Peter Antevy

EMS Medical Director, Peds EM Physician, Researcher, Founder/CMO @Handtevy. Alum of @ChildrensLA and @ChildrensPgh

[Peter Antevy @HandtevyMD]

Check out my latest article: The Same Mistake That Caused the Peanut Allergy Epidemic Is Happening in Cardiac Arrest https://t.co/fgnf7nZZQQ via @LinkedIn

[Peter Antevy @HandtevyMD]

𝐃𝐒𝐄𝐃 𝐝𝐨𝐞𝐬𝐧'𝐭 𝐰𝐨𝐫𝐤!

That's what a new observational study from New Zealand reports.

𝘕𝘰 𝘴𝘶𝘳𝘷𝘪𝘷𝘢𝘭 𝘣𝘦𝘯𝘦𝘧𝘪𝘵 𝘧𝘳𝘰𝘮 𝘋𝘚𝘌𝘋 𝘢𝘧𝘵𝘦𝘳 𝘯𝘢𝘵𝘪𝘰𝘯𝘸𝘪𝘥𝘦 𝘪𝘮𝘱𝘭𝘦𝘮𝘦𝘯𝘵𝘢𝘵𝘪𝘰𝘯.

That's where most people stop reading, and say "I told you so!"

❗ But let's not make that mistake.

A result like this begs the question, "How does this make sense when the DOSE VF RCT showed that DSED more than doubled survival in refractory VF?"

This is why the headline read of a study is rarely the read that matters.
✅ The methodology is.
✅ The patient population is.
✅ The timing of the intervention is.

And the limitations the authors themselves disclose, often tell you more than the conclusion.

I took a deep dive.

New blog post here: https://t.co/MwOE6yyETu
@DrCheskes @Handtevy @NAEMSPJournal

[Peter Antevy @HandtevyMD]

Check out my latest article: Thrown 85 Feet: What Plasma Did, What the Data Show, and What We Still Don't Know https://t.co/3Qvc9u6PZl via @LinkedIn

[Peter Antevy @HandtevyMD]

No Extra Clicks.

That was the challenge I gave my team when we started building ScanSafe™.

Scan the vial. Verification happens instantly. Right inside the workflow. No extra steps.

@Handtevy @PLAN4ZERO @AmerAcadPeds @NAEMSP @DrCheskes

[Peter Antevy @HandtevyMD]

@MedicalSphereAI Claude Sonnet for the win!

[Peter Antevy @HandtevyMD]

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.

[Peter Antevy @HandtevyMD]

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.

[Peter Antevy @HandtevyMD]

@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.

[Peter Antevy @HandtevyMD]

@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.

[Peter Antevy @HandtevyMD]

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. 👇

https://t.co/lxGTzr3J02

[Peter Antevy @HandtevyMD]

It’s Time to Stop Pushing Epi in V-Fib
https://t.co/sxf3Gsv5jO

[Peter Antevy @HandtevyMD]

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. We’re focused on solving this in Handtevy Mobile. #NAEMSP2026

[Peter Antevy @HandtevyMD]

Six years later, that first hospitalization still defines our memory.

"𝘠𝘰𝘶𝘳 𝘴𝘰𝘯 𝘩𝘢𝘴 𝘛𝘺𝘱𝘦 1 𝘥𝘪𝘢𝘣𝘦𝘵𝘦𝘴"

But what followed wasn’t just learning insulin and finger sticks.

It was being offered 𝐡𝐢𝐠𝐡-𝐜𝐚𝐫𝐛 𝐬𝐧𝐚𝐜𝐤𝐬 that led to huge blood sugar swings, and several scary moments he’s 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. 💙

[Peter Antevy @HandtevyMD]

https://t.co/UQdW9J5vqI

[Peter Antevy @HandtevyMD]

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 they’re adequately resuscitated.

Read my first ever Substack post below👇

[Peter Antevy @HandtevyMD]

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.

[FL_NAEMSP @FL_NAEMSP]

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

[Peter Antevy @HandtevyMD]

𝐘𝐨𝐮 𝐧𝐞𝐯𝐞𝐫 𝐟𝐨𝐫𝐠𝐞𝐭 𝐭𝐡𝐞 𝐟𝐢𝐫𝐬𝐭 𝐭𝐢𝐦𝐞 𝐲𝐨𝐮 𝐦𝐞𝐞𝐭 𝐚 𝐜𝐚𝐫𝐝𝐢𝐚𝐜 𝐚𝐫𝐫𝐞𝐬𝐭 𝐬𝐮𝐫𝐯𝐢𝐯𝐨𝐫 𝐨𝐧 𝐭𝐡𝐞 𝐞𝐱𝐚𝐜𝐭 𝐜𝐨𝐮𝐫𝐭 𝐰𝐡𝐞𝐫𝐞 𝐭𝐡𝐞𝐢𝐫 𝐚𝐫𝐫𝐞𝐬𝐭 𝐡𝐚𝐩𝐩𝐞𝐧𝐞𝐝.

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 couldn’t help but feel grateful. Grateful for the bystanders, the crew, the science, and for the chance to see a life fully reclaimed.

That’s the power of EMS.

@DrCheskes @emcrit @PBCFR @AHAScience @ERC_resus @ResusCouncilUK @ResusJournal @NEJM

[Peter Antevy @HandtevyMD]

@realEstateTrent Bonine

[Peter Antevy @HandtevyMD]

@DrSamanthaF @AHAScience @DrCheskes https://t.co/xusIzSso8o

[Peter Antevy @HandtevyMD]

@DrSamanthaF @AHAScience With all due respect to Charles, this one’s not even close. The AHA and ERC missed big here.

@DrCheskes NEJM RCT showed a doubling of survival…..of people who would have otherwise died.

This recommendation needs to change.