All tagged Pediatrics
In August 2022 two EMT-Cardiacs in Rhode Island found themselves in a situation that resulted in their suspensions. In this episode, the gang discusses the swiss cheese model of failure, and what we can do as an industry to improve systems and providers to ensure that we treat parents and newborns properly in the field.
For most places in EMS, how we treat cardiac arrests in adults is drastically different than how we do it in pediatric patients. And the results show it.
Ed and Dan sit down with Dr. Peter Antevy and talk about how we can do better with pediatric arrests. Dr. Antevy’s programs in Florida have dramatically improved their pediatric survival from cardiac arrest, by focusing on the basics, staying on scene to resuscitate before moving to the hospital, and by engaging parents with WHY we are doing what we do on scene.
This is a critically important topic that we don't talk about. But we need to prepare for these low-frequency, high-stress events to give out patients every possible chance to survive.
On another note, go to https://www.prodigyems.com/refresh2021 to see the talk that inspired this episode. This is some of the best paramedic level training out there today, and it’s NREMT approved, and FREE!
Check out Dr. Antevy’s stuff at:
Early epinephrine administration improving outcomes:
https://www.ahajournals.org/doi/epub/10.1161/JAHA.119.014330
We talk about the AHA PALS guidelines for 2020, here they are:
https://www.ahajournals.org/doi/epub/10.1161/CIR.0000000000000901
The Polk County study on pediatric OHCA:
https://pubmed.ncbi.nlm.nih.gov/30412719/
Time on scene in pediatric arrest matters:
https://www.ahajournals.org/doi/pdf/10.1161/CIRCULATIONAHA.116.023821
Dr. Peter Antevy joins Ed to discuss a few pearls about pediatric care and resuscitation in the field. Dr. Antevy wears many hats in EMS and has served as the medical director for Davie fire rescue, Coral Springs-Parkland Fire Rescue, Palm Beach County Fire Rescue. Additionally, he is the President of the Greater Broward EMS Medical Directors’ Association, the 2018 NAEMT Medical Director of the Year, a JEMS top-ten innovator of 2015, and an attending pediatric emergency physician at Joe Dimaggio Children’s Hospital in Hollywood, FL.
Are kids just small adults? How do we handle a pediatric cardiac arrest scene? How involved should parents be in the care of the acutely ill child? Is Ketamine safe to use on children (Spoiler: yes.) These and many more questions are discussed.
Dr. Antevy’s videos and protocols can be found here
2008 Pediatric Emergency Care- Ketamine study
