arrest?

The answer: not routinely.

Across 11 studies, there was no improvement in ROSC, survival to admission, survival to discharge, or neurological outcomes when sodium bicarbonate was given as part of standard resuscitation efforts.

That doesn’t mean it has no place in EMS. It remains appropriate for hyperkalemia, tricyclic antidepressant toxicity, or profound metabolic acidosis, but routine use for undifferentiated cardiac arrest isn’t supported by current evidence.

This study reinforces something critical in prehospital medicine:
🔍 If we want to improve survival, we need high-performance CPR, early defibrillation, airway and ventilation management, and timely access to definitive care. Medications alone are not the magic bullet.

Check out the study here:https://www.handtevy.com/wp-content/uploads/2025/11/Effectiveness-of-Sodium-Bicarbonate-Administration-in-Out-of-Hospital-Cardiac-Arrests-An-Updated-Systematic-Review-and-Meta-Analysis.pdf

With better reporting on timing, dosing, ETCO₂, and airway strategy, we may learn more about when sodium bicarbonate could help, but for routine use, the science isn’t there.
Evidence matters. Protocols should evolve with it. 💙

12/25/2025

🚨 Real talk for EMS: we can’t keep waiting for permission.

The American Heart Association 2025 guidelines once again leave EMS on the margins, despite mounting evidence that prehospital whole blood and dual sequential defibrillation (DSD) save lives.

An EMS1 piece put it bluntly: “Whole blood, dual shocks and why the AHA still doesn’t get us.” And that’s the core issue. EMS isn’t a downstream add-on, we are a decisive link in the chain of survival.

From field transfusions to aggressive defibrillation strategies, EMS systems across the country are already proving what works. We’re seeing survivors walk back onto tennis courts, neurologically intact, because crews didn’t wait for a guideline to catch up to reality.

Recently on the Inside EMS podcast, Chris Cebollero and Dr. Antevy talked openly about the disconnect between hospital-centric guidelines and the realities of prehospital care, along with the science behind whole blood, DSD, plasma, and why EMS innovation so often meets resistance before acceptance.

“EMS is a subspecialty in the house of medicine.
We are part of the chain of survival too.”

If we want outcomes to change, EMS must be recognized not just as early transport, but as early, definitive care.

Read the EMS1 article. Share it. And keep pushing the conversation forward.

https://www.ems1.com/ems-advocacy/whole-blood-dual-shocks-and-why-the-aha-still-doesnt-get-us

12/24/2025

The holidays are brighter thanks to EMS professionals who remain ready when it matters most. Thank you for your commitment, your care, and the difference you make every day. Wishing you a safe and joyful holiday season! 💙✨

12/23/2025

You’re ventilating a 4-year-old in respiratory arrest. You squeeze the BVM, but do you know if you’re delivering the right volume and rate?

A new study put a real-time pediatric ventilation feedback device to the test in a simulated prehospital scenario, and the results were eye-opening.

Twenty-two EMS clinicians participated in a simulated case of a 4-year-old with traumatic respiratory failure requiring BVM ventilations via a supraglottic airway.

In the first round, clinicians ventilated without any feedback. In the second round, they repeated the same scenario using the Archeon EOLifeX VFD device, which provides real-time feedback on tidal volume and rate.

𝐖𝐢𝐭𝐡𝐨𝐮𝐭 𝐭𝐡𝐞 𝐝𝐞𝐯𝐢𝐜𝐞:
𝘛𝘪𝘥𝘢𝘭 𝘝𝘰𝘭𝘶𝘮𝘦
👉 Only 3.6% of ventilations delivered within the correct range (4–8 mL/kg).

𝘝𝘦𝘯𝘵𝘪𝘭𝘢𝘵𝘪𝘰𝘯 𝘙𝘢𝘵𝘦:
👉 Only 18.5% were accurate.

𝐖𝐢𝐭𝐡 𝐭𝐡𝐞 𝐝𝐞𝐯𝐢𝐜𝐞:
𝘛𝘪𝘥𝘢𝘭 𝘝𝘰𝘭𝘶𝘮𝘦
✅ 70.2% were within range, a nearly 20-fold improvement.

𝘝𝘦𝘯𝘵𝘪𝘭𝘢𝘵𝘪𝘰𝘯 𝘙𝘢𝘵𝘦:
✅ 91.2% fell within the target range of 10–20 breaths per minute.

Clinicians also expressed their support for the device.
👍 95% said it improved quality of care.
👍 100% agreed it would help them deliver more accurate pediatric ventilations.
👍 86% said it boosted their confidence managing pediatric airways.

Pediatric ventilation is notoriously difficult. Too little, and they’re hypoxic...too much, and you risk barotrauma or reduced perfusion.

This study suggests real-time feedback could significantly improve prehospital ventilation quality and safety in kids.

It’s simulation for now, but the potential future impact is coming into focus.

Kudos to study authors Joseph D. Finney, Jeﬀrey Siegler, Jinli Wang, Elizabeth Larkin, Kavya John, Brad McClain, Sang Hoon Lee, Lauren C. Riney, Lynn Babcock, Lorin R.
Browne & Fahd A. Ahmad

Read the full article here:https://www.handtevy.com/wp-content/uploads/2025/11/Feasibility-and-Preliminary-Outcomes-of-a-Simulated-Prehospital-Pediatric-Ventilation-Scenario-Using-a-Ventilation-Feedback-Device.pdf

𝘕𝘰𝘵𝘦: 𝘞𝘦 𝘩𝘢𝘷𝘦 𝘯𝘰 𝘊𝘖𝘐 𝘸𝘪𝘵𝘩 𝘵𝘩𝘪𝘴 𝘥𝘦𝘷𝘪𝘤𝘦, 𝘩𝘰𝘸𝘦𝘷𝘦𝘳, 𝘸𝘦'𝘷𝘦 𝘣𝘦𝘦𝘯 𝘧𝘰𝘭𝘭𝘰𝘸𝘪𝘯𝘨 𝘪𝘵 𝘧𝘰𝘳 𝘢 𝘸𝘩𝘪𝘭𝘦. 𝘐𝘯 𝘧𝘢𝘤𝘵, 𝘋𝘳. 𝘈𝘯𝘵𝘦𝘷𝘺 𝘩𝘢𝘥 𝘵𝘩𝘦 𝘊𝘌𝘖 𝘰𝘯 𝘵𝘩𝘦 𝘍𝘭𝘰𝘳𝘪𝘥𝘢 𝘌𝘔𝘚 𝘞𝘦𝘣𝘪𝘯𝘢𝘳 3-𝘺𝘦𝘢𝘳𝘴 𝘢𝘨𝘰.

Watch it here: https://youtu.be/jCrjw3iXPzw?si=Pf5REC4yu_pdT5V1

12/22/2025

This season, we’re proud to support pediatric care beyond the bedside. 💙🎁
Our amazing team came together to participate in the holiday toy drive for kids at Joe DiMaggio Children's Hospital! Here’s to bringing a little extra magic this holiday season. ✨❄️

12/16/2025

Get off the wall. Get connected. ⏰📱 Meet 𝗪𝗮𝗹𝗹𝗖𝗼𝗺𝗺™ — Handtevy’s Mobile's 𝗡𝗘𝗪𝗘𝗦𝗧 award-winning feature built to transform how EMS and hospitals communicate in real time.

From GPS-verified arrival times to live chat during handoff, WallComm™ keeps teams aligned, accountable, and in sync when every second counts. 💥

📍 Auto-logged arrival & departure times
💬 Live EMS-to-ED communication
📊 Instant insights to reduce wall times

Ready to put WallComm™ to work? Your organization's admin can enable it with a single switch!

Don't have Handtevy Mobile? No problem! Let's get you locked in with a demo today 💪 Click here to begin >> https://www.handtevy.com/request-a-demo/

12/15/2025

Pediatric HALO calls demand clarity, confidence, and preparation. 🚨

Handtevy, FlightBridgeED, and ZOLL come together for a clinical webinar on 𝗗𝗲𝗰𝗲𝗺𝗯𝗲𝗿 𝟭𝟳𝘁𝗵 𝗮𝘁 𝟭𝗣𝗠 𝗘𝗦𝗧 to address the cognitive and emotional demands, explore real-world cases, and practice simulation-driven strategies to build confidence when it matters most.

Ready to register? Save your seat TODAY! 👉 https://ow.ly/96ih50XK0YU

12/11/2025

Wishing the happiest birthday to our founder and CMO, Dr. Peter Antevy! 🎉

Your passion for saving lives and elevating emergency care is the heartbeat of Handtevy. Thank you for inspiring our team and leading with purpose. We hope your day is as special as the impact you make. 💙💚

12/10/2025

The 𝗛𝗮𝗻𝗱𝘁𝗲𝘃𝘆 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗦𝗲𝗿𝗶𝗲𝘀 returns LIVE on 𝗗𝗲𝗰𝗲𝗺𝗯𝗲𝗿 𝟭𝟴𝘁𝗵 𝗮𝘁 𝟯𝗣𝗠 𝗘𝗦𝗧 🫁📈 Dr. Peter Antevy and Captain Will Caruso will take you inside CO₂ physiology and waveform capnography, giving you a practical framework for reading, interpreting, and acting on critical respiratory signals—and so much more!

Captain Will Caruso’s 25 years in EMS, combined with his hospital and educator background, make this session a must for any clinician aiming to elevate readiness.
👉 Click here to register now: https://us06web.zoom.us/meeting/register/iHwyLTNGQpafzTrqKpw0BA #/registration

12/09/2025

Should your trauma center be using whole blood in pediatric trauma patients?

A new multicenter study across 10 Level I trauma centers looked at this question. Can you guess what they found?

🥁🥁 Whole blood (WB) resuscitation is safe in pediatric trauma — and possibly more efficient than traditional component therapy.

Ok, we didn't need the drum roll there, mainly because it's obvious. But let's look at the paper nonetheless.

📊 Study Breakdown:
90 pediatric trauma patients (ages 0–17) were included
• 62 received at least 1 unit of WB
• 28 received traditional blood component therapy (BCT)
Mechanism of injury:
• 64% penetrating (91% of those were GSWs)
• 36% blunt (53% of those were MVCs)

Outcomes 🩸 :
1️⃣ No difference in mortality between WB and BCT groups (35.5% vs 35.7%; P = 0.98)
2️⃣ No significant difference in complications (AKI, DVT, PE, ARDS, TRALI, or TACO)
3️⃣ No transfusion reactions were reported in either group
4️⃣ WB patients tended to require fewer units of PRBCs, FFP, and platelets after 4 hours (trend, not statistically significant)

Here's a Notable Observation ⚠️ :
Black pediatric patients were significantly less likely to receive WB than White patients
👉 57.5% vs 83.3%

✅ So for the (obvious to us, but not to some) Conclusions:
1. Whole blood resuscitation is safe for critically injured pediatric trauma patients and may reduce the volume of blood products needed.
2. Simpler to administer, and there's no need for separate PRBCs, plasma, and platelets.

📚 Read the Full Study:
https://www.handtevy.com/wp-content/uploads/2025/11/perea-et-al-2023-whole-blood-resuscitation-is-safe-in-pediatric-trauma-patients-a-multicenter-study.pdf

12/08/2025

It's 𝗧𝗲𝗮𝗺 𝗠𝗲𝗺𝗯𝗲𝗿 𝗦𝗽𝗼𝘁𝗹𝗶𝗴𝗵𝘁 time! 🎉 This month, we’re shining the light on Carissa Moll, our Senior Manager of Clinical Administration, whose steady leadership and clinical excellence help drive Handtevy forward every day.

𝗪𝗵𝘆 𝗖𝗮𝗿𝗶𝘀𝘀𝗮 𝗦𝘁𝗮𝗻𝗱𝘀 𝗢𝘂𝘁 🌟
Carissa is known for kindness, fueled by helpfulness, and so steady you’d think they were written into the building’s blueprints. She has always been a steady asset to Handtevy and is a great mentor!

𝗙𝘂𝗻 𝗙𝗮𝗰𝘁!
Carissa is an amazing baker and has made some delicious treats for us! 👩🏻‍🍳🍪

Address

11860 SR-84 Suite B1
Davie, FL
33325

Opening Hours

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

Telephone

+18668673192

Website

http://www.handtevy.com/

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