2012 EMSC Program News

Share Your Kids Pictures at the Program Manager’s Meeting (12/24/12)

The EMS for Children (EMSC) National Resource Center (NRC) will be collecting pictures of grantees' children and grandchildren to display at the Program Manager's Meeting, to be held April 29-May 2 in Bethesda, MD. This will be a fun opportunity to share and connect with fellow EMSC colleagues. Please email photos in "jpeg" format to Rinal Patel by February 1.

PECC Mid-Year Meeting Update (12/21/12)

The Mid-Year Meeting for the Pediatric Emergency Care Council (PECC) will NOT be held in conjunction with the National Association of State EMS Officials (NASEMSO) Mid-Year Meeting, scheduled for March 5-7, in Washington, DC. Instead it will be held on May 1 and 2, 2013, immediately following the EMS for Children Program Managers Meeting.

PECC members are more than welcome to join the NASEMSO Mid-Year Meeting as travel funds/approval allow. Stay tuned for more details regarding both meetings or contact Rachel Alter, program manager at NASEMSO, for more information.

Taking Care of Ourselves and Our Children When Disaster Strikes (12/20/12)

As the nation grieves for the victims of Newtown, CT, the EMS for Children (EMSC) Program would like to remind its grantees, friends, and national and community partners that it has a number of resources available to help children, parents, teachers, and healthcare providers respond to and recover from a tragedy involving children. All resources are available as free downloadable files from the EMSC National Resource Center (NRC).

PEDPrepared: A Pediatric Disaster Resource Clearinghouse. Developed and maintained by the NRC, this clearinghouse features tools and resources to assist health care providers, emergency planners, and families to prepare for, respond to, and recover from a disaster or pandemic involving the pediatric population. A few featured resources within the clearinghouse include:

AftertheInjury.org. Developed by the Children's Hospital of Philadelphia as part of its EMSC Targeted Issue grant, this website is designed to help parents learn what to expect and what they can do to help their child recover from an injury. It also provides healthcare professionals an alternative way to communicate to parents who, at the time of injury, may not be able to absorb all that there is to know.

After the Emergency Is Over: Post-Traumatic Stress Disorder in Children and Youth. Developed by the EMSC National Resource Center, this fact sheet focuses on post-traumatic stress disorder (PTSD) in children and youth. It includes a definition, signs and symptoms, and possible treatments. The fact sheet also consists of a list of various books, brochures, and internet resources that can aid one in gaining more information.

Two additional great resource are the December 19 edition of Children's Safety Network e-newsletter and the Substance Abuse and Mental Health Services Administration's (SAMHSA) Coping with Disasters and Violent Events: Resources for Students, Parents, Teachers, Responders, and Health Professionals. SAMHSA devoted an entire section of their website to talking with children after a disaster. It also includes resources for teachers in multiple languages, tips for parents specific to each age group, and tips for parents and teachers for dealing with media coverage of disasters. In addition, they include sections specific to dealing with violence and mass shootings.

Senator Daniel K. Inouye To Be Honored (12/20/12)

As reported in CQ Roll Call Daily Briefing, Senator Inouye's flag-draped casket will lie in state in the US Capitol Rotunda on Thursday, December 20th. He will be the first member of Congress who died in office to receive that honor since Claude Pepper, the Democratic senator and then House member from Florida, in 1989. Senator Inouye's funeral will be held at 10:30am Friday, December 21st at Washington National Cathedral in the District of Columbia. The Senator, who as Senate president pro tempore for the past two years was the highest-ranking Asian-American ever in the federal government, will be buried on Sunday, December 23rd at the National Memorial Cemetery of the Pacific in his native Honolulu.

Targeted Issue Grantee Publishes on Clinical DKA Management in Illinois (12/13/12)

A team of Illinois EMSC researchers have published findings from the Targeted Issues project "Pediatric Quality Improvement Modules: Head Trauma, Seizures and DKA," in Pediatric Emergency Care. The aim of this study was to assess the clinical management of diabetic ketoacidosis (DKA) in pediatric patients within Illinois emergency departments. If not recognized early and managed appropriately, DKA will have detrimental effects on a child's health and could be life-threatening.

The EMSC team conducted a survey among hospitals participating in the Illinois EMSC Facility Recognition Program as part of the quality improvement initiatives supported by the state program. The survey included questions about an emergency department's (ED) general approach to pediatric DKA management, as well as structural indicators such as access to a pediatric endocrinologist, documentation of a DKA policy/guidelines, and frequency of vital signs monitoring.

Of the 116 responding facilities (94% response rate), 34% reported a documented DKA policy or clinical guidelines, 49% reported hourly or continuous monitoring of vital signs, and 7-27% provided pediatric endocrinologist access at all times, depending on the EMS region. Facilities were also asked to submit medical record reviews, of which 88 facilities submitted 532 total reviews. Within these data, researchers found inconsistencies in recording weight in kilograms, 87% of records indicating initial treatment with IV isotonic sodium chloride solution within the first hour, and 51% of patients being transferred to another facility.

DKA management in pediatric patients is complex, time sensitive, and requires a multidisciplinary approach. Key best ED DKA management practices highlighted by this study include establishing specific DKA guidelines and ensuring access to a pediatric endocrinologist. Finally, to increase the knowledge base and comfort level of prehospital and ED providers managing pediatric DKA patients, the Illinois EMSC team has developed the web-based educational module "Pediatric Hyperglycemia and Diabetic Ketoacidosis (DKA)."

Former TI Grantee Publishes Chapter in ESI Implementation Handbook (12/07/12)

Former EMS for Children Grantee Anna Waller, ScD, published findings from her Targeted Issue (TI) project "Evaluation of the Emergency Severity Index for Pediatric Triage" in the Emergency Severity Index (ESI): A Triage Tool for Emergency Department Care, Version 4: Implementation Handbook, 2012 Edition. Her work is featured in Chapter 6: The Use of ESI for Pediatric Triage, and provides detailed information on using the ESI algorithm with pediatric populations.

The chapter aims to help general hospital and pediatric nurses quickly and accurately assess children in the emergency department triage setting.

PECARN Publishes on Impact of Ventricular Shunts on Prevalence of TBI and Use of Cranial CT (12/06/12)

Ventricular shunts are present in approximately one in 500 children in the United States. However, it is not known if these devices increase the risk for traumatic brain injury (TBI). A Pediatric Emergency Care Applied Research Network (PECARN) study published in Annals of Emergency Medicine compares the prevalence of clinically important traumatic brain injuries and the use of cranial computed tomography (CT) in children with minor blunt head trauma with and without ventricular shunts who presented to the emergency department (ED) for evaluation. For this study, a clinically important traumatic brain injury was defined as a head injury resulting in death, intubation for 24 hours or more, neurosurgery, or two or more days in the hospital.

The study enrolled 39,732 eligible participants under 18 years of age who presented to a PECARN ED with blunt head trauma and a Glasgow score of at least 14. Investigators then calculated rates of clinically important traumatic brain injury and use of cranial CT for children with and without a ventricular shunt. Ninety-eight children (0.2% of study patients) had a ventricular shunt. Children with a ventricular shunt were more likely to have a CT scan performed (46% with versus 35% without a ventricular shunt), but were equally likely to have a clinically important traumatic brain injury (1% with versus 0.9% without a ventricular shunt). In conclusion, clinicians treating a child with minor blunt head trauma in children with a ventricular shunt should not base neuroimaging decisions purely on the presence of a ventricular shunt.

Pediatric Trauma Courses Developed by TI Grantee Now Available (12/06/12)

Targeted Issue (TI) Grantee Jane Brice, MD, MPH, of the University of North Carolina, Chapel Hill and her team have developed pediatric trauma courses as part of their TI project "EMS and Pediatric Trauma: A North Carolina Population-based Performance Improvement Intervention and Evaluation Using Multiple-linked Healthcare Databases." The two new courses are now available via the web for EMS providers and 911 telecommunicators:

  • EMS Course: This course is designed to offer emergency medical services providers an overview of pediatric trauma, the leading cause of injury and death in American children. EMS providers will have the opportunity to learn about the scope of pediatric trauma, revisit the keys of their pediatric patient assessment, review the benefits of specialized trauma center resources, and examine how trauma pre-planning tools can assist them in making the best transport decisions for their patients

  • 911 Telecommunicator Course: This course is designed to illustrate how 911 telecommunicators play a critical role in the prehospital management of injured children. 911 telecommunicators will have the opportunity to learn about the scope of pediatric trauma, how they can quickly deploy EMS resources, ways they can assist EMS's response by collecting valuable information, and how they can work with dispatched services to minimize response and scene times en route to definitive care.

These courses are available for continuing education credits, and North Carolina EMS and 911 providers may take the course for free through the EMS Performance Improvement Center website. The North Carolina Office of Emergency Medical Services has awarded the EMS course 2.0 continuing education credits and the 911 course 1.0 continuing education credit. Providers outside of North Carolina may earn credit by taking the course through North Carolina AHEConnect and paying a $5.00 fee.

Alaska EMSC Advisory Committee Well Represented During 37th State EMS Symposium (11/30/12)

The 37th Alaska State EMS Symposium was held November 7-10, 2012, in Anchorage. Each year, the Alaska EMSC program helps provide pediatric resources through the support of hands on training and distribution of EMSC products. Several Alaska EMSC Advisory Committee members played an active role in the coordination, planning, and execution of symposium events:

  • Sue Hecks, executive director for Southern Region EMS Council, helped plan, coordinate, and run the annual symposium with support from her team and through partnerships with the State EMS Office.

  • Ken Zafren, MD, medical director for State Emergency Programs, organized the clinical track for advanced level providers; led the course "Hypothermia and Cold Injury Guidelines;" and was recognized with the George H. Longenbaugh Memorial Award, the Governor's Council on EMS Award honoring a physician who exemplifies leadership and dedication to EMS systems and has significantly promoted the Alaska EMS system.

  • BJ Coopes, MD, pediatric intensivist, led several dynamic sessions on pediatric airway management and resuscitation followed by a compelling survival tale of a 10-year-old Alaskan champion!

  • Danita Koehler, MD, chief of EMS for Bassett Army Community Hospital and Governor's Council on EMS member, presented Terry Stone with the EMS Educator Award during the 35th Annual ACEMS Awards banquet. The award honors an instructor for demonstrating quality instruction and making an outstanding contribution to EMS education.

Targeted Issue Grantee Publishes on Reunification Tool (11/29/12)

EMSC Targeted Issue (TI) Grantee Sarita Chung, MD, at Children's Hospital Boston published findings from her TI project, "REUNITE: A Novel Imaging System for Children Separated During Disaster," in Society for Academic Emergency Medicine. The article examined the effectiveness of an image-based tool designed to assist parent-child reunification following a disaster.

The tool guides parents through a photo database of children by narrowing the pool based on a parent's selection of photos that look most similar to their child (called User-Feedback) and by matching parent descriptions with features extracted from the photos, such as skin and eye color (called Feature-Attribute-Matching).

The study piloted the tool in a pediatric tertiary center by enrolling 51 parent-child pairs and then adding the children's photos to an existing database of photos. The study measured the amount of time and the percentage of the database the parent used depending on if the parent searched the database randomly, used the tool with both User-Feedback and Feature-Attribute-Matching features on, or used the tool with just User-Feedback.

Results showed that guided searching in either form was superior to random searching. Also, although the time spent was similar for both, the combination of User-Feedback and Feature-Attribute-Matching was superior to just User-Feedback in terms of decreasing the percentage of the database used, 20.1% in the former versus 27.2% in the latter. Finally, survey results indicated that 87% of participating parents found the tool very helpful to extremely helpful, 85% felt it would be very easy or easy to use, and 68% were very satisfied or satisfied with the results.

Results showed that guided searching in either form was superior to random searching. Also, although the time spent was similar for both, the combination of User-Feedback and Feature-Attribute-Matching was superior to just User-Feedback in terms of decreasing the percentage of the database used, 20.1% in the former versus 27.2% in the latter. Finally, survey results indicated that 87% of participating parents found the tool very helpful to extremely helpful, 85% felt it would be very easy or easy to use, and 68% were very satisfied or satisfied with the results.

This novel tool reduced the number of images and time needed for parents to identify children following a disaster, and additional development in this technology can further improve family reunification processes.

PECARN Publishes on Medication Errors in the Emergency Department (11/09/12)

The Pediatric Emergency Care Applied Research Network (PECARN) published findings from an analysis of pediatric medication events (MEs) occurring July 2007 to June 2008 across 18 U.S. emergency departments (EDs) in this month's Emergency Medicine Journal. Using information gathered from standard hospital policy at each institution, the researchers developed an incidence reporting (IR) classification system by type, severity, personnel involved, and contributing factors, with additional classification for IRs identified as MEs.

Over the course of the one-year study, 597 (19%) of the 3,106 IRs submitted involved MEs, with the most common being wrong dose (39%), incorrect medication (17%), and delayed or missing doses (16%). Wrong doses were most often related to incorrect weight, duplicate doses, and calculation errors. Approximately half of the reported MEs reached the patient without causing harm, while 13% resulted in temporary harm to the patient. While contributing factors were only clearly listed in 45% of reports, researchers were able to extrapolate factors based on text in 93% of IRs. However, 85% of MEs were documented as involving human factors, including lack of procedure compliance, communication failures, and calculation and judgment errors.

While most of the reported incidents did not cause patient harm, the researchers were able to collect valuable qualitative data regarding the contributing factors of MEs. This study successfully overcame a common barrier of hospitals being hesitant or unwilling to share incident data due to liability concerns, and the sharing of this voluntary information across institutions will be an important step in enhancing patient safety in the ED.

EMSC Targeted Issue Funding Opportunity Pre-Announcement (11/01/12)

The Health Resources and Services Administration's (HRSA) Emergency Medical Services for Children (EMS for Children) Program is pleased to announce a funding opportunity pre-announcement (FOA) for the EMS for Children Targeted Issue Grant Program. The purpose of the EMSC Targeted Issue Grant Program is to improve EMS for children through innovative and state-of-the art approaches in research and quality improvement. The goals of these projects are to improve pediatric emergency care by:

  1. conducting pilot studies to improve the science and evidence base;

  2. providing national models for quality improvement of systems development; or

  3. developing national resources to improve delivery.

The impact of these projects is measured by peer-reviewed scientific publication followed by dissemination of work product.

Qualified Applicants: Accredited schools of medicine and state governments

The TI Grant application is anticipated to be released on January 7, 2013, with an estimated due date of March 5, 2013. The federal agency contact for the TI Grant announcement is Tasmeen Weik, DrPH, Director of Research for the Emergency Medical Services for Children Program.

Newly Formed Nebraska FAN Committee Conducts Meeting (10/26/12)

The newly formed Nebraska Family Advisory Network (FAN) Committee met on Saturday, October 20, in Grand Island, NE. Each committee member has a story to tell and a passion for their commitment to reducing injuries and illnesses to the children in their communities. Donna Downs who has served as the Nebraska FAN representative for several years now and sits on the Nebraska EMS for Children Advisory Committee will chair the committee. Members will meet four times a year with two of the meetings being face-to-face. The committee's primary focus is to work on family involvement and family-centered care strategies, as well as how to tell your family's story to improve pediatric emergency care.

Federal Program to Begin Re-assessment of EMS for Children Performance Measures (10/25/12)

On Monday, October 22, the EMS for Children Program held its State Partnership Town Hall Conference Call to discuss the Performance Measures Re-assessment Process for program year 2013-2014. To demonstrate the effectiveness of the EMS for Children Program, the Health Resources and Services Administration, Maternal and Child Health Bureau (MCHB) must periodically report to Congress on the progress of the EMS for Children performance measures. On March 1, 2013, MCHB will begin a re-assessment of EMS for Children performance measures 71, 72, and 73. Recall that an initial assessment was completed in 2010. The re-assessment period will end on February 28, 2014.

Each state is required to participate in the re-assessment and has a three-month window to collect the data. That three-month window will be determined by each State Partnership grantee as long as it falls between March 1, 2013, and February 28, 2014.

For more information about the EMS for Children re-assessment process, please visit the National Resource Center website or consult the following resources that were shown during the Town Hall conference call:

California SPROC Grantee, North Coast EMS Agency, and UC Davis Medical Center Launch Project TACTICAL (10/22/12)

The California State Partnership Regionalization of Care (SPROC) grantee, the North Coast EMS Agency, and the University of California-Davis Medical Center have launched a project to help sick and injured children in the North Coast region to get better access to the full spectrum of EMS. The project, Transport of Acutely Ill and Injured Children to Institutions of Higher Care from Allied Localities (TACTICAL) aims to:

  • build on the existing EMS infrastructure to provide a coordinated, regionalized, and accountable system;

  • provide pediatric emergency educational programs to providers;

  • enhance interfacility transfer relationships with higher levels of specialty care located throughout northern California and Oregon; and

  • increase telemedicine opportunities with out-of-area pediatric experts.

Targeted Issue Project on Spinal Immobilization Is Published with PECARN Support (10/19/12)

Former Missouri Targeted Issue Grantee Julie Leonard, MD, MPH, published her article "Potential Adverse Effects of Spinal Immobilization in Children" in Prehospital Emergency Care with support from the Pediatric Emergency Care Applied Research Network (PECARN). Dr. Leonard's study describes the potential adverse effects associated with spinal immobilization following trauma among children using data from a total of 173 spine-immobilized children and 112 children who met American College of Surgeons criteria for immobilization, but were not immobilized.

Comparing children who were immobilized to those who were not by measuring self-reported pain, radiography use, emergency department length of stay, and emergency department disposition, researchers found that there were significant differences between the two groups. Immobilized children had a higher median pain score (3 versus 2), were more likely to have cervical radiology clearance (56.6% versus 13.4%), and were more likely to be admitted as an inpatient (41.6% versus 14.3%), compared to the non-immobilized children. Researchers concluded that spinal immobilization is associated with increased pain, use of imaging studies, and hospital admission, but further studies are needed to explore and better define these relationships.

Two EMS for Children Grantees to Receive Recognition at AAP National Conference (10/19/12)

Two champions of the EMS for Children Program will receive awards from the American Academy of Pediatrics' (AAP) Section on Emergency Medicine during the upcoming AAP National Conference and Exhibition in New Orleans. Former Pediatric Emergency Care Applied Research Network (PECARN) Steering Committee Chair and long-time PECARN Principal Investigator Nathan Kuppermann, MD, MPH, will receive the Jim Seidel Distinguished Service Award, and former Targeted Issue Grantee and Pediatric Readiness Project Champion Marianne Gausche-Hill, MD, will receive the Steve Miller Excellence in Education & Mentorship Award. Both awards will be presented at 9:45 am on Saturday, October 20, 2012, in Convention Center Room 278 - 280. Congratulations to Drs. Kuppermann and Gausche-Hill for your exceptional contributions to the field of pediatric emergency medicine!

Save the date! 2013 EMS for Children State Partnership Program Meeting (10/18/12)

The 2013 EMS for Children State Partnership Program Meeting will be held April 29 - May 1 at the Hyatt Regency Bethesda Hotel in Bethesda, MD. We are currently working to finalize the logistics for 2½ days of sharing, learning, and networking with your colleagues from across the country. Invited to this meeting are the State Partnership program managers and Family Advisory Network representatives and State Partnership Regionalization of Care program managers and cultural brokers.

Online registration for the State Partnership Meeting will open March 2013. When registration opens, you will be able to make your hotel reservation online or call the hotel directly. If you choose to call the hotel directly, you must use an identification code that is specific to the State Partnership Program Meeting. That code will be provided to you in early March. Please do not call the Hyatt Regency Bethesda Hotel until you receive the code. Additional details about the meeting will be forthcoming.

EMS for Children Performance Measure Data Now Available on NRC Website (10/12/12)

Each EMS for Children State Partnership performance measure on the National Resource Center's website is now individually cross-linked to the Health Services and Resources Administration's Discretionary Grant Information System (DGIS) database. The DGIS contains the most recent reporting data for each performance measure. Data is supplied in aggregate form only. Note that due to the size of the DGIS database, it may take up to 30 seconds for aggregate data to appear.

EMS for Children NRC Seeking EMS Program Manager (10/11/12)

The EMS for Children National Resource Center (NRC) is looking for an energetic, detail-oriented individual with excellent analytical, writing, and verbal communication skills to serve as its EMS program manager. As the grantee technical assistance lead, this person will oversee the delivery of EMS-related technical assistance - including operations, regulations, and policy issues specific to EMS - to EMS for Children grantees and stakeholders. He/she will represent the EMS for Children Program at a variety of meetings to ensure the integration of pediatric considerations into guidelines and policies for all aspects of the EMS setting. The ideal candidate must be organized, resourceful, and self-motivated and will have experience in the EMS system that goes beyond the provider level.

For more information and to access the full job description, please click here.

DOT and Safe Kids Kick-Off Child Passenger Safety Week with New Survey on Common Car Seat Mistakes (09/28/12)

The U.S. Department of Transportation (DOT) and Safe Kids USA joined together for the kick-off of Child Passenger Safety Week, September 16-22, 2012, with a new survey on common car seat mistakes developed by the National Highway Traffic Safety Administration. According to the survey results, the following are the most significant and commonly observed mistakes made by parents and caregivers when installing car seats and booster seats:

  • Wrong harness slot used - The harness straps used to hold the child in the car seat were positioned either too low or too high.

  • Harness chest clip positioned over the abdomen rather than the chest or not used at all.

  • Loose car seat installation - The restraint system moved more than two inches side-to-side or front to back; anything more than one inch is too much.

  • Loose harness - More than two inches of total slack between the child and the harness strap; there should be no slack.

  • Seat belt placement was wrong – Lap belt resting over the stomach and/or shoulder belt on the child’s neck or face.

Finally, the survey results also found that 20 percent did not read any instructions when installing seats, but 90 percent felt ‘confident’ or ‘very confident’ that their car seats or booster seats were installed correctly.

“Working Group Best Practice Recommendations for the Safe Transportation of Children in Emergency Ground Ambulances” Now Available (09/27/12)

The National Highway Traffic Safety Administration’s (NHTSA) Office of Emergency Medical Services (EMS) and Occupant Protection Division have released the “Working Group Recommendations for the Safe Transportation of Children in Emergency Ground Ambulances.” The goal of this project is to provide consistent national recommendations that will be embraced by local, state, and national EMS organizations, enabling them to reduce the frequency of emergency transports of ill, injured, or uninjured children in an unsafe or inappropriate manner. If widely accepted, these recommendations could help address the lack of consistent standards or protocols among EMS and child passenger safety professional in the United States regarding how to most safely transport children in ground ambulances.

New Resource Available Linking EMSC PMs to Healthy People 2020 Objectives (09/21/12)

Each decade, the U.S. Department of Health and Human Services releases new 10-year targets designed to guide national health promotion and disease prevention efforts to improve the health of all people in the United States. Setting objectives and providing science-based benchmarks facilitates monitoring and tracking of health targets while focusing health promotion efforts. Healthy People 2020 is the fourth generation of this initiative.

To illustrate the relationship between the EMS for Children performance measures and the Healthy People 2020 objectives a new resource, "Healthy People 2020 Crosswalk to EMS for Children Performance Measures," is now available for download on the EMS for Children National Resource Center website.

Illinois EMS for Children Releases Educational Module: Pediatric Seizures (09/14/12)

Illinois EMS for Children just released their newest educational module – Pediatric Seizures. The purpose of the Pediatric Seizures educational module is to enhance the emergency care of pediatric patients who present with seizure activity. Topics reviewed include: appropriate assessment, management, prevention of complications, disposition, and patient and parent/caregiver education. Illinois EMS for Children hopes that healthcare professionals (including prehospital providers, nurses, and physicians) will utilize these materials to further enhance the care of children in their own settings.

To receive continuing education (CE) credit for this education, register on PublicHealthLearning.com and meet all of the course requirements. This educational activity is approved for 1.5 CEs. The Illinois Department of Public Health, Division of Emergency Medical Services and Highway Safety have approved the CE hours. Non-Illinois healthcare professionals should verify with their state to confirm acceptance of CE approved by another State Department of Health. Course expiration date is July 31, 2013.

PediatricReadiness.org Goes Live -- Check It Out Today! (09/10/12)

The website for the National Pediatric Readiness Project is now live! Go to http://www.PediatricReadiness.org to access the latest information and resources about this national quality improvement initiative.

The site is divided into seven sections: About, Assessment, Readiness Toolkit, State Results, Current News, Partners, and State Partnership Portal. Click on the special portal for State Partnership managers to access fact sheets, brochures, PowerPoints, and other materials designed to help grantees with promotional and educational efforts at the state level. Click on the Assessment section for information on how the assessment is being administered, who should participate in the assessment, and what feedback will be available to those that participate in the assessment. The Readiness Toolkit, which will be released later this Fall, will provide users direct access to the tools and resources that will help them address any unmet needs identified through their assessment.

Each state will also have its own page under the State Results section. Here users will find each state's or U.S. territory's overall assessment response rate; median pediatric readiness score; and a list of the National Pediatric Readiness State Team members. States and U.S. territories can also chose to list any meetings, conferences, and publications related to project implementation or any quality improvement measures they will be implementing within the state or territory.

The National Pediatric Readiness Project is a multi-phase quality improvement initiative to ensure that all U.S. emergency departments (ED) have the essential guidelines and resources in place to provide effective emergency care to children. The first phase of this project will be a national assessment of EDs' readiness to care for children.

EMSC NRC Hosts National Preparedness Day Celebration (09/06/12)

On Wednesday, September 5, 2012 the EMS for Children National Resource Center (EMSC NRC) celebrated National Preparedness Day at Children's National Medical Center in Washington, D.C. Approximately 15 local organizations and hospital departments attended in order to provide fun, educational activities to children and families. With close to 200 children in attendance, the event was successful in promoting awareness on how to prepare for emergencies and disasters. Children and parents took part in building disaster kits in an effort to be better prepared for emergencies. Stay tuned for pictures from the event.

Publication on PECARN Study: Presentations and Outcomes of Children With Intraventricular Hemorrhages After Blunt Head Trauma (08/17/12)

Archives of Pediatrics and Adolescent Medicine recently published an article using data from a Pediatric Emergency Care Applied Research Network (PECARN) study to describe clinical presentations and outcomes of children with intraventricular hemorrhages (IVHs) after blunt head trauma (BHT).

The Archives study took place within 25 emergency departments participating in PECARN from June 1, 2004 through September 31, 2006. The study included children younger than 18 years of age (n = 43, 398) presenting with IVH after BHT. The primary outcome of interest was an acute adverse event defined as death from traumatic brain injury, neurosurgical intervention, or intubation for greater than 24 hours of management of the head injury.

Overall, approximately 36.7% children underwent computed tomography and 7.3% had intracranial injuries. Nonisolated IVHs occurred in 3.7% of the study population whereas isolated IVHs occurred in 0.9%. Of those with nonisolated IVHs, four patients had Glasgow Coma Scores (GCS) of 14 to 15 and all ten patients with isolated IVHs had a GCS of 15. The study concluded children with nonisolated IVHs after BHT typically present with GCS scores of less than 14, frequently require neurosurgery, and have high mortality rates. In contrast, those with isolated IVHs typically present with normal mental status and are at low risk for acute adverse events and poor outcomes.

NEDARC Seeks States to Pilot Test The National Pediatric Readiness Project (08/16/12)

All EMS for Children states are invited to participate as a pilot state for the newly revised assessment and automated gap report which has been created for the National Pediatric Readiness Project. The pilot project is looking for two states (depending on size) to participate in its November 2012 launch. The criteria to be a pilot state include:

  • Willingness to start the Pediatric Readiness Assessment November 1, 2012;

  • 200 or less hospitals to assess;

  • willingness to work with the National EMSC Data Analysis Resource Center (NEDARC) to create a list of the appropriate hospitals with emergency departments (end of August 2012/first of September 2012); and

  • willingness to assist the National Resource Center (NRC) in using the 5 Contact Response Rate Plan.

NOTE: Your performance measure assessment for Performance Measures 76 and 77 are included in the pediatric readiness assessment.

For more information please contact Patty Schmuhl, NEDARC data manager.

Colorado Receives Mobile Pediatric Simulation Lab Funding (08/10/12)

The University of Colorado in Partnership with Colorado Emergency Medical Services for Children (EMSC) and Children's Hospital of Colorado were recently awarded grant funding through the Colorado Department of Public Health and Environment to create a mobile pediatric simulation lab. This new mobile simulation lab will be the first of its kind in Colorado. The lab will not only provide crucial training to EMS providers, but will also assist in prehospital research efforts. In addition to funding the lab itself, the grant also will help offset personnel expenses for academic faculty support of educational and research objectives. Colorado EMSC will update their website with more information on the project as it becomes available.

Publication on PECARN Study: Cranial Computed Tomography Use Among Children With Minor Blunt Head Trauma (08/09/12)

Archives of Pediatrics and Adolescent Medicine recently published an article using data from a Pediatric Emergency Care Applied Research Network (PECARN) study to determine if patient race/ethnicity is independently associated with cranial computed tomography (CT) use among children with minor blunt head trauma.

The Archives study took place within the pediatric research network of 25 North American emergency departments. 42,412 children younger than 18 years of age were seen within 24 hours of minor blunt head trauma and of these children, 39,717 were of document white, non-Hispanic; black, non-Hispanic; or Hispanic race/ethnicity.

Overall, approximately 34.7% children underwent cranial CT. Through an adjusted analysis it was noted children of black, non-Hispanics or Hispanic race/ethnicity had lower odds of undergoing cranial CT among those were at intermediate risk or lowest risk for clinically important traumatic brain injury. The study concluded disparities may arise from the overuse of cranial CT among patients of nonminority races/ethnicities. Further studies may be able to explain how medically irrelevant factors can affect physician decision making, resulting in exposure of children to unnecessary health care risks.

Local Newspaper Features Work of North Carolina Grantee (07/12/12)

The North Carolina newspaper Winston-Salem Journal recently featured the work of EMSC Targeted Issue Grantee Wayne Meredith, MD, who is leading an effort to evaluate the value of EMSC performance measure 75 by analyzing and reporting on the recognition and care of injured children in states with and without a Pediatric Emergency Care Facility Recognition Program (PECFR).

Specifically, the project is accessing the process of care to injured children before and after PECFR categorization of hospitals in Delaware and comparing it to the process of care to injured children in North Carolina. A key partner in this project is former North Carolina EMSC Program Manager Gloria Hale.

New Jersey EMSC Program Publishes Model Program in Pediatric Emergency Care (07/02/2012)

Alfred Sacchetti, MD, chair of the New Jersey EMSC Advisory Council; Nancy Kelly-Goodstein, EMT-P, New Jersey project director; and Erick Hicken, MICP, New Jersey EMSC program manager, have published Emergency Medical Services for Children: The New Jersey Model (Pediatric Emergency Care, April 2012; 28(4), p. 310–312). This article “examines a model developed by New Jersey in which every emergency department (ED) in the state is required by regulation to meet the standards of a traditional ED’s Approved for Pediatrics.” As a result, the article finds “the New Jersey model leads to more accessible care and more rapid stabilization of children regardless of their mode of delivery to the ED.”

Three EMSC Advocates Appointed to the National EMS Advisory Council (06/29/2012)

This week, the U.S. Department of Transportation (DOT) appointed 25 leaders in the EMS field to serve on the National EMS Advisory Council (NEMSAC). NEMSAC serves as an advisory body to DOT’s National Highway Traffic Safety Administration, and is responsible for providing advice and making consensus recommendations concerning the Department’s EMS activities.

Three of these national leaders are well known members of the EMSC community:

  • Katrina Altenhofen, MPH, paramedic and Iowa EMSC program manager will represent the volunteer EMS sector for NEMSAC.

  • Arthur Cooper, MD, professor of surgery and director of Trauma and Pediatric Surgical Services at Columbia University Medical Center (affiliation at Harlem Hospital) has been reappointed as the At Large Member.

  • Joseph Wright, MD, MPH, principal investigator and medical director for the EMSC National Resource Center has been reappointed as the pediatric EMS representative

Congratulations to all the NEMSAC appointees!

HRSA Releases EMSC State Partnership FOA (06/28/2012)

The Health Resources and Services Administration's (HRSA) EMSC Program has released the funding opportunity announcement (FOA) for the New and Competing Continuation EMSC State Partnership Grant Program.

The application package is available on Grants.gov. For more information, download the FOA Grant Guidance. The application deadline is 8:00 pm (Eastern), September 26, 2012.

The purpose of the EMSC State Partnership Grant Program is to assist states in expanding and improving their capacity to reduce and ameliorate pediatric emergencies, taking special care to include children with special health needs, culturally distinctpopulations, and historically underrepresented groups, including the U.S. territories, the freely associated states, and American Indian/Native Americans.

Qualified Applicants: State governments and accredited schools of medicine are the only eligible applicants for funding under the EMSC Program.

Category I State Planning (New): Freely associated states (Republic of Palau, Republic of the Marshall Islands, and the Federated States of Micronesia)

Category II State Implementation (New): State of Maine

Category III State Partnership (Competing Continuation): All other states and U.S. territories not mentioned in categories I and II

The Program has scheduled a Technical Assistance Conference Call for 4:00 pm (Eastern) on Monday, July 16, 2012, to answer questions related to this announcement. Please dial 866-823-9065 and enter Passcode 1346468.

For technical assistance or questions, please contact your state HRSA project officer. Contact information may be found on page 41 of the Grant Guidance.

Iowa EMSC Program Manager Named 2012 CPS Instructor of The Year! (06/22/12)

Iowa EMSC Program Manager Katrina Altenhofen has been named the 2012 CPS Instructor of The Year! Katrina was one of Iowa's first Child Passenger Safety (CPS) technicians and instructors. She began her career as a paramedic and joined the Iowa Department of Public Health in 1995, where she was certified as a CPS technician and instructor.

She started Iowa's CPS Seat program in October 1998, and the following year worked tirelessly to obtain an Iowa vanity license plate to help fund injury prevention initiatives. The "Love Our Kids" license plates, which are still available today, have helped fund hundreds of CPS projects throughout her state.

In addition to her work in Iowa, Katrina was a member of the panel that created the National Highway Traffic Safety Administration's Guidelines for Transporting Children Safely in Ground Ambulances and is currently assisting New York's EMSC program to develop an online EMS CPS training program.

EMSC Advisory Council Members Elected to ENA Board (06/21/12)

Deena Brecher, MSN, RN, has been selected as the new president for the Emergency Nurses Association (ENA). Deena is a clinical nurse specialist at Nemours/ A.I. DuPont Hospital for Children's emergency department in Wilmington, DE. She is also one of the many collaborators on the National Pediatric Readiness Project and serves as a member on the EMSC National Resource Center (NRC) Advisory Council.

Sally Snow, RN, a current EMSC NRC Advisory Council member, has been elected to serve on ENA's Board of Directors. Sally is currently the trauma program director at Cook Children's Medical Center in Fort Worth, TX.

Indiana EMSC Releases First Model Pediatric Protocols (06/15/12)

The Indiana EMSC program has released its first model pediatric protocols. Protocols for Pediatric Seizure and Hypoglycemia are available for use and adaptation by medical directors in accordance with local and regional scope of practice. Please contact Stephanie Fahner, RN, Indiana EMSC program manager, for more information about the state's protocol development process, references, or topics under development. Be sure to check out its June newsletter for the latest updates in Indiana.

HRSA Launches New Technical Assistance Website (06/14/12)

This week, the Health Resources and Services Administration (HRSA) launched a new Grants section on the HRSA.gov website. The new section provides an array of useful technical assistance information and resources that will be invaluable to those interested in federal assistance. It includes: webcasts, videos, guidance about application registration and submission requirements, funding opportunity announcement structure and content, tips for writing grant proposals, and more.

The HRSA Technical Assistance Outreach Workgroup developed the new section to help potential applicants compete more effectively for HRSA funds and to promote a better understanding of HRSA's grant processes, funding opportunities, programs, and services.

Florida Sponsors Pediatric Practice & Playtime Hands-On Emergency Skills Review Course (06/09/12)

The Florida EMSC program will sponsor a portion of a one-of-a-kind, hands-on review course developed by international pediatric nurse expert Scott DeBoer RN, MSN, to help reinforce the essentials of pediatric emergency care. The course, “Pediatric Practice & Playtime Hands-On Emergency Skills Review: Let's Get Messy" will have attendees work with harvested pig organs for a truly unique review of pediatric pathophysiology. Not just hearing, but actually seeing, touching, and performing procedures are the keys to really understanding, "Why we do what we do" in pediatric emergency situations. Medical professionals will gain confidence in their procedural skills, and be better able to utilize these techniques with critically ill or injured pediatric patients. Please register in advance for this course.

The course will take place in the following cities across Florida:

  • Pensacola, FL: June 11 and June 12

  • Wakulla, FL: June 14 and June 15

  • Daytona Beach, FL: August 2 and August 3

  • Sarasota, FL: August 21 and August 22

South Carolina EMSC Partners with Brain Injury Association to Recognize EMS Agency on EMSC Day 2012 (06/09/12)

South Carolina EMSC and the Brain Injury Association of South Carolina (BIA-SC) celebrated EMSC Day 2012 by recognizing Piedmont Medical Center EMS in Rock Hill for its dedication to keeping children safe. BIA-SC sponsored a lunch for the agency on National EMSC Day. “Piedmont Medical Center EMS is an exemplary EMS agency dedicated to providing safety education for children and families and decreasing the number of preventable injuries in its community,” reports the SC EMSC program. Piedmont Medical Center EMS kicked off EMS Week 2012 with CoolFest, a children’s festival in downtown Rock Hill, SC. The event, hosted in collaboration with Safe Kids, consisted of a bicycle safety rodeo where children received bicycle helmets and safety gear. Parents and caregivers also received injury prevention and safety information to keep their loved ones safe.

South Carolina EMSC would like to thank all those who helped to make EMSC Day 2012 such a success. See photos of the events

HRSA Announces SPROC Grant Awardees (06/08/12)

Today, the Health Resources and Services Administration (HRSA) announced the first recipients of the EMSC State Partnership Regionalization of Care (SPROC) Grant Program. Six state governments and/or accredited schools of medicine will share $1.2 million in grant awards to support the regionalization of pediatric care

The recipients include: the Alaska Department of Health and Social Services, Trauma Program; the Arizona Department of Health Services, Maternal and Child Health, Injury Prevention; the Regents of the University of California; the Montana Department of Health and Human Services, Office of Research; the University of New Mexico, Health Science Center, Department of Emergency Medicine; and the University of Pittsburg. Congratulations to each awardee.

For more information about the grant program and each of the recipients, download the EMSC State Partnership Regionalization of Care fact sheet.

EMSC Targeted Issue Grantees Shine Across the Nation (05/31/12)

Dr. Richard Lammers is the principal investigator for the project "Michigan Pediatric Errors and Excellence Discovery with Simulation" (MI-PE2DS), based out of Michigan State University Kalamazoo Center for Medical Studies. Most recently, Dr. Lammers published the following: Root Causes of Errors in a Simulated Prehospital Pediatric Emergency (Academic Emergency Medicine, 2012; 19(1):37-47); Root Cause Analysis of Errors During a Simulated Prehospital Pediatric Cardiac Arrest (abstract in Simulation in Healthcare, December 2011; 6(6): 395); and Root Cause Analysis of Error During a Simulated Pediatric Cardiac Arrest, a poster presentation at the International Meeting on Simulation in Healthcare on January 30, 2012, in San Diego, CA.

Integrating Evidence-Based Pediatric Prehospital Protocols into Practice: Principal Investigator, Dr. Manish Shah. This past February, in collaboration with Texas Children's Hospital (TCH) and the Houston Fire Department (HFD), Dr. Shah and his TI grant project team rolled out Pediatric Simulation Training for Emergency Pre-hospital Providers (Pedi-STEPPs). TI funding supported the development of the Pedi-STEPPS curriculum, which includes pediatric scenarios, skills stations, and a pediatric assessment lecture. A grant from the Cullen Trust for Healthcare, as well as a community benefit donation from TCH, will allow this innovative training to be offered, free of charge, to 500 HFD firefighters during the next two years.

In conjunction with the launch of Pedi-STEPPS, extensive media coverage, including television, print, and online outlets took place. In January, Dr. Shah presented a poster on the Development of a Standardized, Evidence-Based Pediatric Prehospital Protocol for Respiratory Distress at the National Association of EMS Physicians conference in Tucson, AZ.

ExSTRA: Evidence-Based Screening for Siblings and Contacts of Abused Children: Principal Investigator Daniel Lindberg, MD, presented a platform and poster presentation at the Helfer Society National Meeting in March 2012. He also presented on the Prevalence of Injuries in Siblings and Contacts of Abused Children at the Society for Pediatric Research in April 2012 and at the American Professional Society on the Abuse of Children in June 2012.

Evaluation of a Pediatric Emergency Care Recognition Program on Care of Injured Children: Principal Investigator J. Wayne Meredith, MD, has released a press release discussing its collaboration with the Childress Institute for Pediatric Trauma at Wake Forest Baptist Medical Center, which has partnered with hospitals across North Carolina to analyze and report on the recognition and care of injured children.

If your TI project has recent news, publications, or presentations to share with the greater EMSC community, please submit an update, no longer than two paragraphs long, to Roshni Bhimani at the EMSC NRC. To learn more about EMSC TI grants, visit our Targeted Issue Grantee Updates page.

New Jersey, North Dakota EMSC Program Release EMSC Day Proclamation (05/24/12)

The New Jersey EMSC program commemorated National EMSC Day 2012 by releasing a State Proclamation. New Jersey Governor Chris Christie proclaimed May 23, 2012, as EMSC Day "to encourage residents to applaud and support the work of EMS personnel who provide EMS care to children."

The North Dakota EMSC program also commemorated National EMSC Day 2012 by working with Governor Jack Dalrymple on the release of a State Proclamation. "Our children are precious and deserve the best possible care when they are sick or injured," said Mary Tello-Pool, North Dakota EMSC program manager. Attached is a picture of the proclamation signing.

President Obama Issues 2012 EMS Week Proclamation (05/24/12)

On Monday, President Barack Obama released a Presidential Proclamation for EMS Week 2012. The release states: "Day and night, in communities across our country, men and women providing emergency medical services (EMS) stand at the front lines of our public safety and public health systems, ready to respond with care and efficiency at a moment's notice. During Emergency Medical Services Week, we honor their essential contributions to our health and safety, and we recommit to supporting all EMS personnel as they carry out their courageous work."

Pennsylvania EMSC Welcomes New FAN Member! (05/21/12)

Welcome Dean Kelble Jr., the new Pennsylvania Family Advisory Network (FAN) representative. Dean is a paramedic and EMS educator with more than 20 years experience in public safety and emergency services. He also is the proud parent of an adult son on the autism spectrum.

In 2006, Dean began developing an autism curriculum when he realized that there was a clear need to educate EMS providers about autism spectrum disorders. Dean's autism projects are based on medical evidence and best practices where available. He also developed the AutismEMS.net website to complement his presentations.

In addition to his work in autism education, Dean is a certified fire service instructor, an ACLS and PALS instructor for three major hospital systems, and serves as training center faculty for BLS. He retired from active firefighting in 2005 and currently works full-time at Penn State Milton S. Hershey Medical Center, College of Medicine, Department of Emergency Medicine, Life Lion Emergency Medical Services.

Pennsylvania EMSC Launches New Website! (05/21/12)

The Pennsylvania EMSC program has launched a new website specifically designed for EMS providers, parents, and the community to provide information on the Pennsylvania EMSC program and its activities. At the bottom of the homepage, users can subscribe to receive e-mail updates and select to follow the Pennsylvania EMSC program through Facebook and Twitter!


South Carolina Announces Historical Milestone in Pediatric Care (05/18/12)

The South Carolina Division of EMS and Trauma and the EMSC program are pleased to announce the designation of the state's first pediatric trauma center. The Medical University of South Carolina (MUSC) Children's Hospital has been designated as a Level I pediatric trauma center by the state's Department of Health.

MUSC Children's Hospital often collaborates with EMSC and other children's hospitals in the state to advocate for the highest level of care for the pediatric population. MUSC Children's Hospital decided to further confirm its dedication to their community and the state's pediatric population by seeking pediatric trauma center designation. Please join EMSC in congratulating MUSC Children's Hospital administration and staff for making history in pediatric care for South Carolina.

NHLBI Launches Social Media Messages Regarding THAPCA Trials (05/17/12)

The National Heart, Lung, and Blood Institute (NHLBI) has released social media messages about the Therapeutic Hypothermia after Pediatric Cardiac Arrest (THAPCA) trials on its Facebook and Twitter pages.

The purpose of the THAPCA study is to evaluate whether regulating the body temperature will improve outcomes for children after cardiac arrest. Separate study arms are being conducted for children who arrest in the hospital and children who arrest out of the hospital. The goal of these two trials is to determine if therapeutic hypothermia improves survival with good neurobehavioral outcomes in children who have had a cardiac arrest.

The THAPCA study is a joint effort between the Pediatric Emergency Care Applied Research Network (PECARN) funded through EMSC and the National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Research Network. If you have questions about the THAPCA trials, please contact the THAPCA Resource team at (801) 587-7568.

Using Social Media Professionally to Promote EMSC (05/17/12)

During this year's EMSC Program Meeting, the National EMSC Data Analysis Resource Center (NEDARC) and the EMSC National Resource Center (NRC) released Using Social Media Professionally to Promote EMSC: Guidelines and Best Practices for EMSC Grantees to assist grantees with planning, designing, and best practices for participating and engaging on the social networking sites Facebook and Twitter. The guidelines were discussed during the session Don't Be Intimidated: Putting the Power of Social Media to Work for Your Organization.

Indiana EMSC and MESH Offer JumpSTART Provider Training on National EMSC Day (04/27/12)

The Indiana EMSC program and MESH (a non-profit, public-private coalition that enables healthcare providers to respond effectively to emergency events and remain viable through recovery) are offering free pediatric multi-casualty JumpSTART Triage provider training on National EMSC Day. Please see the attached flyer for details.

EMSC Program Meeting Highlights (04/26/12)

  • Evidence Based Guidelines in Emergency Care

    There is a national effort to develop and implement Evidence Based Guidelines (EBG) in the prehospital setting. Join us, Thursday, May 10 at 9:15 am, to understand what an EBG looks like and what goes into its development. Hear the experience of current projects that have developed and implemented EBGs in EMS systems and how this process can be used in clinical care settings.

  • Bridging the Gap between the EMSC Community and Pediatric Emergency Medicine

    Please join Manish Shah, MD, and Anthony Gilchrest, MPA, BS-EHS, EMT-P, for the "Bridging the Gap between the EMSC Community and Pediatric Emergency Medicine" breakout session, Thursday, May 10 from 2:00-3:15 pm. The purpose of this session is to discuss the gaps between your EMSC program, pediatric emergency medicine (PEM), and the EMS community and identify ways to bridge those gaps, and to describe ways to develop effective partnership networks within academia, hospital and EMS systems, advocacy organizations, and regulatory agencies to impact the delivery of emergency care provided to children. If you are interested in sharing or hearing examples of successful partnerships that has led to the achievement of EMSC performance measures or other improvements in care, please consider attending this interactive session.

Alaska EMSC Re-opens Recruitment for EMSC Program Manager (04/20/12)

The Alaska EMSC Program has re-opened its recruitment process for an EMSC program manager. The job opening is posted on the Workplace Alaska website. To read more on this Public Health Specialist II position, read the Recruitment Bulletin.


NEDARC Seeks to Fill Two Positions (04/19/12)

The National EMSC Data Analysis Resource Center (NEDARC) seeks to fill two positions for their office in Salt Lake City, Utah, a Biostatistician II and a Sr. Research Analyst. Both job listings can be found on the University of Utah Human Resources website.

If you or someone you know is looking for a job related to EMS for Children and data, review the job descriptions above and apply.

Learn About the Nuts and Bolts of PECARN at This Year’s EMSC Program Meeting (04/19/12)

The Pediatric Emergency Care Applied Research Network (PECARN) will offer a series of sessions during this year's 2012 EMSC Program Meeting. The sessions will help EMSC grantees understand the role of PECARN and ways in which the different grant programs can become involved in pediatric clinical research. The sessions will be broken out into the following:

  • PECARN for Targeted Issue (TI) Grantees: This session will provide a brief overview of PECARN followed by in-depth discussion of three TI projects that could now benefit from a symbiotic relationship with the multi-center network. The TI grantees will discuss challenges and benefits to expanding to multi-center research, and PECARN investigators will form a panel for discussion.

  • PECARN for State Partnership (SP) Grantees: By working in tangent with the EMSC community at large, PECARN becomes stronger and the pediatric emergency care system benefits. This session will include a brief overview of the network and the symbiotic relationships that can and should occur between PECARN and SP grantees.

  • PECARN for Family Representatives: Attend this session to learn about PECARN and why the network is important to the Family Advisory Network. A research participant will provide a family member's perspective on the challenges associated with study recruitment and retention. A brief discussion will follow.

Texas EMSC Establishes EMSC State Partnership Listserv (04/16/12)

The Texas EMSC program has recently established the EMSC State Partnership Listserv, The Pony Express. If you would like to join the bandwagon, e-mail Texas EMSC Program Manager Tony Gilchrest at adgilchr@texaschildrens.org.

Arizona Implements Regionalized Pediatric Emergency Care System (04/13/12)

Arizona EMSC has implemented the Pediatric-Prepared Emergency Care (PPEC) program, a voluntary certification program of pediatric standards for emergency departments. Hospitals become certified if they meet specific criteria and are prepared to provide emergency care resources and capabilities for pediatric patients. If necessary, these hospitals can stabilize a child for transfer to a facility that offers more specialized pediatric care.

Nine facilities across Arizona will be among the first to receive the certification based on site visits conducted between December 2011 and March 2012. The certification includes three levels -- Prepared, Prepared Plus Care, and Prepared Advanced Care.

In 2010, the Arizona Department of Health partnered with the Arizona Chapter of the American Academy of Pediatrics to establish the certification, conduct certification reviews, and offer continuing pediatric emergency education. Only hospitals that are members of the chapter's partnership can apply for certification, and their membership fees will eventually sustain the program. In addition, the new partnership has identified two key areas for improvement: the need for more pediatric resources devoted to mental health and disaster preparedness.

EMSC Program Offers Continuing Education Hours for 2012 EMSC Program Meeting (04/12/12)

The EMSC Program is pleased to announce that through its EMSC National Resource Center 17.5 contact hours have initially been approved for physicians by the Indian Health Service Clinical Support Center. Continuing Nursing Education hours are still pending.

Don't Forget EMSC Day Promotional Resources on NRC Website (04/12/12)

This year, EMSC Day will be held Wednesday, May 23, 2012, in conjunction with EMS Week (May 20-26). To help promote National EMSC Day, the EMSC National Resource Center has created a variety of resources targeting key audiences to help grantees, family representatives, and child advocates prepare for the daylong celebration. Promotional resources include:

Feel free to use these resources as a guide in preparation for local EMSC Day 2012 festivities! Please share with us how you celebrated EMSC Day in your state. EMSC QuickNews will feature local celebration stories over the next few weeks.

Former EMSC Grantee and Stakeholder Member Receives Meritorious Achievement Award for State/Provincial Chairs (03/22/12)

On March 9, 2012, Arthur Cooper, MD, former EMSC grantee and stakeholder member, received the 2012 Meritorious Achievement Award for State/Provincial Chairs by the American College of Surgeons Committee on Trauma (ACS-COT). As a member of the ACS-COT these past 15 years, Dr. Cooper has served in many capacities, including the chair of the pediatric subcommittee of the ACS-COT, a member of the Advance Trauma Life Support committee (ATLS) and a member of the National Trauma Data Bank (NTDB). During his various roles, Dr. Cooper has always applauded EMSC and reminded every adult surgeon, “Don’t forget the kids.” Dr. Cooper also ensured that the NTDB worked to collect data on all injured children, and as a result, the NTDB has developed a pediatric report for many years. Congratulations Dr. Cooper and thank you for being a champion for children!

Indiana EMSC Issues Call for Health Care Hero Nominations (03/16/12)

The Indiana EMSC program has released its March 2012 newsletter highlighting a call for nominations for the 2012 EMSC Day Health Care Hero Awards. These awards honor healthcare providers, public safety workers, and community leaders throughout the state who have had the opportunity to provide excellent care to children. Indiana EMSC is seeking nominations for community members who have provided care to children within one of the following areas: dispatch of emergency care, prehospital care, emergency/hospital care, public safety, community leadership, and pediatric community advocacy work.

Texas EMSC Welcomes Two New FAN Representatives (03/12/12)

The Texas EMSC program would like to welcome two new Family Advisory Network (FAN) representatives: Jeanine Pinner and Debbie Wiederhold. Ms. Pinner is the training and outreach coordinator for Texas Parent to Parent (TxP2P), a statewide nonprofit organization that provides information and support to families of children with disabilities, chronic illness, and other health care needs. She is also a Partner in Policymaking Graduate, class of 2000. Ms. Wiederhold is a coordinator for the Medical Education Residency Training Program (MEd Program) and a resource coordinator for TxP2P. She is also a Partner in Policymaking graduate. Welcome to the EMSC family!

Texas Children's Hospital and Houston Fire Department Kick Off Pediatric Simulation Training (03/12/12)

Last week, Texas Children's Hospital (TCH) and the Houston Fire Department (HFD) kicked off its Pediatric Simulation Training for Emergency Prehospital Providers (Pedi-STEPPs). A grant from the Cullen Trust for Healthcare, as well as a community benefit donation from TCH, will allow this innovative training to be offered, free of charge, to 500 HFD firefighters during the next two years. EMSC Targeted Issues Grantee Manish Shah, MD, serves as one of the Pediatric Emergency Medicine (PEM) content matter experts for the course and helped design the scenarios, skills stations, and pediatric assessment lecture with several of his PEM colleagues. Both TCH and HFD are official collaborators of the Texas EMSC State Partnership grant.

South Carolina EMSC Partners with MCHB to Reduce the Risk of SIDS and Accidental Sleep-related Deaths (03/09/12)

The South Carolina EMSC program has partnered with the state's Maternal and Child Health Bureau (MCHB) to develop the training guide Give Your Baby Room To Breathe: A Safe Sleep Training Guide. The guide will be used by Healthy Start, Cribs 4 Kids, and other community programs to reduce the risk of Sudden Infant Death Syndrome (SIDS) and accidental sleep-related infant deaths. The guide defines SIDS, addresses myths, and offers various tips related to creating a safe infant sleeping environment for parents and caregivers. The training guide is available in both English and Spanish.

EMSC Targeted Issues Project Creates New Pediatric Section of ESI Handbook (03/08/12)

The 2012 edition of the Emergency Severity Index (ESI) Implementation Handbook is now available on the Agency for Healthcare and Research Quality (AHRQ) website. The handbook includes a new pediatric section aimed at helping emergency department nurses use the ESI to triage children. Anna Waller, ScD was the principal investigator of the EMSC Targeted Issue grant that helped to create the content for this section; pediatric case studies in chapters 6, 9 and 10; and a validated set of 25 pediatric triage case studies. In 2010, the MCHBcom.com webcast ESI for Pediatric Triage, presented by the University of North Carolina project team, featured information about the Targeted Issue ESI project. The validated pediatric triage case studies can be downloaded online.

EMSC Recognition Award Nomination Closes March 30 (03/02/12)

The EMSC Recognition Awards nomination deadline is Friday, March 30. This provides grantees an opportunity to acknowledge other EMSC grantees, FAN representatives, or members of the EMSC community who has been helpful in: (1) initiating or ensuring success of your EMSC program, a community project or product, (2) spreading information about recruiting participants in a clinical study, (3) collaborating with a community organization to help spread the word about EMSC, (4) navigating the EMSC program as a newcomer, and so forth. Of course, these are just a few suggestions among the dozens of reasons to consider when nominating a member of the State Partnership, Targeted Issues, or PECARN community.

Winners will be recognized during a special session at this year's Annual EMSC Program Meeting. To facilitate a quicker and simpler nomination process, the EMSC National Resource Center is utilizing Survey Monkey to gather information about each nominee. Please take a few minutes today to complete the brief survey.

Completed surveys are due no later than March 30, 2012. Current grantees (e.g. State Partnership, Targeted Issues, and PECARN) and FAN can nominate past and present grantees, advisory committee members, and FAN representatives. Please make sure the entire nomination form (demographics and open-ended responses) is completed to ensure a thorough submission.

EMSC Issues Call for Posters for Its Annual Program Meeting (03/02/12)

The EMSC Program is hosting a poster session during this year's Annual EMSC Program Meeting from 5:00pm to 7:00pm on Wednesday, May 9. To make this successful, we need grantee participation. Displaying a poster is an excellent opportunity to share research with fellow EMSC grantees, our federal partners, and more than 200 attendees. Projects do not have to be complete as posters on interim results, study design, or a portion of the project are welcome.

To display a poster at this year's Program Meeting, complete the Poster Session Information Form and return it to Roshni Devchand (rbhimani@childrensnational.org or fax to 301-244-6301) by April 2, 2012.

Ohio EMSC Introduces Emergency Departments: Pediatric Prepared Program (03/01/12)

The Ohio EMSC program recently completed its first-ever consultation visit as part of its new Emergency Departments: Pediatric Prepared (EDPP) program. The EDPP program is "designed to help hospitals demonstrate their ability to assess, treat, and transfer injured and ill pediatric patients, and to assist them in meeting the national minimum standards in pediatric emergency care." The program is currently in its pilot phase.

The site visit team recommended to the Ohio EMSC Committee that University Hospitals (UH) Geauga Medical Center be recognized as the first member of the EDPP program. In addition, Ohio EMSC is working with UH Bedford Medical Center and UH Richmond Medical Center to complete their application to the program and to schedule their site visits. Several hospitals outside the UH system have also indicated an interest in EDPP.

Hospitals interested in finding out more about EDPP, and pediatric emergency care providers interested in participating on consultation teams, should contact Ohio EMSC Program Manager Joe Stack at (614) 387-1949 or by e-mail at jestack@dps.state.oh.us.

Iowa EMSC Program Manager Receives Lifetime "Making a Difference Award" (02/24/12)

On September 13, 2011, Iowa EMSC Program Manager Katrina Altenhofen received the "Safe Kids Iowa Lifetime Making a Difference Award" during the 10th Annual Keeping Kids Safe: Iowa Child and Youth Injury Prevention Conference.

Ms. Altenhofen was recognized as someone who has dedicated her life, both professionally and personally, to pediatric injury prevention. She consistently takes injury prevention to the next level and goes above and beyond her normal job responsibilities to provide a significant and positive impact in the field of injury prevention.

Ms. Altenhofen has been the state coordinator for the EMSC Program at the Iowa Department of Public Health since 1995. She is a nationally certified paramedic and holds a Masters of Public Health degree. She served as the Safe Kids Iowa coordinator from 1997-2000. Congratulations Katrina!

Nevada EMSC Welcomes New Program Manager (02/24/12)

The Nevada EMSC program would like to introduce their newest member, Barry Smith. Mr. Smith began his EMS career back in 1978 where he worked on ambulances answering emergency 911 calls. He later became a paramedic in 1980 and spent 22 years working in Santa Clara County, CA. In 2002, Mr. Smith moved to Reno, NV, and began working as a paramedic for the Regional EMS Authority (REMSA). In 2004, he became the continuous quality improvement coordinator for the ground ambulance service at REMSA and was most recently selected as an EMS field representative for the State of Nevada in December 2011.

Mr. Smith serves on the editorial board of the Journal of Emergency Medical Services and has been a contributing author for several publications. Barry Smith may be reached at bdsmith@health.nv.gov. Welcome to the EMSC family Barry!

PECARN Utilized for Sampling to Determine A Qualitative Assessment of Factors That Influence EMS Partnerships in Prehospital Research (02/23/12)

Academic Emergency Medicine, February 2012; 19(2) published a study, A Qualitative Assessment of Factors That Influence Emergency Medical Services Partnerships in Prehospital Research investigating the barriers and motivators to participating in research at the agency and provider levels and to solicit suggestions for improving the success of prehospital research projects. A qualitative exploratory study of 88 EMS prehospital providers from 11 agencies was conducted using a focus group as well as interview methodology with EMS administrators and researchers. EMS personnel affiliated with the Pediatric Emergency Care Applied Research Network (PECARN) hospitals were selected for participation.

Factors that influence participation in research and suggestions for ensuring successful research partnerships were identified, coded, and analyzed. During data analysis, the PRECEDE/PROCEED planning model was chosen for behavioral change to organize the data. The model will help researchers successfully plan, implement, and complete prehospital research projects.

The study concluded that future work is needed to determine the validity of this model and to assess if the findings are generalizable across prehospital settings other than those affiliated with PECARN.

Indiana EMSC Offers Free PEPP Instructor Course (02/17/12)

The Indiana EMSC program is offering a Spring Pediatric Education for the Prehospital Provider (PEPP) course. This is a free course! Please relay any questions to Indiana EMSC Program Manager Stephanie Fahner RN, BSN.

Maryland EMSC Welcomes New FAN Representative (02/16/12)

The Maryland EMSC program would like to welcome its latest Family Advisory Network (FAN) representative Mary Ellen Wilson, BSN, RN. Ms. Wilson is a returning member for both FAN and the Maryland Pediatric Emergency Medical Advisory Committee. She is a mother, grandmother, fire department auxiliary member, and an active pediatric nurse with the local and state Emergency Nurses Association. She currently works at Johns Hopkins Children's Center and can be reached at mewilson@jhmi.edu. Welcome to the EMSC family!

Meet Guam EMSC's New Family Advisory Network Representative! (02/13/12)

Renee Apiag is Guam EMSC's newest Family Advisory Network representative. Ms. Apiag is a mother of four and is happily married to Guam Fire Department Captain Darren Apiag. Ms. Apiag has a long history of parental involvement in the Guam public school system and in the community as a parent volunteer for sports programs, church, and other civic organizations.

Recently, Ms. Apiag was informed that her child needed major orthopedic surgery, which is only offered in Hawaii. Since then, she has been tirelessly trying to find the financial means for the medical transport of her child. Ms. Apiag participated in the Pacific Islands EMSC Regional (PIER) group meeting held in Guam in October 2011 to discuss inter-island transfer agreements between Hawaii, American Samoa, Guam, and the Commonwealth of the Northern Mariana Islands.

Although pediatric orthopedic specialists visit Guam at least twice a year, the surgery can only be performed in Honolulu at Shriner's Hospital. Ms. Apiag's situation is like so many other families in Guam and in the surrounding islands—having a child requiring off-island specialized pediatric medical care with no financial means to transfer a child to the facility. As an advocate for the Guam EMSC program, she wants to ensure that all children have access to specialized pediatric medical care no matter where they live, go to school, or travel in the United States. Ms. Apiag can be reached at a.dren@ymail.com. Welcome to the EMSC family!

ACS to Update Equipment for Ambulance Document: EMSC to Present A Unified Response to Guide Revision Process (02/02/12)

The EMSC National Resource Center (NRC) is soliciting input from EMSC grantees and stakeholders to help update the document Equipment for Ambulances. As you may recall, the Equipment for Ambulances document was last updated in 2009 and is a joint endeavor between the American College of Surgeons Committee on Trauma (ACS-COT), the American College of Emergency Physicians, the National Association of EMS Physicians, the EMSC Partnership for Children Stakeholder Group, and the American Academy of Pediatrics.

The document provides a national standard for the equipment needs of basic life support and advanced life support ambulances in North America in order to provide accepted standards of patient care. It also served as the fundamental basis for the development of EMSC performance measure 73: “The percent of patient care units in the state/territory that have essential pediatric equipment and supplies as outlined in national guidelines.”

To ensure that the EMSC perspective is incorporated, the EMSC NRC would like to consolidate EMSC grantee and stakeholder opinions into one cohesive list of recommendations, which will then be presented to the review committee for which the Health Resources and Services Administration has representation. To facilitate the development of this list, EMSC grantees and stakeholders are encouraged to complete the Equipment for Ambulances survey, hosted at SurveyMonkey.com by March 1, 2012. (In addition, grantees are welcome to provide responses directly to the ACS website.)

It is anticipated that ACS will open a second public review. The EMSC community will be notified if and when this happens. Thank you for your participation.

NHTSA Office of EMS Releases Progress Update on the Evidence-Based Guidelines for Prehospital Emergency Care Project (02/02/12)

The National Highway Traffic Safety Administration (NHTSA) Office of Emergency Medical Services (EMS) and the EMSC Program has worked with EMS stakeholders since 2008 to develop an evidence-based guidelines (EBG) model for prehospital emergency care. NHTSA has released on Ems.gov a progress report on activities that have taken place related to the EBG project and future plans.

TI and SP Coalition Help Delaware EMSC Implement Pediatric Emergency Care Facility Recognition Program (01/27/12)

The federal EMSC Program is proud to recognize the Delaware EMSC program as the fifth state in the nation to successfully implement the Pediatric Emergency Care Facility Recognition Program. According to a news release issued by Delaware Health and Social Services, "Every Delaware acute care hospital that treats children voluntarily chose to participate in this new program, which required them to meet state standards and be visited by a review team." Since 2007, the Delaware EMSC Standards Committee, a group of 19 Delaware clinical emergency care experts, has worked to develop the statewide recognition program to standardize emergency medical care for children.

The North Carolina EMSC Targeted Issue (TI) grant project headed up by J. Wayne Meredith, MD, provided additional support for the implementation of Delaware's recognition program. Dr. Meredith's TI grant will analyze and report on the recognition and care of injured children in states with/without a Pediatric Emergency Care Facility Recognition (PECFR) Program by (1) conducting structured data collection to compare pre- and post- PECFR categorization in addition to trauma center designation on the care of injured children and (2) describing how PECFR and trauma systems overlap, converge, or co-exist in parallel. The ongoing collaboration between the Delaware state partnership (SP) grantee and this multi-state TI project has proven successful in achieving EMSC performance measures 74 and 75 for Delaware.

EMSC Town Hall Conference Call Scheduled February 22: National Pediatric Readiness Project (01/26/12)

On February 22 at 1pm eastern, The Health Resources and Services Administration's (HRSA) Maternal and Child Health Bureau (MCHB) will host its EMSC State Partnership Town Hall conference call. This call will focus on informing the State Partnership community of the upcoming National Pediatric Readiness Project. This project formed out of partnership between EMSC, the American Academy of Pediatrics, American College of Emergency Physicians, American Academy of Family Physicians, and Emergency Nurses Association, will begin with the release of a national survey of hospital emergency departments assessing their readiness to care for children of all ages based on the Guidelines for the Care of Children in the Emergency Department.

Guest presenters will be Marianne Gausche-Hill, MD, FACEP, FAAP and Katherine Remick, MD. Please call 1-866-823-9065, and enter passcode 1345468.

Colorado EMSC Launches New Website! (01/20/12)

To keep people engaged and up to speed on EMSC activities in Colorado, the Colorado EMSC program introduces its new website, located at http://emsccolorado.org/. The website allows the program to easily communicate messages and provide tools to the EMS community in Colorado. The site contains everything from a statewide education calendar and protocol templates to resources available in the state.

NRC Updates Coalition Building and Cultural Competency Toolboxes (01/19/12)

The EMSC National Resource Center (NRC) has recently updated its toolboxes on Coalition Building and Cultural Competency. The Coalition Building toolbox features a variety of resources that can assist the EMSC community in achieving collaborative results by committing to coalition building and appropriately engaging a sufficient number of key stakeholders. The Cultural Competency toolbox includes a variety of resources offering culturally and linguistically appropriate emergency medical care that is both respectful of and responsive to the cultural and linguistic needs of pediatric patients and their families. 

Please note that the newly designed toolboxes are best viewed in the Mozilla Firefox and Internet Explorer 9 web browser. If your computer does not have these capabilities, please click on the "old viewer" located at the bottom of the website.

EMSC Targeted Issue Grantee to Present on Pediatric Disaster (01/17/12)

EMSC Targeted Issue Grantee Mark Cicero, MD will be presenting at the upcoming Pediatric Disaster Webinar — Small Victims, Big Challenges: Pediatric Triage, Treatment and Recovery in Disasters. A fee will be associated with this webinar, sponsored by Yale New Haven Center for Emergency Preparedness and Disaster Response.

Limited openings are still available for this January 26 webinar designed for healthcare professionals and others who support children's medical needs during a disaster or other types of emergencies.

Alaska Seeking EMSC Program Manager (01/13/12)

The Alaska EMSC program is recruiting a new program manager. The position, Public Health Specialist II, will be open nationwide until January 20, 2012. Experienced candidates should be familiar with grant writing and administration and program development and management; have knowledge of pediatric medical care; and have experience working with committees, coalitions, or advisory groups.

HRSA/MCHB to Host Webinar: Findings from the 2009-2010 National Survey of Children with Special Health Care Needs (01/13/12)

The Health Resources and Services Administration's (HRSA) Maternal and Child Health Bureau (MCHB) is pleased to announce the webinar "Findings from the 2009-2010 National Survey of Children with Special Health Care Needs" taking place Thursday, January 19, 2012, at 2:30 pm ET.

This program coincides with the data release of the 2009-2010 National Survey of Children with Special Health Care Needs (NS-CSHCN). Speakers will discuss the purpose, methodology, key findings, and ways to access both state and national data of the 2009-2010 NS-CSHCN.

PECARN Articles Make It to The Top 25! (01/12/12)

The Pediatric Emergency Care Applied Research Network's (PECARN) articles, "Factors Associated with Cervical Spine Injury in Children After Blunt Trauma" (Annals of Emergency Medicine, August 2011; 58(2)) and "Do Children With Blunt Head Trauma and Normal Cranial Computed Tomography Scan Results Require Hospitalization for Neurologic Observation?" (Annals of Emergency Medicine, October 2011; 58(4)) were both among the top 25 downloads from July-September 2011 from the thousands of Annals articles that are downloaded from the ScienceDirect website. To see the current top 25 list, visit the Annals homepage. Congratulations!

Texas EMSC Releases Latest Edition of The Pony Express (01/06/12)

Texas EMSC has partnered with Covenant Children's Hospital and the Texas Tech University School of Medicine to develop a demonstration project proposal for the EMSC State Partnership Regionalization of Care grant aimed at reaching beyond state borders to overcome barriers to specialized pediatric medical and trauma care. The grant proposal is part of the state's latest priority, which aims to "develop a standardized system for the categorization or designation of hospitals capable of providing immediate stabilization and/or management of critically ill and injured children."

To read more about this endeavor, read the current edition of The Pony Express.

Texas EMSC Rings in the New Year with Bold New Steps! (01/05/12)

The Texas EMSC program is excited to kick off the New Year with lots of exciting opportunities. Most notably, the Texas Children's Hospital, in partnership with the Texas EMSC program, will open what is believed to be the nation's first-ever pediatric EMS Center of Excellence (COE). The mission of the EMS COE is to improve the practice of prehospital pediatric emergency medicine.

The Center will be under the direction of Paul Sirbaugh, DO, Texas Children's Hospital, Clinical Chief, Section of Pediatric Emergency Medicine, Department of Pediatrics, Baylor College of Medicine and Assistant Medical Director for the Houston Fire Department EMS Division.

This new Center of Excellence will "establish partnerships among prehospital and hospital-based providers and between the community, families, and primary care physicians to enable advocacy that leads to policy-making and injury prevention, research that becomes translated into practice, education that improves patient care, and clinical care that is evidence-based and family centered as an extension of the health home to the prehospital setting."