I am a paramedic currently in Sacramento county, and before this I worked for Riggs in Merced for 8 years. I had the awesome opportunity this year with Cosumnes Fire Department when I was hired and in their academy. We received “Handtevy training”. This was an awesome learning experience I want to share!
I have had a few pediatric codes in my time, and like many of us I used the Broselow tape to measuring the patient to figure out the color they land on. This was intended to help me calculate the already tough pediatric drugs dosages but often made things difficult.
Well, Handtevy came from a doctor in Florida who was told after his first pedi code by one of the ER nurses, “You kinda suck at these”. Dr. Peter Atevy MD, a pediatric emergency physician and EMS director, came up with this tool to help himself and became a formalized process in 2010. This methods uses both patient age and length,
Instead of me trying to explain how it works I’m going to post the YouTube that I learned from.
There is even an app. If your department signs up for the program. The app will do all calculations in real-time for dopamine and other difficult drips, for those who are not the best at 4am math ! Hope it helps!