Difficult Dose

You have a 5 year old in anaphylactic shock due to a severe peanut allergy. The child is short of breath, is wheezing and has significant lip swelling. He is cyanotic. He needs a life saving dose of epinephrine yet you do not know his weight. How quickly can you determine this life saving dose? The Handtevy will allow you to calculate the dose within seconds!


First-Hand Approach

by Peter Antevy, MD
It’s summertime and a group of children is at a neighborhood pool party. Although there’s a designated adult to supervise the young swimmers, a scream fills the air as someone notices that a 3-year-old boy is submerged in the shallow end of the pool. A frantic mother calls 9-1-1, trying to comprehend the basic maneuvers being described over the phone. Moments later, the tones sound loudly at your station, which is only six minutes away. As you climb into your unit, dispatch gives you the following information: “Ambulance 38, Engine 38, and Captain 65: Respond to a 3-year-old male unconscious and not breathing.


Pediatric Dosages

by Jason Busch
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. What he eventually came up with—what would become the Handtevy method—bears an obvious resemblance, at least in principle, to the Broselow Tape. But they’re not the samething. 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.