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Handtevy - Pediatric Emergency Standards, Inc.

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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.

08/28/2025

We all know that Language Barriers = Care Gaps in EMS!

Today's research asks if we're ready for limited English proficiency (LEP) patients in EMS? �

This national study reveals that less than half of EMS clinicians feel well-prepared to care for patients with LEP, and it’s impacting care.

🧠 Background:�Roughly 25 million people in the U.S. have LEP. When 9-1-1 is their only access to care, communication breakdowns can delay or derail treatment—especially in emergencies.

📊 The Study:
• Nationwide survey of 1,427 EMS clinicians
• Focused on perceived preparedness, resource availability, and training for LEP encounters
• Looked at both BLS and ALS providers

📌 Key Findings:
• Only 45% felt prepared to manage LEP patients
• 63% lacked access to real-time interpretation tools (like language lines)
• Most reported no formal training in LEP-specific communication
• ALS providers felt more prepared than BLS, but gaps remained across all levels

✅ Takeaways for EMS:
• Know what language resources your agency provides—advocate if they’re missing
• App-based interpreters, bilingual cards, or language lines can be game changers
• Push for training that covers LEP encounters, especially in diverse communities
• Communication = care. Let’s not let language become a barrier to lifesaving interventions

🔗 Study Link:�https://www.handtevy.com/wp-content/uploads/2025/07/Factors-Associated-with-EMS-Clinician-Preparedness-to-Provide-Care-for-Patients-with-Limited-English-Proficiency.pdf

08/22/2025

Handtevy Mobile sharpens pediatric readiness, while also extending the same efficiency to every adult call. 🚨 Let's get you PEDs ready with Handtevy! 🙌

It doesn't end there! We deliver a comprehensive catalog of hands-on, cutting-edge education designed specifically for EMS professionals. 📚 Interested in learning more about Handtevy Education? Click here >> https://www.handtevy.com/courses/

08/21/2025

Meet 𝗤𝘂𝗶𝘇𝘇𝗲𝘀 ⚡️📲 Handtevy Mobile’s 𝗡𝗘𝗪𝗘𝗦𝗧 feature bringing you fast, focused learned—created by you, powered by AI.

📖 Review admin-uploaded content before you start
📝 Quizzes tailored by your organization & generated by AI
📊 Receive instant results, experience simple progress tracking

Ready to take Quizzes for a test drive? All it takes is the flip of a switch from your admin!

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

Now found in version 5.20.0 of Handtevy Mobile or newer.

08/20/2025

Don’t miss this LIVE webinar!🚨 Dr. Peter Antevy + Dr. Mark Piehl revisit the EPIC TBI study and show why your interventions in the field change everything.

Whether you’re a seasoned provider or new to EMS, this session offers a timely reminder of the profound impact you have on every patient with TBI.

Save your seat today! 👉 https://ow.ly/LqV750WJaI3

08/19/2025

🏥 Is Paramedic-Led Treat-and-Release Safe or Risky?�

Today, we describe a large cohort study that looked at short-term outcomes after EMS clinicians treated and discharged patients without hospital transport.

Background:�More EMS systems are exploring treat-and-release or community paramedicine programs to reduce ED crowding. But how do those patients do afterward?

📊 The Study:
• 9,149 patients treated and discharged by paramedics in Ontario (2021–2022)
• Compared to matched transported patients using linked health records
• Followed for 3, 7, and 30-day outcomes, including ED visits, hospitalization, and death

📌 Key Findings:
• Within 3 days:
👉 9.2% visited ED�
👉 1.4% were admitted�
👉 0.2% died
• By 30 days:�
👉 28.3% visited ED�
👉 6.2% admitted�
👉 0.8% died

• No major increase in adverse outcomes compared to those who were transported

✅ Takeaways for EMS:
• Treat-and-discharge appears safe for select low-acuity patients
• Clear protocols and oversight are key
• Follow-up care access likely plays a role in safe outcomes
• This model could be a scalable solution for system strain, especially in urban systems with strong primary care networks

🔗 Study Link:�https://www.handtevy.com/wp-content/uploads/2025/07/Short-Term-Outcomes-of-Paramedic-Treat-and-Discharge-A-Cohort-Study-of-Emergency-Service-Use-in-Ontario-Canada.pdf

08/18/2025

🫀 Acute Aortic Dissection in the Field? EMS POCUS Helped Save This Life.�

Today's post is about a case report that demonstrates how prehospital ultrasound helped identify a Stanford Type A dissection and facilitated a rapid, lifesaving response ➡️ Before arrival at the hospital.

Background:�Aortic dissection is tough to diagnose pre-hospital and often deadly. This case highlights how prehospital point-of-care ultrasound (POCUS) can reinforce the entire chain of survival when used by trained EMS teams.

📊 The Case:
• 47-year-old male with severe chest pain and right arm paresthesia
• EMS performed focused POCUS:
➡️ Aortic root dilation + pericardial effusion
• Immediately alerted the hospital and bypassed 2 non-surgical centers
• OR team was prepped before EMS arrived
• Patient received emergency surgical repair and survived

📌 Why This Matters:
• Aortic dissection is a true ticking time bomb—minutes matter
• Prehospital ultrasound enabled earlier diagnosis + surgical activation
• Reinforces the value of advanced diagnostic training for select EMS providers

✅ Takeaways for EMS:
• POCUS is no longer just a hospital tool—it's an EMS force multiplier
• With the right training, field ultrasound can improve triage, destination decisions, and outcomes
• Consider regional POCUS protocols for high-acuity patients

🔗 Study Link:�https://www.handtevy.com/wp-content/uploads/2025/07/A-Case-Report-of-Prehospital-Point-Of-Care-Ultrasound-in-Acute-Aortic-Dissection-Reinforcing-the-Out-of-Hospital-Chain-of-Survival.pdf

08/16/2025

Our 𝗛𝗮𝗻𝗱𝘁𝗲𝘃𝘆 𝗛𝗼𝘀𝗽𝗶𝘁𝗮𝗹 𝗦𝗲𝗿𝗶𝗲𝘀 is back with Part 5 of our LIVE webinar series—let’s get you 𝗣𝗘𝗗𝗦 𝗥𝗘𝗔𝗗𝗬 𝗡𝗢𝗪! 🏥 Join us on August 28th at 1PM EST as we spotlight pediatric readiness in rural hospitals across the U.S. 🌎

Learn readiness checklists, quick-start simulations, and EMS–ED collaboration models that standardize dosing, communication, and transfers—plus strategies to overcome staffing, training, and coordination challenges.

Whether you’re in EMS, emergency medicine, hospital leadership, or a pediatric champion—this session is for you. 🙌 Click here to register now >> https://ow.ly/Recm50WGQTy

08/12/2025

🧠 Stroke Recognition Starts with the Basics—But Are We Documenting It?�

Today we review a study that evaluated 1.4 million EMS stroke-suspected calls.

TLDR: Many agencies fail to consistently document stroke scale scores and glucose levels, despite national guidelines.

📊 The Study:
• Data from 2021 NEMSIS (national EMS database)
• Included 1.45 million EMS calls where stroke was suspected
• Evaluated documentation of:�
- Prehospital stroke scale (like CPSS or FAST)�
- Blood glucose level

📌 Key Findings:
• Only 82% had a documented stroke scale
• Only 75% had a documented glucose
• Agency factors that improved documentation:�
- Urban location�
- Higher call volumes�
- Hospital affiliation�
- Advanced provider levels (ALS > BLS)

✅ Takeaways for EMS:
• Stroke scale + glucose are minimum standards in suspected stroke
• Missing glucose = missed hypoglycemia = misdiagnosis risk
• Leadership should review QA data and reinforce documentation habits

🔗 Study Link:�https://www.handtevy.com/wp-content/uploads/2025/07/EMS-Agency-Characteristics-Associated-with-Documentation-of-Prehospital-Stroke-Scale-and-Blood-Glucose-Level.pdf

08/11/2025

🐾 Working Dogs Deserve Working Protocols.�

Today we review the landmark joint statement by NAEMSP, NAVEMS, and VetCOT that lays out a clear path for EMS to provide lifesaving support to operational canines—from tactical K9s to search & rescue partners.

Background:�Operational K9s face similar risks as their handlers: trauma, heat stroke, opioid exposure, and more. But few EMS systems have defined K9-specific protocols, training, or equipment—until now.

📊 The Statement Covers:
• Scope of EMS care for working canines
• Legal protections under the PAWS Act
• Required medical equipment for K9 response
• Suggested training for EMS clinicians
• Transport considerations and veterinary hand-off

📌 Key Points:
• K9s are not pets—they are officers & partners in harm’s way
• EMS can treat these animals under the federal PAWS Act (2022)
• Recommend carrying canine-specific airway, hemorrhage, and antidote tools
• Veterinary medical oversight is encouraged but not required under federal protections
• Every EMS system supporting tactical teams or SAR should develop a K9 protocol

✅ Takeaways for EMS:
• Get trained: consider canine TCCC or veterinary tactical med
• Update protocols: define what your team can and should do
• Equip rigs: include tools like K9 O2 masks, naloxone, and trauma gear
• Honor the bond: Operational canines deserve high-performance care just like their handlers

🔗 Study Link:https://www.handtevy.com/wp-content/uploads/2025/07/Care-of-the-Operational-Canine-in-the-Prehospital-Environment-A-Joint-Position-Statement-and-Resource-Document-of-NAEMSP-NAVEMS-and-VetCOT.pdf

08/07/2025

Minutes from Death: The EMS Playbook for Hyperthermic Overdose

Today, we report on a recently published case series that highlights how early, physician-directed EMS interventions led to survival in patients with life-threatening stimulant-induced hyperthermia.

Background:�
👉 Psychostimulants (like m**h, M**A, and co***ne) can cause hyperthermia, agitation, seizures, and cardiac arrest.
👉 Without rapid cooling and sedation, outcomes are grim. EMS often arrives before any medical treatment has started.

📊 The Study:
• 8 patients in Oregon (2020–2022) with presumed stimulant-induced hyperthermia
• Median temp: 109°F (42.7°C)
• Physician gave EMS real-time direction for sedation and aggressive cooling
• All 8 patients survived to hospital discharge

📌 Key Interventions:
• Sedation: Midazolam and ketamine were used in all patients
• Cooling: Ice packs, ice water immersion, cold IV fluids, and direct fan use
• On-scene management time: Up to 30 minutes before transport

✅ Takeaways for EMS:
• Hyperthermia + stimulant tox = immediate ALS treatment
• Prioritize sedation early to control agitation and allow for cooling
• Use everything you have to bring the temperature down quickly—this is a true time-sensitive emergency
• Medical direction can be life-saving—don’t hesitate to call 📞

🔗 Study Link: �https://www.handtevy.com/wp-content/uploads/2025/07/Physician-Directed-Prehospital-Treatment-in-Psychostimulant-Induced-Hyperthermia-A-Case-Series.pdf

08/06/2025

🚑 How Ready Are We for Pediatric Resuscitations?�

Today, we review a new simulation-based study that found EMS teams only performed 55–61% of critical actions correctly during high-acuity pediatric scenarios.

Let that sink in.

Background:�Pediatric calls are rare, but when they happen, they’re often the most stressful.

This multi-state simulation study looked at EMS performance during three pediatric emergencies:
• Asthma/Respiratory Arrest
• Infant Cardiac Arrest
• Sepsis/Seizure

Study Snapshot:
• 166 simulations across 11 EMS agencies in 3 states
• Standardized checklists scored team performance
• Evaluated the impact of PECCs

📌 Key Findings:
• Best performance: Asthma/Respiratory arrest (avg. 60.9%)
• Lowest performance: Sepsis/Seizure (avg. 54.9%)
• Cardiac arrest: 58.7% - Every team did compressions.
⚠️ Many missed the key airway and medication steps
• PECC presence didn’t significantly change outcomes
👉 The study wasn’t powered to confirm this
• State-level protocols and clinician types influenced performance

✅ Takeaways for EMS:
• High-frequency training does lead to better performance
• Airway skills, especially BVM and 2-person ventilations, need more focus
• Simulation is a powerful tool to find performance gaps
• Standardized pediatric training matters—make sure yours is up to date

🔗 Study Link:https://www.handtevy.com/wp-content/uploads/2025/07/Quality-of-Care-and-Opportunities-for-Improvement-in-Prehospital-Care-of-Critically-Ill-Pediatric-Patients-An-Observational-Simulation-Based-Study.pdf

08/05/2025

📞 Frequent Flyers or System Failure?

Time to Rethink EMS Utilization.�

Today we review a study that looked at how we define frequent callers to EMS—and found that the standard definitions might miss high-need patients and create false labels.

Background:�Most EMS systems define a “frequent caller” using an arbitrary number (eg. greater than 4 calls/year).

But what if that definition doesn’t reflect actual clinical or system burden?

📊 The Study:
• Reviewed 79,796 patients across a major EMS system
• Compared literature-based (≥4 calls/year) vs. data-driven thresholds
• Used modeling to identify natural breakpoints in call volume

📌 Key Findings:
• The ≥4 calls/year rule overestimated the number of frequent callers
• A data-driven model found the inflection point was closer to 9 calls/year
• Patients with 4–8 calls often had low acuity, minimal need for intervention
• Patients with 9+ calls/year had high system use, complex needs, lacked care coordination

✅ Takeaways for EMS:
• Look beyond volume—consider acuity, outcomes, and care gaps
• A data-driven approach may better guide case management and resource allocation
• Avoid labeling low-need patients as “frequent flyers” without context
• Consider partnerships with social services for truly high-risk patients

🔗 Study Link:https://www.handtevy.com/wp-content/uploads/2025/07/How-to-Define-a-Frequent-Caller-to-the-Prehospital-Emergency-Medical-Services-Literature-Based-vs.-Data-Driven-Approach.pdf

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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