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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.

10/13/2025

Wait, what? Nitroglycerin enhances brain perfusion during CPR?

A new swine study says yes, with a medication already in your med box.

Researchers evaluated nebulized nitroglycerin (NTG) during CPR and found a significant boost in carotid blood flow without negatively affecting aortic pressure.

🧠 Why it matters: Carotid blood flow is a key surrogate for cerebral perfusion. Improving flow to the brain during cardiac arrest could lead to better neurologic outcomes after ROSC.

💡 Key Findings:
✔️ Nebulized NTG increased mean carotid blood flow by 31%
✔️ No significant drop in coronary perfusion pressure
✔️ Safe and potentially easy to implement in prehospital and hospital settings

🚑 NTG is commonly carried in EMS units, and the nebulized form may offer a new role in supporting cerebral perfusion during resuscitation — without complicating CPR efforts.

🧪 Important: This study was conducted on a controlled porcine model, so it's not ready for prime time just yet. Human trials are obviously needed, but this is an exciting area of research that we'll be keeping our eyes on.

Read the paper here:https://www.handtevy.com/wp-content/uploads/2025/08/Nebulized-Nitroglycerin-Improves-Carotid-Blood-Flow-During-Cardiopulmonary-Resuscitation-in-a-Swine-Model-of-Cardiac-Arrest.pdf

🧬

10/10/2025

Thank you to all the emergency nurses for leading with skill, heart, and courage! 💚 🎉 This week was for you—but your impact is felt every single day and our appreciation never ends.

10/08/2025

🪴 𝐊𝐫𝐚𝐭𝐨𝐦 & 𝐍𝐚𝐫𝐜𝐚𝐧: 𝐖𝐡𝐚𝐭 𝐘𝐨𝐮 𝐍𝐞𝐞𝐝 𝐭𝐨 𝐊𝐧𝐨𝐰

Kratom is gaining popularity across the country, especially here in South Florida, but are EMS protocols keeping up?

𝐅𝐢𝐫𝐬𝐭, 𝐰𝐡𝐚𝐭 𝐢𝐬 𝐊𝐫𝐚𝐭𝐨𝐦?
It's a tropical tree (Mitragyna speciosa) native to Southeast Asia. Its leaves contain compounds, primarily mitragynine and 7-hydroxymitragynine, that act on opioid receptors in the brain.

A recently published study dives into seven real-world EMS cases where patients who used kratom responded positively to naloxone (Narcan).

Although kratom isn't technically an opioid, these cases suggest that Narcan may still reverse life-threatening effects, especially when kratom is combined with opioids or causes opioid-like respiratory depression.

👉 𝐖𝐡𝐲 𝐢𝐭 𝐦𝐚𝐭𝐭𝐞𝐫𝐬:
• Kratom is legal in many states and easily accessible
• It’s often used as a natural painkiller or to manage opioid withdrawal
• EMS providers may encounter patients with depressed respirations and pinpoint pupils — and Narcan might work even if it’s “just kratom”

🧠 𝐇𝐞𝐫𝐞'𝐬 𝐭𝐡𝐞 𝐓𝐚𝐤𝐞𝐚𝐰𝐚𝐲:
If you're treating altered mental status with signs of opioid toxidrome — don't rule out Narcan, even if the only substance reported is kratom.

📚 Case series published in Prehospital and Disaster Medicine: https://ow.ly/xABF50X8qSU

Download the DEA Kratom Fact Sheet: https://ow.ly/TkGj50X8qSW

10/07/2025

Our 𝗛𝗮𝗻𝗱𝘁𝗲𝘃𝘆 𝗛𝗼𝘀𝗽𝗶𝘁𝗮𝗹 𝗦𝗲𝗿𝗶𝗲𝘀 returns with Part 6—just in time for 𝗘𝗺𝗲𝗿𝗴𝗲𝗻𝗰𝘆 𝗡𝘂𝗿𝘀𝗲𝘀 𝗪𝗲𝗲𝗸! 🩺 🌟Join us on October 14th at 1PM EST for a LIVE webinar spotlighting neonatal resuscitation and hands-on strategies to strengthen pediatric readiness across hospital and EMS systems.

Chief Stephanie Ashford will walk you through rapid cycle deliberate practice (RCDP)—a proven training method that transforms simulation into bedside performance.

Don’t miss this special session bringing neonatal emergency care training straight to you. 🙌
👉 Click here to register now >> https://ow.ly/HkpK50X6hoq

10/03/2025

Welcome back to our 𝗧𝗲𝗮𝗺 𝗠𝗲𝗺𝗯𝗲𝗿 𝗦𝗽𝗼𝘁𝗹𝗶𝗴𝗵𝘁 series! 💪 This month, we’re proud to highlight Brendan Walsh, one of our talented Software Engineers whose dedication and reliability continue to elevate every project he touches.

𝗪𝗵𝘆 𝗕𝗿𝗲𝗻𝗱𝗮𝗻 𝗦𝘁𝗮𝗻𝗱𝘀 𝗢𝘂𝘁 ⚡
Brendan’s impact shows in the details—he’s dependable, focused, and always ready to contribute. His efforts strengthen both our projects and our team as a whole.

𝗙𝘂𝗻 𝗙𝗮𝗰𝘁!
Outside of work, Brendan enjoys fishing 🎣, diving 🤿, and hitting the slopes on his skis ⛷️.

10/02/2025

🚨 What if everything you thought you knew about spinal immobilization… was wrong? 🚨

You’ve got a trauma patient. Maybe they fell. Maybe it’s a rollover. You strap on a c-collar, secure the backboard, and feel like you’ve done everything right.

But what if that collar is hurting them more than helping?

What if the backboard is doing more harm than good?

An important review from NAEMSP just dropped, and it challenges decades of prehospital dogma.

📚 The Study:
Over 3,900 papers screened
115 studies included in analysis

Topics: spinal immobilization, motion restriction (SMR), delayed neurological injury, and associated harms

🧠 What They Found:
• Zero studies showed a clear clinical benefit to spinal immobilization or SMR
• 55 studies showed patient harm
• Immobilization may actually increase spinal movement during transport, especially at the c-spine to thorax junction
• Stronger evidence links hypoperfusion, not movement, to worsening neuro outcomes

⚠️ One study claimed a benefit, but had major flaws:
• Included patients with moderate disability as a "favorable outcome"
• Did not control for blood pressure
• Excluded patients with traumatic brain injury

✅ Takeaway:
• There’s no high-quality evidence that immobilization prevents spinal cord injury
• There’s plenty of evidence that it causes harm
• Focus should shift to resuscitation and perfusion, not strapping patients to boards

🛑 Bottom line: It’s time to rethink the collar and backboard. Use them only during extrication, not transport. And don’t let old habits cause new harm.

📖 This review from NAEMSP is a must-read for EMS medical directors, educators, and field providers alike.https://www.handtevy.com/wp-content/uploads/2025/08/Prehospital-Trauma-Compendium-Prehospital-Management-of-Spinal-Cord-Injuries-A-NAEMSP-Comprehensive-Review-and-Analysis-of-the-Literature.pdf

10/01/2025

The end of endless waiting. The start of a nationwide solution. ⏰
📲 Coming soon to Handtevy Mobile...

09/30/2025

From live demos to great conversations, EMS & Fire Pro Expo was a success! 🙌 Our fantastic team members, Kyle Rodeman & Sarah Solomon, hit the floor to demo Handtevy Mobile and connect with the EMS & fire community. 💪

Until next year! 🎉

09/26/2025

Your pediatric patient’s blood culture comes back positive at 19 hours.

But is it real bacteremia or just contamination?

🧬 That question just got easier to answer.

A new clinical decision rule was derived and validated using data from over 747 children to help clinicians accurately distinguish between true bacteremia and contaminants in pediatric ED patients with positive blood cultures.

🔍 They used these 4 criteria to stratify risk:
1️⃣ Gram stain (Gram-negative or Gram-positive cocci in chains/pairs)
2️⃣ Time to positivity < 17 hours
3️⃣ Presence of internal device (like a PICC line or heart valve)
4️⃣ Suspicion of osteoarticular infection

📉 Impact on Care:
👉 In the validation group, 43 children were discharged from the ED.
👉 Applying the rule would have reduced hospitalizations from 34 to 21
👉 No cases of true bacteremia were missed
👉 Number needed to treat to prevent one unnecessary hospitalization: 4

💰 Why this matters:
☑️ Reduces unnecessary admissions, labs, and IV antibiotics
☑️ Helps avoid pain and trauma for kids
☑️ Cuts costs (each ED visit = $1,200+, hospital stays = $5,000–$13,000)

✅ Bottom Line:
This high-sensitivity clinical rule can support EMS, ED, and pediatric teams in safely managing positive blood cultures; treat what’s real and spare what’s not.

📚 Study: https://www.annemergmed.com/article/S0196-0644(25)01041-8/fulltext

09/24/2025

Handtevy is back at 𝗘𝗠𝗦 𝗪𝗼𝗿𝗹𝗱 𝗘𝘅𝗽𝗼—and we’re bringing something big! 📣 Join us on 𝗢𝗰𝘁𝗼𝗯𝗲𝗿 𝟮𝟭 for the debut of our fully refreshed Handtevy Instructor Course, including material from our brand-𝗡𝗘𝗪 Pediatric Resuscitation & Readiness Course. Experience new realistic scenarios, updated lesson plans, and more! 📚

📍 While you're there, don't miss seeing Handtevy Mobile in action at our booth, #2207! Explore live demos, discover our newest features, and meet the passionate team behind Handtevy.

09/23/2025

What a time at ENA 2025! 🙌 From over 150 customer chats to dozens of hospital connections, this year showed just how far we’ve come and how fast we’re growing—and it's only the beginning.

Let's not forget to mention that pediatric readiness was the hot topic and we showed exactly how Handtevy is powering the mission to get every team PEDs Ready!! 💪📲

Until next year ENA 🎉

09/22/2025

BIG News! 🎉 Handtevy is proud to partner with the Florida Department of Health on a statewide initiative that delivers lifesaving technology, training, and support to rural EMS agencies and hospitals across the state.

👉 Read Full Press Release Here >> https://ow.ly/ns2y50X0lvk

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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