Dr. Peter Antevy: 5 protocol changes you are too afraid to make

Debunking unsound research and increasing hospital collaboration to improve outcomes

September 25, 2023 02:44 PM •

NEW ORLEANS — EMS1’s Rob Lawrence catches up with Dr. Peter Antevy at EMS World Expo to discuss crucial protocol changes and debunking unsound research in EMS.

Dr. Antevy shares takeaways from his Expo presentation, “Taking back EMS: Embracing five important protocol changes and debunking unfounded research.”

“EMS is a different specialty,” Dr. Antevy notes. “You know that the data coming out from the AHA is mainly hospital-side, ICU-side data and it’s time that we own this space.”

Watch as Dr. Antevy discusses protocol changes related to:

RSI versus DSI
Refractory status epilepticus
Whole blood
Double sequential defibrillation
Antibiotics for sepsis
And a bonus: Removing epi from shockable rhythms

https://players.brightcove.net/104403126001/default_default/index.html?videoId=6337799536112

About our guests

Rob Lawrence is director of strategic implementation for PRO EMS and its educational arm, Prodigy EMS; and part-time executive director of the California Ambulance Association.

Peter M. Antevy, MD, is cofounder and owner of Pediatric Emergency Standards, Inc.

Additional resources

Clinical EMS Protocols EMS World Expo EMS1 Research Center Legal Issues Medical Director Paramedic Chief Protocols Sepsis The EMS Leader Playbook Whole Blood

Rob Lawrence

Rob Lawrence has been a leader in civilian and military EMS for over a quarter of a century. He is currently the director of strategic implementation for PRO EMS and its educational arm, Prodigy EMS, in Cambridge, Massachusetts, and part-time executive director of the California Ambulance Association.

He previously served as the chief operating officer of the Richmond Ambulance Authority (Virginia), which won both state and national EMS Agency of the Year awards during his 10-year tenure. Additionally, he served as COO for Paramedics Plus in Alameda County, California.

Prior to emigrating to the U.S. in 2008, Rob served as the COO for the East of England Ambulance Service in Suffolk County, England, and as the executive director of operations and service development for the East Anglian Ambulance NHS Trust. Rob is a former Army officer and graduate of the UK’s Royal Military Academy Sandhurst and served worldwide in a 20-year military career encompassing many prehospital and evacuation leadership roles.

Rob is a board member of the Academy of International Mobile Healthcare Integration (AIMHI) as well as chair of the American Ambulance Association’s State Association Forum. He writes and podcasts for EMS1 and is a member of the EMS1 Editorial Advisory Board. Connect with him on Twitter.