Handtevy - Pediatric Emergency Standards, Inc.

We are excited to share a very special video - the story of what we do - through a powerful lens. Here it is...Our Mission, Our Passion, Our Story. https://lnkd.in/epuDcHj

Handtevy Team in Action! ??? We're honored to partner with United Way Broward for Operation Turkey Dinner! This year, we hand-painted boxes and filled them with turkey dinner essentials to help support veteran families throughout Broward County. ?? Fun Fact: United Way was able to collect 800 boxes, assisting over 600 veteran families in Broward County. #OperationTurkeyDinner #HandtevyTeam #UnitedWayBroward

When good food meets even better company ???? As we gathered for our Friendsgiving, our hearts were filled with gratitude—not just for each other but for the amazing emergency heroes who inspire us every day. ?? #HandtevyFamily #Friendsgiving

?? Are you sitting down for this one? Here's the question: Is Epinephrine IV more effective for cardiac than administration via an IO? A recent study evaluated 10,350 out-of-hospital cardiac arrest (OHCA) cases to determine how the route (IV vs. IO) and timing of epinephrine administration affect rates of return of spontaneous circulation (ROSC). ?? Study Highlights: ? IV Epinephrine Superior: IV administration showed higher ROSC rates than IO, with a 42.9% ROSC for IV versus 37.1% for IO. ? Timing Window: IV epinephrine has a 9-minute advantage over IO for achieving the same probability of ROSC when administered within 4 minutes. ? Controlled Variables: Adjustments for patient age, shockable rhythm, bystander CPR, and response times further validated IV as the superior route for ROSC in OHCA. If you've gotten this far, you're probably saying "Ok, but I can get the IO in much faster!" The researchers evaluated this and found that AN ADDITIONAL 5 MINUTES would be available to establish an IV and administer the first bolus of epinephrine without any reduction in the probability of ROSC. ?? What are the Implications for EMS: ? According to the retrospective paper, an IV First strategy should be used: When feasible, IV should be prioritized over IO for epinephrine to improve ROSC outcomes, with IO reserved for challenging IV access cases. ? Critical Window: Pre-hospital teams should aim to deliver epinephrine within the early minutes, with focus on achieving IV access promptly. ?? Conclusion: While IO can expedite administration, IV remains the recommended route for improved survival outcomes in cardiac arrest. ?? Read the Full Study Here: https://lnkd.in/etvMRg3P #OHCA #Epinephrine #ROSC #EMS #PrehospitalCare

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?? Faced with a patient in bradycardia? When is transcutaneous cardiac pacing (TCP) likely to fail? A new study analyzed 13,270 prehospital TCP cases across the U.S. to understand its efficacy and identify predictors of failure. Here’s what you need to know: ?? Key Findings: High Mortality Rate: ? Overall, 63.4% of patients who underwent TCP died before hospital discharge. ?TCP Failure occurred in 20.4% of patients who received TCP but later required CPR, progressing to cardiac arrest. Risk Factors for Failure: ? Body Weight: Patients over 100 kg had a 33% higher chance of TCP failure. ? Heart Rate: Those with a pre-pacing heart rate >50 bpm were nearly three times more likely to experience TCP failure. ? Hypoxia: Pre-TCP SpO2 <80% was strongly associated with both TCP failure (6X higher odds) and mortality. ?? Clinical Takeaways: Be Prepared: ?Expect TCP failure in heavier patients, those with initially normal or high heart rates, and those with severe hypoxia. Consider Alternatives: ? In cases of significant hypoxia or non-bradycardic heart rates, correcting reversible causes before pacing might improve outcomes. Pain Management: ? Only 44% of patients received sedation or analgesia, highlighting the need for better pain control during this painful procedure. ?? Read the Full Study: https://lnkd.in/ecUa7WAd #EMS #TranscutaneousPacing #CardiacCare #PrehospitalMedicine #EmergencyMedicine

?? Pediatric out-of-hospital cardiac arrest (POHCA) is one of the most challenging situations EMS teams face. There aren't many POHCA publications so this is a good one to dig into. ?? The study came out of the Portland area and it's worth the read. Kudos to the research team of Sunhee Chung, Asia Wooten, Matt Hansen, Matthew Neth & Joshua Lupton. ?? Study Breakdown: ? Over 5 years, researchers reviewed 112 cases of POHCA where EMS attempted resuscitation. ? The majority of these arrests (81%) occurred at home, with 73% being unwitnessed. ? The most common initial rhythm was asystole, found in 70% of cases. ? Key Findings: ? Out of 112 cases, 26.7% achieved ROSC at any time. 14.4% survived to hospital discharge. ? Infants (under 1 YR) made up over half of the cases. ? Advanced airway management was successful in 68% of patients. ? The tibial IO was the preferred route for access (78) vs IV (13). ? Epinephrine administration was utilized in 80% of cases, with an average first dose given 14 minutes after the 911 call. ?? A deeper dive showed that those without Online Medical Control (OLMC) had better outcomes: ? This is because the call was likely for TOR. ? ROSC on ED arrival was 23% for non-OLMC cases compared to 4.5% with OLMC. ? The no-OLMC group had a 14% survival-to-discharge rate, while none in the OLMC group survived to discharge. ?? What does this mean? ? The study suggests that cases involving OLMC are often initiated late in the resuscitation process and tend to involve patients with poorer prognostic factors. ? This underscores the need for earlier interventions and perhaps more standardized protocols to improve outcomes for pediatric cardiac arrests. ?? Takeaway: Pediatric OHCA cases are rare, but when they occur, they are often unwitnessed with poor survival rates. Early intervention, quicker response times, and consistent communication protocols could be crucial to improving these outcomes. ?? Read the full study here: https://lnkd.in/eiQbn7xM #PediatricCare #EMS #CardiacArrest #OnlineConsultation #PrehospitalCare

On Veterans Day, we honor the bravery and sacrifice of those who have served. Your commitment to our country is deeply appreciated, and your courage inspires us all. Thank you for your service and dedication! ?????? #VeteransDay #HonoringVeterans

?? The chest compression fraction (CCF) is a key factor in improving cardiac arrest outcomes. But how do you increase it effectively? This study from Jamaica Hospital Medical Center tackled that challenge by aiming to boost their baseline median CCF from 81.5% to 90% by December 2023. Here's how they did it: ?? Interventions: ? Feedback Forms: Non-punitive, constructive feedback to clinicians was the most popular and effective intervention. ?Team Leadership: Designating a CPR team leader during resuscitations helped streamline efforts. ? Pre-charging the Defibrillator: To minimize CPR pauses, the defibrillator was pre-charged before rhythm checks. ? Patient-Team Reunifications: Reuniting patients with the teams who resuscitated them fostered motivation and teamwork. ?? Results: ? The project achieved a monthly median CCF of 89%, showing significant improvement in performance and consistency. ? Control chart analysis revealed "special cause variation," indicating that the improvements were due to the implemented changes rather than random factors. ?? Conclusion: Through a series of iterative Plan-Do-Study-Act (PDSA) cycles, the EMS agency successfully improved its CCF, demonstrating that targeted education, feedback, and team coordination can lead to better cardiac arrest outcomes. ?? Read the Full Study: https://lnkd.in/eXh2Y6v5 #EMS #CardiacArrest #CPRQuality #ResuscitationScience #HealthcareImprovement