Latest / Becker’s Healthcare Podcast / Advancing Pediatric Readiness and Prehospital Innovation with Dr. Peter Antevy
Transcript
- 0:00Hello, and welcome to the Becker's Healthcare podcast.
- 0:02My name is Chanel Banger. And today, I
- 0:04have the pleasure of speaking with doctor Peter
- 0:06Entevi,
- 0:06emergency and EMS physician and the founder and
- 0:09chief medical officer at Handevi, who joins the
- 0:12podcast today to share insights into his background,
- 0:14turns he's keeping an eye on and a
- 0:15bit more. Doctor Hamtevi, thank you so much
- 0:17for joining me today. Thanks, Chanel. Great to
- 0:20be here.
- 0:21Of course. Well, to get us started, could
- 0:23you please share a little bit about your
- 0:25background and Hamtevi?
- 0:28Absolutely. So I'm a pediatric emergency medicine physician
- 0:31and EMS medical director here in South Florida.
- 0:33I also serve as the medical director for
- 0:35a number of fire departments,
- 0:37including Palm Beach County Fire Rescue and Brevard
- 0:40County Fire Rescue, two of the largest systems
- 0:42in the state. And I'm also the founder
- 0:44and chief medical officer of HanTEVI.
- 0:47And what HanTEVI is, the the origin story
- 0:50is actually where we should get started because
- 0:52in 2005,
- 0:54I made a tenfold medication error on a
- 0:57five year old girl.
- 0:58And this is after training at two of
- 1:00the top 10 children's hospitals. I,
- 1:03I gave 10 times more medicine than I
- 1:05was supposed to do, and that's because I
- 1:06was doing math
- 1:08right there at the bedside.
- 1:09And,
- 1:10story still gets me,
- 1:12because I then spent
- 1:14years after that trying to figure out the
- 1:16solution to that problem,
- 1:18and that's how Entebbe was born.
- 1:21And it's been sixteen years,
- 1:23and now
- 1:24I'm happy to say that we serve EMS
- 1:27and hospital emergency departments all across,
- 1:2950 states.
- 1:31And we provide real time weight based medication
- 1:34dosing.
- 1:35We give the equipment sizing, scoring tools, all
- 1:37happening at the point of care,
- 1:40meaning that if someone's dying in front of
- 1:42you, adult or child,
- 1:44there are clinicians out there using our application
- 1:48right at that moment.
- 1:50Got it. Got it. That's amazing to hear.
- 1:52And I'm curious to know,
- 1:54what are the trends that you're currently watching
- 1:56either in emergency medicine, prehospital research, or just
- 1:59health care overall?
- 2:00Yeah. So there are so many topics that,
- 2:02that are trending now that I'm following. But
- 2:04to stay on topic, the biggest one for
- 2:06me is pediatric readiness.
- 2:08As many people in the in the hospital
- 2:10world know,
- 2:12in January,
- 2:14there was a a joint policy statement released
- 2:16by AAP, ASAP, ENA, and the American College
- 2:19of Surgeons,
- 2:20you know, basically laying out that every emergency
- 2:23department needs to be ready to care for
- 2:25kids.
- 2:26There was,
- 2:27some pretty large
- 2:29datasets that were published
- 2:31showing that very few hospital emergency departments today
- 2:34in this country are ready to take care
- 2:36of children.
- 2:38And the data is pretty compelling.
- 2:40If you are a ready hospital pediatric ready
- 2:43hospital,
- 2:44there's a seventy six percent lower mortality,
- 2:46for critically
- 2:48ill and injured kids, and that's a lot
- 2:50of lives that could be saved. And
- 2:52so many states now are actually
- 2:54passing
- 2:55legislation
- 2:57so that hospitals
- 2:58should become ready for pedia for pediatric emergencies.
- 3:03So that's something that we're focused on, not
- 3:05just on the EMS side,
- 3:07but also on the hospital side.
- 3:09And the the interesting thing
- 3:12is that the timing
- 3:13with what we do is that some people
- 3:16may know that
- 3:18in 2025,
- 3:19there were,
- 3:20there were two editions of the Braselow tape
- 3:23that were recalled.
- 3:24First one was in May 2025 and then
- 3:26another one in December 2025.
- 3:29And
- 3:30doctor Braslow was a legend.
- 3:32Unfortunately, he passed away recently.
- 3:35But it really goes to show that having
- 3:38tools that are on printed
- 3:40cards and printed tapes are really, you know,
- 3:42something that started in the mid eighties,
- 3:45and now we haven't really moved forward towards
- 3:48digital tools
- 3:49and tools that can be used offline,
- 3:52medications that could be modified in real time
- 3:55so that we don't have to worry about
- 3:57having
- 3:58kind of cards and and length based tapes
- 4:00that have to be replaced.
- 4:03So pediatric readiness is 2026,
- 4:06and all hospitals,
- 4:08will be working towards
- 4:10improving their pediatric readiness, which I'm excited about.
- 4:13That is exciting to hear. Thank you so
- 4:15much for walking us through that. And now
- 4:17it's hard to believe that we're already a
- 4:19quarter away through 2026.
- 4:21I'm curious to know, what are you most
- 4:23focused on and excited about going through the
- 4:25rest of the year?
- 4:27Yeah. So
- 4:28we have we have lots going on here
- 4:29in the state of Florida. I will say
- 4:31that,
- 4:33about three years ago, we started providing blood
- 4:36in the ambulances here in Palm Beach County
- 4:39and in Broward County.
- 4:41So what does that mean? It means that
- 4:42if someone's hemorrhaging,
- 4:44from any cause, trauma,
- 4:46medical hemorrhage, OB, as an example,
- 4:50we now have the ability to bring that
- 4:52blood to the scene.
- 4:53And we've given in the two counties over
- 4:56650
- 4:57units,
- 4:58and we have a survival
- 5:00of in the in the high eighties, like
- 5:02eighty eight percent. Meaning that if you did
- 5:04not go into cardiac arrest and we came
- 5:06in and gave you blood before you died,
- 5:08you had an eighty eight percent survival. So
- 5:11I'm actually headed up to Washington DC on
- 5:13Wednesday.
- 5:14We're advocating so that the CMS can actually
- 5:17pay for that blood for EMS because it
- 5:19is cost prohibitive for many,
- 5:21organizations.
- 5:23But that's kind of the one of the
- 5:24bigger things that I'm working on,
- 5:27now, and we're trying to get a statewide,
- 5:30funding from the state of Florida so that
- 5:32we can get blood in all 67 counties.
- 5:35That's great to hear.
- 5:37And now as somebody who took a personal
- 5:39experience and turn it into a solution,
- 5:42I'd love to hear what advice you would
- 5:44give to evolving leaders looking to have that
- 5:46same impact in their careers as you have.
- 5:49Yeah. That's a great question. I I would
- 5:51say that when I started this and I
- 5:53came up with this crazy idea, many people
- 5:55thought it was crazy in in about 2008
- 5:58time frame.
- 5:59I was talking to people, and they kept
- 6:01telling me where's the evidence? Where's the evidence?
- 6:04And I'm proud to say that over the
- 6:06years,
- 6:08many people
- 6:09have studied our product.
- 6:12And in fact, last week,
- 6:14what I believe is a landmark study coming
- 6:16out of Rochester, doctor Maya Dorsett just published.
- 6:20They, after using our system and integrating it,
- 6:23now have a ninety seven percent correct pediatric
- 6:27dosing
- 6:28for medications in a very large EMS system.
- 6:31If you look at the prior studies,
- 6:33you have
- 6:34fifty percent
- 6:36of correct medication dosing for children, which which
- 6:39seems pretty crazy when you hear that number.
- 6:41So this last paper is the highest ever
- 6:44reported
- 6:45of correct medication dosing in kids.
- 6:48And, after sixteen years and after someone who
- 6:50made that,
- 6:52tenfold medication error in 2,005,
- 6:55I would say that if you're gonna be
- 6:57in this
- 6:58field of health care innovation,
- 7:00you have to lead with the data.
- 7:03And
- 7:04I would also say that other people need
- 7:06to to be evaluating
- 7:08the product.
- 7:09You should not be involved in the product
- 7:11evaluation.
- 7:13And so this is now the,
- 7:16fourth
- 7:17big paper that's been done on Entebbe. The
- 7:19first one,
- 7:20came out of Polk County,
- 7:22which showed a twenty three percent neuro intact
- 7:25survival for pediatric cardiac arrest.
- 7:27As many people know, the number in most
- 7:30places is under ten percent.
- 7:33Another big study came out of Denver, which
- 7:35showed that they went from fifty percent correct
- 7:37dosing to eighty nine point four percent correct
- 7:39dosing.
- 7:40And then there is the last one now
- 7:42coming out of, Denver, which is soon to
- 7:44be published,
- 7:45showing that using our CPR assist tool,
- 7:49they've had significant increases in adult,
- 7:52survival from cardiac arrest. So
- 7:55starting from an a place where I made
- 7:56a big error to now knowing that more
- 7:59children and adults are living every single day
- 8:02is something that's very humbling,
- 8:04something that we're very proud of,
- 8:06and something that we continue to work hard
- 8:08so we can continue to improve even upon
- 8:11those numbers.
- 8:12I love that. Well, doctor Entebbe, I wanna
- 8:14thank you for your time today. But before
- 8:15I let you go, is there anything else
- 8:17that listeners should know?
- 8:18Yeah. I would say that, find me on
- 8:20LinkedIn. I think LinkedIn's a great place for
- 8:22all of us to,
- 8:24interact. And
- 8:26just I would say thank you guys for
- 8:28all that you do, and, looking forward to
- 8:30hearing some feedback. Thank you.