Handtevy

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@HyperkalemiaSineWave 5 күн бұрын

I referred one of my friends who does pediatrics to your lectures recently. Love your stuff. Trying to get my fire Dept hip to the Handtevy system

@TheHandtevy 5 күн бұрын

@@HyperkalemiaSineWave much appreciated. With my new studio I’m looking forward to putting out more content. 🙏

@asdfjklasdfjkl408 5 күн бұрын

You do such wonderful, meaningful work Dr. Antevy. 🥰

@TheHandtevy 5 күн бұрын

@@asdfjklasdfjkl408 thank you so much!

@ValentinaKajcinovska Ай бұрын

They must take alot to cause respiratory depression and or even death!

@JohnnyWishbone85 Ай бұрын

That study must have been VERY hard to put together.

@melissahunting241 Ай бұрын

Love these videos soooo much

@MichaelBrown-ox2ve 2 ай бұрын

I appreciate 100% any and all research and understanding of human brains..... I had 3 severe traumatic brain injuries at 16 comatose paraplegic etc etc . At 43, I am of course happy to be alive but in exactly the same feeling wish I didn't come back after the 4 minute no sign of life. A lifelong disability which torments me continually comorbid refractory and a ghost that lives in my body. Severe traumatic brain injury is permanent it has made me and others I have associated with over the years lost in a world of medication treatment and self resentment which is supposed only by the major depressive disorder that challenges my thought s and obliterates any actions

@barryg4927 3 ай бұрын

Outstanding!!!!

@nickydaviesnsdpharms3084 3 ай бұрын

Interesting subject: I'm a recreational drug user but was a heroin addict until 2004, and i only found this out due to the heavy reading I always did and still do on pharmacology. It's the Cytochrome P450 super family of liver enzymes but particularly the subset CYP 2D6 isn't it, that converts Codeine into the more active form Morphine, so basically a pro-drug. As I understand it Codeine is Methyl Morphine, Morphine with a CH3 functional group on its chemical structure. Also, Codeine isn't biologically active in of itself. Another related fascinating topic you may have covered in another video s the consumption of grapefruit juice alongside certain medicines, this causes an interaction because of another CYP P450 enzyme CYP3A4 raising the blood levels of many medications extensively,

@Username_3urv7 Ай бұрын

It's active but way less than morphine. You may find pharmacodynamics by googling: "Pharmacological characterization of the cloned kappa-, delta-, and mu-opioid receptors"

@flyboy8752 3 ай бұрын

Dr. Antevy, YOU are the Kaitlin Clark of EMS for prehospital pediatric care! 💪🏻 Keep up the great work with Handtevy & all your other endeavors!

@kathyvettraino2267 4 ай бұрын

Thank you!

@Blaulichtundso 4 ай бұрын

In Germany the algorithm is a bit different.

@thedenthero7399 4 ай бұрын

What happened to 15:2 ?

@ryangasser595 4 ай бұрын

I don't see the Pediatrics study you presented saying anywhere to give 3 mL of epinephrine. Where are you getting this amount? Thanks

@alisaeed-ht9sq 5 ай бұрын

Just took 2 co-cordamal tabs for toothache & earache. Starting to feel the horrific pain subside.

@KnightzWon 6 ай бұрын

So what if the patient is an even number under 9? Say the patient is 4 years old. Would I use the 3 weight calculation or 5? Or in between?

@RMM62 6 ай бұрын

Very helpful 👌

@tomed1484 6 ай бұрын

Outstanding info as usual Doc , keep it up. Tommy, RA alumni

@SaruEMSEducation 6 ай бұрын

If I had two LP15s and completed DSED. I would imagine they would shock at the same time if both buttons applied at same time. However, If I have a LP15 and AED by Zoll or another manufacturer... and pushed the buttons at same time - would these shock at the same time or +/- difference. Is this something to consider? If the shocks were up to 4 seconds apart? does that make a difference? LP15 manual states - just because you set defib at lets say 375j - it quickly measures impedance first and adjusts power in Joules accordingly...I also wonder would this be a delay as well?

@TheHandtevy 6 ай бұрын

There is a trick to getting the AED to synchronize correctly with the LP15 or Zoll X-Series. In the DOSE VF trial they had to use this method. Dr. Cheskes created videos around this topic which I will add to the folder once I have them. They also published another paper in 2024 looking at the optimal timing between the sequential shocks and it appears to be < 75 msec. Here is the link to that study: www.dropbox.com/scl/fi/35d2937w1u9ug9y9dftwx/2024-Timing-of-DSED-Shocks-Cheskes.pdf?rlkey=cilrjgdglzs4i71odmch51c6g&dl=0 Ideally, the manufacturers will develop a single device that can accomplish DSED. I believe that will become a reality in the coming years.

@TheHandtevy 6 ай бұрын

I just added the folder with the requested videos in the drobox. See video description section and scroll the bottom.

@flyboy8752 6 ай бұрын

Very intriguing! I had been seeing more positive information about A-P pad placement, so that part was a little discouraging though. Do you have the link to the resources mentioned at the 6:35 mark regarding DSED administration? Thanks Dr. Antevy!

@TheHandtevy 6 ай бұрын

Thank you for the comment. There is still a long way to go to better understand the value and utility of DSED. Some are looking at using A/P pads for the first 3 standard shocks and also whether DSED should be initiated after shock #1 (this would be my choice). Here is the folder I promised, thanks for the reminder :) www.dropbox.com/scl/fo/p29oemlrk3sbj40b1r63q/AMeomjtuSY2lH1Ak1npGL_Y?rlkey=5ay3rni56mscq3jdxwjrf1f9m&dl=0

@flyboy8752 6 ай бұрын

@@TheHandtevy Thank you very much!!! I’d love to see more studies on A/P placement for initial shocks, but I’m sure it would be more challenging for solo lay rescuers with an AED or those using Zoll Z-pads who don’t know you can separate them. (I have AEDs in my personal vehicles and home, and probably would only do A/P pad placement if patient was already prone or on their side if I didn’t have help, but otherwise would definitely try A/P placement whenever possible.) Thanks again for the great content and for all you do for EM!

@TheHandtevy 6 ай бұрын

@@flyboy8752 at some point we will publish our data here at PBCFR. We use mechanical CPR so we start AP on all of our patients. We are going to work with Dr. Cheskes to evaluate our outcomes.

@flyboy8752 6 ай бұрын

@@TheHandtevy awesome! I can’t wait!!!

@surfer390111 7 ай бұрын

These are amazing vids. My department uses your app. keep up the vids they are beyond helpful

@jameskantor0459 7 ай бұрын

Ice Pack is working as well.

@MilfMilker 7 ай бұрын

It actually worked. Thanks.

@Dips-g6x 7 ай бұрын

Im on codeine after septoplasty surgery. Just makes me drowsy and numbs pain

@jakethemedic1 8 ай бұрын

Fantastic video, thank you!

@laurakerr125 8 ай бұрын

Is one better than the other when considering racemic epi or the straight 3ml 1:1000? And is there any cons for underdosing this? My protocol is for Epi 1:1000 1mg with 3ml NS nebulized. I would imagine this is far less effective.

@jennah5578 9 ай бұрын

That ED tech I can tell was very prepared and has done peds codes before!

@Kudravets-Diana 9 ай бұрын

❤

@uethao 10 ай бұрын

Are you using this as a one time treatment? Or, do you have a regimented dosing like Pulmicort nebulizer solution? thx.

@johnm8085 10 ай бұрын

Great video 👍

@sophiepark3218 10 ай бұрын

Thank you so much. We tried this to our baby for 20 secs and heart rates came down right after 🙏🙏

@dondiakow6364 10 ай бұрын

Dialed in!

@dondiakow6364 10 ай бұрын

Dialed in!

@nabatsherif9508 11 ай бұрын

Thanks doctor very helpful

@winnieelward992 11 ай бұрын

Promo sm

@miguelpedraza9075 Жыл бұрын

Cont. Or even greater survival in the two previous groups

@miguelpedraza9075 Жыл бұрын

Good morning Dr Antevy. First of all, congratulations to you and Dr. Mark for this excellent video. My question is, and if you can please answer me, if they had ventilated 10 breaths per minute, the mortality in the group of patients with bradycardia/hypoperfusion, A/PEA, or VF/VT, would have been lower. That is, greater survival in those patients ventilating according to AHA standards of that time. Thank you so much. Dr. Miguel Pedraza, Argentina.

@tomed1484 Жыл бұрын

Great job

@downtoearth8661 Жыл бұрын

Great video

@GLADYSJEPKOECH-p9s Жыл бұрын

What is coding

@ValentinaKajcinovska 3 ай бұрын

Pain pill

@bellatindale3120 2 ай бұрын

It's codeine not coding 😂

@2nostromo Жыл бұрын

My doctor gave me 30mg tablets for pain. It makes me very itchy especially around my face. Its the weekend. Should I go to Emergency? I am not in severe pain now.

@2nostromo Жыл бұрын

codeine

@Matt-cw1mv Жыл бұрын

Withdrawals are fucking terrible

@Matt-cw1mv Жыл бұрын

I want to kill myself

@antoineleedolliole7549 Жыл бұрын

Brother, I cracked up when you drew that line and explained so professionally how some of us have that 34% chance to get super f#$$%d up on accident from persciptions measured without accounting for the demographic. This video is awesome!

@NoFutureZine Жыл бұрын

What age group would you suspect the 14ga is effective up to? I am an avid follower and love everything you put out. Thank you!

@bluest1524 Жыл бұрын

This is fantastic!! Thank you. Hoping my metabolism is high.

@tommysherman7155 4 ай бұрын

Mines not so I take 30 at a time

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