Handtevy Mobile App Guide PDF

Handtevy What the officer needs to know Zachary Grossman, NRP February 2023  What is Handtevy? Handtevy is a mobile app that was created to help with pediatric care. It was a modern solution to the old Broselow tape. It has evolved and added a significant am...

Handtevy What the officer needs to know Zachary Grossman, NRP February 2023  What is Handtevy? Handtevy is a mobile app that was created to help with pediatric care. It was a modern solution to the old Broselow tape. It has evolved and added a significant amount of features to help prehospital providers with most patients. It is loaded on every Sonim phone and already logged in. Why am I sending you this? Handtevy is a great tool that has found a new place in cardiac arrest management. Not only does it help with time keeping, but allows us to: track medications and procedures, have time stamped information for more accurate treatment and documentation, and sends all the information to the ePCR when you are done. I have found more officers are using Handtevy to help manage their cardiac arrest scenes, which is great, but I still get some questions on how to use it to its fullest and I want to help with that. I know some of this will be a very basic overview, and I am not trying to insult anyone, so please bear with me. We are familiar with this right here  Getting to the app Once you get to the home screen, you are going to the find the app.  Once you open the app you will find this screen Click “ADD A NEW PATIENT”  The next screen you will see is where you choose your patient size. Remember this was initially for pediatrics. You go all the way to the bottom for adults and estimate their size.  So looking back to our Handtevy choices: 100 KG = 220 LBS 75 KG = 165 LBS Math time Let’s go with a 100 KG adult Once you make your selection you come to the main treatment screen. From here we are going to click “Start CPR.” You now come to a screen with a lot of options, let’s break them down. At the top left is your compression ratio. It defaults to 30:2. You can change it to continuous by clicking on the “continuous” box. This changes the metronome. We utilize the High Performance CPR Protocol (Maryland Medical Protocols pg 277-281) Handtevy will also make a “charging” sound at 1 min 45 secs to help remind crews to pre-charge the monitor for the upcoming pulse check (more on that in a few slides.)  About the metronome The metronome is extremely helpful when we are performing manual compressions, but once the LUCAS is in place it can just be distracting. Click on the speaker and it will give a list of options for sounds. Toggle off the metronome. Leave the ventilate option ON. Turning the metronome off will only be for this patient, it will reset for the next time. The top right button is for defibrillation. While the monitor records this data, using defibrillation in the app will still help on scene. At the pulse check, press defibrillation. You will then see options for energy level, as well as “shock delivered” or “no shock advised.” This will start the timer for the 1 min 45 sec pre-charge sound.  Once you click that, you will come to a screen for The Epi Button the dose and route. The dose is pre-loaded based on weight. You can select the route as IV or IO based on what the ALS clinician has in place. Below the Defibrillation button is the Epi button. The Epi button also starts a counter and a timer. Next to the Epi you will see a number in parenthesis, this is how many you have administered. The timer will turn orange at 3 minutes to help prepare you for the upcoming epinephrine administration. Just a reminder, per protocol, we give 1 dose of epinephrine, every 4 minutes, to a max of 4 doses. You can give more if you get ROSC, but that is for another day. Bottom Row At the bottom are several tabs that allow you to document the following: Medications Med Drips Equipment Electrical Interventions These are loaded in from our protocols and set up based on the weight you chose. Intubation This is a huge area that you can help out your ALS The other part of the process is based on protocol. clinician and the EMIHS. MMP states that we have to record and audit our intubations. Once they are reviewed, the videos are Most intubations are now done with the AirTraq, the video laryngoscope (VL). These devices are then attached to the ePCR. extremely helpful and provide some great The videos are also used to gather information, information to help train our clinicians. such as our first attempt pass rate. Part of this process is getting the video so that it All of this data helps our clinicians. It helps them can be reviewed and given personalized feedback for your clinician. MFP Weinstock does an improve, it helps with their documentation, and it awesome job with this. helps the system with training information. In order to get that video to do that, we need to know that a VL occurred. So how do you help?  When your ALS clinician advises you that they intubated the patient, an you know they used the AIRTRAQ, you will click on the equipment button and then hit AIRTRAQ. As you will see later, this all imports into the ePCR and is set up to reflect the protocols and how eMEDs is set up. Hitting the right button will help your clinicians out tremendously. I’m not going to spend too much time on the other tabs at the bottom. Everything is pre loaded and easy to use. Handtevy can be practiced with whenever and will not cause issues. I highly recommend spending a few minutes with it so see what is in it.  What do we do with all this stuff? At the end of the cardiac arrest, either TOR or transport, you need to upload the data. At the top right you will see “Stop CPR” as a red button. Once you press that you will get a screen that asks for the Patient Outcome. Click the outcome that best matches your situation.  That will bring you back to the screen you were just at. At the top right you are going to see blue box with a “carrot.” Hitting this will upload the data.  One more step You will then come to one final screen. You will check off the statement stating “All listings below are complete and accurate for this patient.” Then hit Submit. Once you do that, the information is sent the cloud and your clinician can download it into their ePCR.