No Extra Clicks.
That was the challenge I gave my team when we started building ScanSafeโข.
Scan the vial. Verification happens instantly. Right inside the workflow. No extra steps.
@Handtevy@PLAN4ZERO@AmerAcadPeds@NAEMSP@DrCheskes
Great case yesterday. Pediatric patient with 9/10 chest pain/pressure and palpitations. BP wnl. Sats normal. No syncope. Otherwise healthy. No PMH or FHx relevant.
Will post outcome in a bit. I want to hear your thoughts.
With the long QT and WCT we avoided adenosine and Amio. Gave Magnesium over 20 minutes and the QRS narrowed and her symptoms resolved, but still tachy >200.
In the ED they hemmed and hawed for 20 min and finally decided to give adenosine.
Final dx SVT with aberrancy.
@PulmCrit@akatzzzzz The PITSTOP RCT is pending by @DrCheskes and his group from Toronto. Should solve this debate. Septic shock - anywhere - needs fluids, pressors, and antibiotics, irrespective of location. Nothing magical happens in the hospital.
@Aidan_Baron@joshkimbre@FOAMfrat 100% agree that LTOWB and Components are equivalent. Some people are conflating two points and using this study to challenge the use of pre-hospital blood.
97% correct pediatric medication dosing. Across an entire multi-agency EMS system. Sustained. Peer-reviewed. The highest ever published.
New blog post on what Rochester did and why it matters. ๐
https://t.co/lxGTzr3J02
Grateful to @mklevy10 for calling attention to a major patient safety gap at the @NAEMSP annual meeting. Medication scanning matters, especially in high-risk EMS and hospital environments. Weโre focused on solving this in Handtevy Mobile. #NAEMSP2026
Six years later, that first hospitalization still defines our memory.
"๐ ๐ฐ๐ถ๐ณ ๐ด๐ฐ๐ฏ ๐ฉ๐ข๐ด ๐๐บ๐ฑ๐ฆ 1 ๐ฅ๐ช๐ข๐ฃ๐ฆ๐ต๐ฆ๐ด"
But what followed wasnโt just learning insulin and finger sticks.
It was being offered ๐ก๐ข๐ ๐ก-๐๐๐ซ๐ ๐ฌ๐ง๐๐๐ค๐ฌ that led to huge blood sugar swings, and several scary moments heโs never forgotten.
That's what stuck.
Six years later, Noah continues to make sure that newly diagnosed children have Low Carb options during their initial hospitalization.
Through his club at club at @AHSBroward, he delivers Diabetic Snack Boxes to @JDCHospital, right when families need them most.
The letter he places on each box still makes my eyes well up.
Next shipment ready. ๐
A new NEJM trial is being interpreted by many as showing that ketamine causes increased cardiovascular collapse relative to etomidate during ETI.
I don't agree.
What it really shows is what happens when critically ill patients are paralyzed before theyโre adequately resuscitated.
Read my first ever Substack post below๐
Join @TannerSmida and me today at 11 AM EST for the @FL_NAEMSP webinar as we host @dougwolfberg to discuss Criminal Liability in EMS.
DM me for the Zoom link or join via LinkedIn Live.
Join us today at 11:00 AM (EST) for the @FL_NAEMSP Webinar featuring @dougwolfberg
Topic: Criminal Liability for Deviations from Clinical Standards of Care in EMS
๐๐จ๐ฎ ๐ง๐๐ฏ๐๐ซ ๐๐จ๐ซ๐ ๐๐ญ ๐ญ๐ก๐ ๐๐ข๐ซ๐ฌ๐ญ ๐ญ๐ข๐ฆ๐ ๐ฒ๐จ๐ฎ ๐ฆ๐๐๐ญ ๐ ๐๐๐ซ๐๐ข๐๐ ๐๐ซ๐ซ๐๐ฌ๐ญ ๐ฌ๐ฎ๐ซ๐ฏ๐ข๐ฏ๐จ๐ซ ๐จ๐ง ๐ญ๐ก๐ ๐๐ฑ๐๐๐ญ ๐๐จ๐ฎ๐ซ๐ญ ๐ฐ๐ก๐๐ซ๐ ๐ญ๐ก๐๐ข๐ซ ๐๐ซ๐ซ๐๐ฌ๐ญ ๐ก๐๐ฉ๐ฉ๐๐ง๐๐.
This weekend, I had that privilege.
Alan and his family invited me for a doubles match, on the same court where two bystanders, my crew from Palm Beach County Fire Rescue Station 49, and EMS Captain Darwin Zelaya, fought to bring him back.
They delivered 2 AED shocks, 1 standard shock, six rounds of Dual Sequential External Defibrillation, as well as amiodarone and esmolol, achieving ROSC before arrival at Delray Medical Center.
Alan also recorded a quick PSA for clinicians who still question whether #DSED works.
Walking off that court, I couldnโt help but feel grateful. Grateful for the bystanders, the crew, the science, and for the chance to see a life fully reclaimed.
Thatโs the power of EMS.
@DrCheskes@emcrit@PBCFR@AHAScience@ERC_resus@ResusCouncilUK@ResusJournal@NEJM
@DrSamanthaF@AHAScience With all due respect to Charles, this oneโs not even close. The AHA and ERC missed big here.
@DrCheskes NEJM RCT showed a doubling of survivalโฆ..of people who would have otherwise died.
This recommendation needs to change.