EMS Medical Director, Peds EM Physician, Researcher, Founder/CMO @Handtevy. Alum of @ChildrensLA and @ChildrensPgh

Joined January 2009
1,475 Photos and videos
๐ƒ๐’๐„๐ƒ ๐๐จ๐ž๐ฌ๐ง'๐ญ ๐ฐ๐จ๐ซ๐ค! That's what a new observational study from New Zealand reports. ๐˜•๐˜ฐ ๐˜ด๐˜ถ๐˜ณ๐˜ท๐˜ช๐˜ท๐˜ข๐˜ญ ๐˜ฃ๐˜ฆ๐˜ฏ๐˜ฆ๐˜ง๐˜ช๐˜ต ๐˜ง๐˜ณ๐˜ฐ๐˜ฎ ๐˜‹๐˜š๐˜Œ๐˜‹ ๐˜ข๐˜ง๐˜ต๐˜ฆ๐˜ณ ๐˜ฏ๐˜ข๐˜ต๐˜ช๐˜ฐ๐˜ฏ๐˜ธ๐˜ช๐˜ฅ๐˜ฆ ๐˜ช๐˜ฎ๐˜ฑ๐˜ญ๐˜ฆ๐˜ฎ๐˜ฆ๐˜ฏ๐˜ต๐˜ข๐˜ต๐˜ช๐˜ฐ๐˜ฏ. That's where most people stop reading, and say "I told you so!" โ— But let's not make that mistake. A result like this begs the question, "How does this make sense when the DOSE VF RCT showed that DSED more than doubled survival in refractory VF?" This is why the headline read of a study is rarely the read that matters. โœ… The methodology is. โœ… The patient population is. โœ… The timing of the intervention is. And the limitations the authors themselves disclose, often tell you more than the conclusion. I took a deep dive. New blog post here: linkedin.com/posts/peter-antโ€ฆ @DrCheskes @Handtevy @NAEMSPJournal
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Check out my latest article: Thrown 85 Feet: What Plasma Did, What the Data Show, and What We Still Don't Know linkedin.com/pulse/thrown-85โ€ฆ via @LinkedIn
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No Extra Clicks. That was the challenge I gave my team when we started building ScanSafeโ„ข. Scan the vial. Verification happens instantly. Right inside the workflow. No extra steps. @Handtevy @PLAN4ZERO @AmerAcadPeds @NAEMSP @DrCheskes
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Great case yesterday. Pediatric patient with 9/10 chest pain/pressure and palpitations. BP wnl. Sats normal. No syncope. Otherwise healthy. No PMH or FHx relevant. Will post outcome in a bit. I want to hear your thoughts.
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With the long QT and WCT we avoided adenosine and Amio. Gave Magnesium over 20 minutes and the QRS narrowed and her symptoms resolved, but still tachy >200. In the ED they hemmed and hawed for 20 min and finally decided to give adenosine. Final dx SVT with aberrancy.
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97% correct pediatric medication dosing. Across an entire multi-agency EMS system. Sustained. Peer-reviewed. The highest ever published. New blog post on what Rochester did and why it matters. ๐Ÿ‘‡ linkedin.com/pulse/97-correcโ€ฆ
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Itโ€™s Time to Stop Pushing Epi in V-Fib linkedin.com/pulse/its-time-โ€ฆ
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Grateful to @mklevy10 for calling attention to a major patient safety gap at the @NAEMSP annual meeting. Medication scanning matters, especially in high-risk EMS and hospital environments. Weโ€™re focused on solving this in Handtevy Mobile. #NAEMSP2026
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Six years later, that first hospitalization still defines our memory. "๐˜ ๐˜ฐ๐˜ถ๐˜ณ ๐˜ด๐˜ฐ๐˜ฏ ๐˜ฉ๐˜ข๐˜ด ๐˜›๐˜บ๐˜ฑ๐˜ฆ 1 ๐˜ฅ๐˜ช๐˜ข๐˜ฃ๐˜ฆ๐˜ต๐˜ฆ๐˜ด" But what followed wasnโ€™t just learning insulin and finger sticks. It was being offered ๐ก๐ข๐ ๐ก-๐œ๐š๐ซ๐› ๐ฌ๐ง๐š๐œ๐ค๐ฌ that led to huge blood sugar swings, and several scary moments heโ€™s never forgotten. That's what stuck. Six years later, Noah continues to make sure that newly diagnosed children have Low Carb options during their initial hospitalization. Through his club at club at @AHSBroward, he delivers Diabetic Snack Boxes to @JDCHospital, right when families need them most. The letter he places on each box still makes my eyes well up. Next shipment ready. ๐Ÿ’™
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A new NEJM trial is being interpreted by many as showing that ketamine causes increased cardiovascular collapse relative to etomidate during ETI. I don't agree. What it really shows is what happens when critically ill patients are paralyzed before theyโ€™re adequately resuscitated. Read my first ever Substack post below๐Ÿ‘‡
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Join @TannerSmida and me today at 11 AM EST for the @FL_NAEMSP webinar as we host @dougwolfberg to discuss Criminal Liability in EMS. DM me for the Zoom link or join via LinkedIn Live.
12 Dec 2025
Join us today at 11:00 AM (EST) for the @FL_NAEMSP Webinar featuring @dougwolfberg Topic: Criminal Liability for Deviations from Clinical Standards of Care in EMS
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๐˜๐จ๐ฎ ๐ง๐ž๐ฏ๐ž๐ซ ๐Ÿ๐จ๐ซ๐ ๐ž๐ญ ๐ญ๐ก๐ž ๐Ÿ๐ข๐ซ๐ฌ๐ญ ๐ญ๐ข๐ฆ๐ž ๐ฒ๐จ๐ฎ ๐ฆ๐ž๐ž๐ญ ๐š ๐œ๐š๐ซ๐๐ข๐š๐œ ๐š๐ซ๐ซ๐ž๐ฌ๐ญ ๐ฌ๐ฎ๐ซ๐ฏ๐ข๐ฏ๐จ๐ซ ๐จ๐ง ๐ญ๐ก๐ž ๐ž๐ฑ๐š๐œ๐ญ ๐œ๐จ๐ฎ๐ซ๐ญ ๐ฐ๐ก๐ž๐ซ๐ž ๐ญ๐ก๐ž๐ข๐ซ ๐š๐ซ๐ซ๐ž๐ฌ๐ญ ๐ก๐š๐ฉ๐ฉ๐ž๐ง๐ž๐. This weekend, I had that privilege. Alan and his family invited me for a doubles match, on the same court where two bystanders, my crew from Palm Beach County Fire Rescue Station 49, and EMS Captain Darwin Zelaya, fought to bring him back. They delivered 2 AED shocks, 1 standard shock, six rounds of Dual Sequential External Defibrillation, as well as amiodarone and esmolol, achieving ROSC before arrival at Delray Medical Center. Alan also recorded a quick PSA for clinicians who still question whether #DSED works. Walking off that court, I couldnโ€™t help but feel grateful. Grateful for the bystanders, the crew, the science, and for the chance to see a life fully reclaimed. Thatโ€™s the power of EMS. @DrCheskes @emcrit @PBCFR @AHAScience @ERC_resus @ResusCouncilUK @ResusJournal @NEJM
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๐Ÿšจ ๐…๐ข๐ซ๐ฌ๐ญ-๐„๐ฏ๐ž๐ซ ๐‘๐ž๐ฉ๐จ๐ซ๐ญ๐ž๐ ๐‚๐š๐ฌ๐ž ๐จ๐Ÿ ๐ƒ๐’๐„๐ƒ ๐จ๐ง ๐’๐ก๐จ๐œ๐ค #1 โ€” ๐๐จ๐ฐ ๐๐ฎ๐›๐ฅ๐ข๐ฌ๐ก๐ž๐ ๐ข๐ง ๐‰๐€๐‚๐‚ (๐๐จ๐ฏ๐ž๐ฆ๐›๐ž๐ซ 2025) Read the case report: lnkd.in/eYzeKjr9
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Join us tomorrow at 11AM EST on the @FL_NAEMSP webinar as we host Capt. Rick Maricle, NRP to discuss this recent joint position statement. DM for details.
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๐Ÿ“ข @FL_NAEMSP EMS Webinar Topic: EMS Point-of-Care Blood Testing: Siemens EPOC Date: Friday, September 12, 2025 Time: 11:00 AM EST Register on Zoom: us06web.zoom.us/meeting/regiโ€ฆ
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The New England Whole Blood Summit happening now in Boston with Dr. @markpiehl debunking the myths of pre-hospital blood.
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๐Ÿšจ New Guidance from NAEMSP ๐Ÿšจ The @NAEMSP recently released 6 recommendations on prehospital blood transfusion. Hereโ€™s the first one: ๐Ÿ‘‰ โ€œ๐–๐ž ๐ซ๐ž๐œ๐จ๐ฆ๐ฆ๐ž๐ง๐ ๐ญ๐ก๐ž ๐ฎ๐ฌ๐ž ๐จ๐Ÿ ๐›๐ฅ๐จ๐จ๐ ๐œ๐จ๐ฆ๐ฉ๐จ๐ง๐ž๐ง๐ญ๐ฌ ๐จ๐ฏ๐ž๐ซ ๐œ๐ซ๐ฒ๐ฌ๐ญ๐š๐ฅ๐ฅ๐จ๐ข๐๐ฌ ๐Ÿ๐จ๐ซ ๐ญ๐ก๐ž ๐Ÿ๐ข๐ซ๐ฌ๐ญ-๐ฅ๐ข๐ง๐ž ๐ญ๐ซ๐ž๐š๐ญ๐ฆ๐ž๐ง๐ญ ๐จ๐Ÿ ๐ฉ๐š๐ญ๐ข๐ž๐ง๐ญ๐ฌ ๐ฐ๐ข๐ญ๐ก ๐ญ๐ซ๐š๐ฎ๐ฆ๐š๐ญ๐ข๐œ ๐ฅ๐ข๐Ÿ๐ž-๐ญ๐ก๐ซ๐ž๐š๐ญ๐ž๐ง๐ข๐ง๐  ๐›๐ฅ๐ž๐ž๐๐ข๐ง๐  ๐ข๐ง ๐ญ๐ก๐ž ๐ฉ๐ซ๐ž๐ก๐จ๐ฌ๐ฉ๐ข๐ญ๐š๐ฅ ๐ฉ๐ก๐š๐ฌ๐ž ๐จ๐Ÿ ๐ซ๐ž๐ฌ๐ฎ๐ฌ๐œ๐ข๐ญ๐š๐ญ๐ข๐จ๐ง.โ€ Tomorrow, @TannerSmida and I will be joined by Joshua Brown, MD, MS (@UPMC) โ€” trauma surgeon and first author of this landmark position statement. If youโ€™re in EMS and considering whole blood or blood components in the field, you wonโ€™t want to miss this conversation. ๐Ÿ”— Join via Zoom (Register Here): us06web.zoom.us/meeting/regiโ€ฆ
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FORT LAUDERDALE, Fla., Sept. 2, 2025 /PRNewswire-PRWeb/ -- The Florida Department of Health has partnered with @Handtevy, the nationally recognized leader in emergency resuscitation technology, to equip rural EMS agencies and hospitals with its groundbreaking clinical platform. This statewide initiative, funded through a legislative appropriation, will deliver Handtevy's award-winning mobile application, training, and support to participating clinicians at no cost. Read the full release: prweb.com/releases/florida-iโ€ฆ
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This just made my day! Congrats to the entire team. Can't wait to see the outcomes from what I hope will change the way sepsis is treated by EMS. Many lives will be saved because of this study!
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We did it!! ๐ŸŽ‰๐ŸŽ†๐ŸŽ‰ Thrilled to share - the PITSTOP Trial has reached full enrollment target of 2,040 participants. Enrollment is now closed. ๐Ÿ™Œ Huge thanks to everyone who made this possible - participants, paramedics and operational support teams!!
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