Podcast 56 - IM/IN Ped Dosing w/ Peter Antevy
Common Questions:
"I don't like using intra-nasal meds because they never seem to work."
"Is the IM dose of ketamine for a kid seriously the same as a dude freaking out on bath salt?"
"I can't seem to find the sweet spot for analgesic ketamine dosing."
"Why did you cut off all your hair?"
In this podcast Dr. Peter Antevy helps us answer these questions... well except for the last one.
"I don't like using intra-nasal meds because they never seem to work."
IN dosing is limited to 1ml per nare, and it requires 3 x the IV dose. Unless you are using crazy concentrations, this is probably not the best route in adults.
"Is the IM dose of ketamine for a kid seriously the same as a dude freaking out on bath salt?"
Yep. Children eat up ketamine extremely fast.
"I can't seem to find the sweet spot for analgesic ketamine dosing."
Check out this algorithm Dr. Antevy just implemented within his EMS systems.
Peter Antevy, MD
Dr. Peter Antevy, innovator of the Handtevy Pediatric Resuscitation System, is a nationally recognized lecturer and expert in the field of pre-hospital pediatrics. He is extremely passionate about improving both adult and pediatric pre-hospital care and evaluating and improving upon currently accepted medical practice. Dr. Antevy received his medical degree from the University of Miami School of Medicine in 1999 and then continued on to complete his pediatric training at the Children’s Hospital of Los Angeles. He then achieved a subspecialty degree in Pediatric Emergency Medicine at the Children’s Hospital of Pittsburgh before returning back to Florida where he has been a Pediatric Emergency Medicine Physician at Joe DiMaggio Children’s Hospital since 2005. Dr. Antevy also currently serves as the EMS Medical Director for Davie Fire-Rescue, Coral Springs Fire Department, Southwest Ranches Fire Rescue and American Ambulance, and is the Associate Medical Director for Palm Beach County Fire Rescue, Miramar Fire Rescue and Seminole Tribe Fire Rescue. Peter currently serves as the President of the Greater Broward EMS Medical Directors’ Association, an organization whose providers serve the 1.5 million residents of Broward County, Florida. For his efforts, Dr. Antevy was awarded the prestigious Raymond H. Alexander EMS Medical Director of the Year Award in 2014. He also was honored as one of the 2015 Top Ten Innovators in EMS by JEMS.
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