By Peter Antevy, MD - Sudden cardiac arrest (SCA) has garnered significant attention lately. And for good reason – according to SuddenCardiacArrest.org, it’s a leading cause of death in the U.S., claiming nearly 300,000 deaths each year. Yet, in Michigan high schools there is a major disparity regarding Automated External Defibrillators (AEDs), which can be the difference between life and death in SCA scenarios.
It is well known that adenosine is rarely given in the field, especially to pediatric patients. The reason why has to do with not only the dosing (calculations) but also the logistics of administration. In this short video, Dr. Peter Antevy shows an easy way to rapidly administer Adenosine using a 3-way stopcock.
Watch how to make Epinephrine 1:100,000 (0.01 mg/mL) for severe anaphylaxis. Your patient will have received 3 doses of Epi 1:1,000 IM yet clinically is still deteriorating. Your next move is to start an Epi infusion yet this may take time. Here's the "poor man's epi drip" which can be done in just a few seconds.
By Peter Antevy, MD - I’ll admit that I am one of those people whose mind is always working. My wheels are constantly spinning. The content in those wheels fluctuates between my family, work, new ideas, etc. So last week as I was en route to the NAEMSP national conference in San Diego and the plane reached the 30,000 foot cruising altitude, there I was…left with my thoughts, Wifi…and two active infants in the row in front of me (thank you Southwest Airlines!) The irony was that as we elevated beyond 10,000 feet and I reconnected to the world (thank you to whoever invented in-flight Wifi), the first email in my inbox was the link to an article about the lacking resources in medical kits for pediatric-specific emergencies on airplanes.