Peter Antevy, MD, FAEMS
EMS Physician | Handtevy | PEM Physician
| Platform |  | Pricing | Only free issues | Publishes | Weekly |
|---|---|---|---|---|---|
| Issues | 22 | Founded | a year ago | Last Issue | 16 days ago |
| Active | |||||
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handtevymd.substack.comLatest Issues
Wrong Drug. Wrong Route. We Have Known How to Prevent This for Decades.
The patient says her back is burning. The pain spreads into her buttocks and down both legs, worse than anything the surgery was supposed to cause. Then her legs begin to jerk. The jerking becomes a seizure.
Midazolam doesn’t stop it. A se...
Every Sentinel Event Has a Second Patient. They Are Back on Shift Tomorrow.
Somewhere tonight, a paramedic, EMT, nurse, or physician is awake at 2 a.m. replaying a call.
Something went wrong.
Maybe they made a mistake. Maybe they did not. Either way, the questions are the same.
Did I miss something? Could I have...
The Code Room and the Ambulance Have the Same Blind Spot, and Nobody Noticed
Picture an ED nurse, mid-shift, running a routine medication pass. She scans the patient’s wristband. She scans the barcode on the medication. The system checks it against the order, confirms the match, and logs the dose. It takes four seco...
The Same Mistake That Caused the Peanut Allergy Epidemic Is Happening in Cardiac Arrest Management
A paramedic pushes cardiac arrest dose epinephrine into a 6-month-old with a heart rate in the fifties and a pulse he could still feel. Full arrest dose. The same 0.01 mg/kg he would have given if her heart had already stopped. She did not...
The Code Room Has a Medication Safety Problem No One Has Solved. Until Now.
Early in my career, I gave a young girl ten times the dose of epinephrine she needed. The error was mine. She survived, but I have never forgotten what it felt like to be the one who made it, or how easily it happened.
Over the past two de...
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