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Cracking the code to pre-hospital pediatric care- The single most common cause of anxiety-provoked tachycardia in pre-hospital care is the mere thought of a pediatric call. In EMS departments across this country the fear of treating a sick child is equally pervasive amongst experienced and inexperienced providers. | By Carolina Fire Rescue EMS Journal 7/15/14

Comparison of a hybrid pediatric weight estimation method (Handtevy™) to the Broselow™ length based tape- Predicted weights from the Handtevy™ age-based weight estimation method accurately predict pediatric normal weights. A comparison of two length-based tapes demonstrates increased accuracy of the Handtevy™ LBT over the Broselow™ LBT. The Handtevy age-based system outperforms the Broselow™ LBT for underweight, normal weight, and obese children.| Peter Antevy M.D., Patrick Hardigan PhD, Robert Levy B.A. Joe DiMaggio Children’s Hospital, Nova Southeastern University, University of South Florida College of Medicine | ClinCon 2014

Washington County EMS Instigates New Pediatric System- This summer, Washington County EMS (WCEMS) implemented a new system that helps staff better prepare for these situations. Using funds from community donations, WCEMS converted over to using the Handtevy system… The new system allows rescuers to estimate the child's weight and size based on age so that they can then begin to calculate the drug dosages that are going to be required.| By the Pony Express EMSC State Partnership, TX

Handtevy v. Broselow- Abstract: Study Objectives: The 2010 Pediatric Advanced Life Support (PALS) guidelines state that length-based tapes (LBT) are more accurate than age-based methods in the prediction of body weight (Class IIa, LOE C). A novel hybrid pediatric age and length-based weight estimation method (Handtevy™) has been described to significantly improve accuracy in a pre-hospital pediatric simulation trial compared to the Broselow™ system… Conclusion: Predicted weights from the Handtevy™ age-based weight estimation method accurately predict pediatric normal weights. A comparison of two length-based tapes demonstrates increased accuracy of the Handtevy™ LBT over the Broselow™ LBT. The Handtevy™ age-based system outperforms the Broselow™ LBT for underweight, normal weight, and obese children.| By Peter Antevy, Patrick Hardigan, Robert Levy. Joe DiMaggio Children's Hospital, Weston, FL, Nova SouthEastern University, Davie, FL, University of South Florida Morsani College of Medicine, Tampa, FL | American College of Emergency Physicians® 2014

Comparison of Two Length-Based Tape Systems for Pediatric Resuscitation- Background: The use of a length/weight-based tape (LBT) for equipment sizing and drug dosing for pediatric patients is recommended in a joint statement by ACS and NAEMSP. The BroselowTM tape is widely used and accepted in hospital and prehospital settings. A new system, known as HandtevyTM, allows rapid determination of critical drug doses without performing calculations… Conclusion: Handtevy™ LBT system is more accurate for dextrose administration compared to the Broselow™, preserving time to administration and accuracy of epinephrine in simulated prehospital scenarios. After comparison of both systems, the majority of PHPs indicate preference for the Handtevy™ system.| Lara Rappaport, Maria Mandt, Timothy Givens, Ashley Balakas, Kevin Waters, Kelley Roswell, Roxanna Lefort, Kathleen Adelgais, University of Colorado & Aurora Fire Department | NAEMSP Abstract 1/17/2014

Errors in Pediatric Prehospital Simulation Scenarios- Background: Medications errors are a critical safety issue in prehospital care. Length based tapes (LBT) for pediatric drug dosing is part of the recommended ambulance equipment list endorsed by the AAP. A new LBT system, known as Handtevy, allows rapid determination of critical drug doses without performing calculations… Conclusion: In prehospital simulation scenarios, procedural errors are very common. The Handtevy LBT system results in fewer cognitive errors, particularly in scenarios requiring dextrose administration.| By K. Adelgais MD MPH, T. Givens MD, M. Mandt MD, A. Balakas BSN, L. Rappaport MD MPH Colorado Children's Hospital 2013

Finger counting: an alternative method for estimating weights- Objectives: We compared the accuracy of a conceptually simple pediatric weight estimation technique, the finger counting method, with other commonly used methods… Conclusions: The finger counting method is an acceptable alternative to the Broselow method for weight estimation in children aged 1 to 9 years. It outperforms the traditional APLS method but underestimates weights compared with parental estimate and the Luscombe formula. | By Timothy P. Young, MD, Brian G. Chen, MD, Tommy Y. Kim, MD, Andrea W. Thorp, MD, Lance Brown, MD, MPH | Department of Emergency Medicine, Division of Pediatric Emergency Medicine, Loma Linda University Children's Hospital, Loma Linda, CA, USA 11/17/2013

First Hand Approach: a novel method to rapidly calculate pediatric drug dosages- The key to success in a pediatric resuscitation relies on access to tools and knowledge of reliable algorithms, but also the psychology of the provider.| By Peter Antevy, MD | JEMS 08/2013

Pediatric Drug Dosages- Peter Antevy, MD, never intended to reinvent the wheel. He was just looking for a more efficient, effective way to determine drug dosages for his pediatric patients… As Antevy puts it, where the Broselow Tape was a leap forward when it debuted in the mid-1980s, the Handtevy method is the next step in the evolution of pediatric emergency medicine.| By EMS World 05/2013


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Handtevy Method Spreadsheet

 

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