The Handtevy Method

During a pediatric trauma, time is of the essence. You want to make sure that your team is prepared to deliver rapid, high quality care in a stressful situation.

Calculating drug dosages during a code situation.

Is a daunting task.

There is no room for error.

Who has time to look at a tape for this patient who's seizing? Mom is frantic, kids O2 size low and we're busy doing calculations. How many people here have a method or a technique that en route when you're here five years old, you know, okay, I have a weight and all the medication doses you can figure out in your head. Anyone?

We created the hand Tevy method to empower nurses, physicians and paramedics during a code situation.

Well before the hand Tevy method, it was a lot more difficult. You had to pull out a measuring device, you had to sit and figure out calculations. And with the hands heavy method, as long as you know the age, you can figure out the weight, you can figure out how much drug you're supposed to give.

You only ever have to remember five ages. It's all the odd numbers. 1, 3, 5, 7, 9.

1, 3, 5, seven, nine.

Good.

I'm just gonna give you a quick scenario. I'm gonna introduce Mike Malouf. Mike actually knows the hand Tevi method. Now Carl, I'm gonna have you use Roslo tape, okay? The only thing I want is the approximate weight of the child, the drug and the dose that they're gonna give for this particular patient that I'm gonna give them, okay? So here's the case. Carl comes in five year old, cyanosis, oxygen saturation's in the 60s.

Go.

Mom is screaming.

Kid has stridor.

Did you guys see how quickly Mike did this?

Okay, every time I've done this scenario, the same thing happens. This dose that was written on this side using the Braslo tape is a ten fold overdose. And you know why? Because The Braslo tape one to a thousand dose is the ET tube dose. It doesn't give you an IM dose. This patient should have received 0.2 milligrams.

Medication errors is the number one cause of injury in pediatric patients. And the hand Tevy method helps alleviate that.

The Braslo tape took 2 minutes and 24 seconds. And Mike took what, 12 seconds. This new method is going to help you determine the weight of a child, what dose of epinephrine, atropine, amiodarone, dextrose and valium to give within seconds.

I truly wish that the hand Tevy method was around so it could have prevented some deaths of some children who shouldn't have died.

You got a five year old kid who's got a sugar 20. How much Dex dose do I give him?

Easy.

If I didn't have the hand heavy method it might take me three, four minutes. By the time I got the correct drug dose and nl administration you're all.

Going to get a card and basically it's always there if you need it. So next time you get a call of a three year old drowning you say 1, 3, 10, 15. 1.5 milliliters of epinephrine.

Very simple.

When a sick child arrives in the emergency department we work as a team. It's important not only for the physicians to know the right medications and dosages, but also for the nursing staff and the paramedics. And the hand tevi method does that.

I was able to calculate my medications within 15 seconds.

It's very easy to learn and it's.

Very easy to use with the hand tevy. We want to get this technique to happen in a pre hospital arena. It's going to be a great thing for everyone living in this country.

The Hentevy method will ensure that you have the right dose for the right child every time.