2006 EMSC Program News Archives

New Director Named for EMSC National Resource Center (12/05/06)

Children’s National Medical Center is pleased to announce the appointment of Tasmeen Singh, MPH, NREMT-P, as the new director of the Emergency Medical Services for Children (EMSC) National Resource Center (NRC), effective January 1, 2007. Ms. Singh will succeed Jane Ball, RN, DrPH, who will be retiring at the end of December after more than 20 years of valued service, including 15 years of committed leadership at the NRC.

For the last eight years, Ms. Singh has held several management positions within the EMSC program, including EMSC coordinator of the District of Columbia’s first EMSC grant and most recently as administrative director and research coordinator at Children’s National. She also has been a key national leader within the Pediatric Emergency Care Applied Research Network (PECARN) and is a past recipient of the EMSC Product of the Year award for her work on the Special Children’s Outreach and Prehospital Education (SCOPE) project. Ms. Singh—who holds a Masters of Public Health in epidemiology/biostatistics and is a doctoral candidate in health policy—brings valuable background and experience to her new role at the NRC.

Long-time EMSC advocate and Senior CNMC Faculty Member Joseph Wright, MD, MPH, will support Ms. Singh at the National Resource Center. Dr. Wright has assumed the role of medical director for the NRC and will oversee its operations and serve as its representative within the hospital’s executive leadership structure.

Children’s National and the Federal EMSC program are excited about this transition and, along with Ms. Singh and Dr. Wright, are looking forward to a continued productive collaboration on behalf of children, families, and EMSC stakeholders throughout the U.S. and its territories.

EMSC Webcast Archived: Telemedicine and EMSC (12/05/06)

The webcast "Telemedicine and EMSC – Current Applications" is now available as an archive file.

The webcast ran on December 5, 2006, and featured the following presenters: James Marcin, MD, MPH, associate professor of pediatrics at UC Davis Children's Hospital, and Rifat Latifi, MD, professor of clinical surgery at the University of Arizona and director of the Arizona Teletrauma and Teleprese Program at the University Medical Center.

Florida Releases EMSC Advisory Committee Information Packet (10/11/2006)

During the 2006 Annual EMSC Grantee Meeting, Florida EMSC participated in the panel discussion “EMSC Advisory Committees: How to Develop and Utilize the Best Team for EMSC Initiatives” by sharing its accomplishments, techniques, and approach in establishing the Florida EMSC Advisory Committee.

At the request of several EMSC grant coordinators, the Florida EMSC team developed an information packet highlighting best practices in developing and managing an advisory committee. That packet is now available on the program’s web site.

IOM Releases Presentations/Recordings from Its Future of Emergency Care Report Workshop (09/27/2006)

Presentations and audio recordings from the Institute of Medicine's (IOM) future of emergency care report dissemination workshop held on September 7, 2006, in Salt Lake City are now available on the IOM website. Please note that the workshop, the first in a series of four IOM-sponsored workshops, featured content on pediatric emergency care as well as emergency care in rural areas.

Registration is now available for the second dissemination workshop scheduled for October 27, 2006, in Chicago. This workshop will feature content on workforce issues and hospital efficiency.

EMSC Presents Pediatric Trauma Webcast (09/14/2006)

The EMSC Program is offering the webcast “Making Trauma Systems Work for Injured Children: EMSC Performance Measures Can Make a Difference” on September 27, 2006, from 1:30 to 3:30 pm (EST).

EMSC grantees, state trauma managers, trauma center managers, and physicians – including EMS medical directors – are encouraged to log on to:

Discuss pediatric field triage and factors influencing transfer of the injured child to the appropriate resources;

Define the role of on-line and off-line medical direction in the initial treatment and transfer of the critically injured child to appropriate resources;

Describe a system process that assures appropriate resources are available for all critically ill and injured children; and

Discuss critical components of pediatric trauma care that contribute to improved outcomes for children.

Please register at least one day in advance.

Now Available for Download: Family Readiness Kit, Second Edition (08/30/2006)

The American Academy of Pediatrics announces the release of the Family Readiness Kit, Second Edition. The kit is for parents to use at home to help their families prepare for most kinds of disasters.

The kit includes a booklet that addresses different types of disasters and simple steps for preparing for them. Information on how to help build neighborhood cooperation in times of an impending disaster and a list of community and national resources are also included. In addition, the kit includes a safety readiness guide, a child identification card, and fact sheets on different types of disasters.

EMSC Offers New Targeted Issues Grant Funding (08/16/2006)

In fiscal year 2007, the EMSC Program plans to offer a new Targeted Issues (TI) grant competition. Subject to funding and competition approval, an anticipated seven new awards at up to $200,000 a year for three years will be available. The tentative schedule for the new TI grant is as follows:

Application guidance release date: December 5, 2006

Application due date: March 5, 2007

Award date: September 1, 2007

More information will be forthcoming.

New Mexico Releases School Nurses Training Modules (08/16/2006)

The New Mexico EMSC Emergency Training for School Nurses Project announces the release and availability of 10 training modules. The training is web-based and interactive. Many modules are scenario-based and include streaming video. Five additional modules will be available on or before September 15, 2006.

The New Mexico Nurses' Association, an accredited approver of the American Nurses Credentialing Center's Commission on Accreditation, provides contact hours for the training modules.

EMSC/IHS to Host Medical Direction Webcast (08/02/2006)

The EMSC Program and the Indian Health Services Clinical Support Center invite all physicians, including EMS medical directors, to participate in the webcast "Improving EMS Medical Direction for Pediatric Patients" on August 22, 2006, from 3. to 4 pm EDT.

To obtain a certificate of continuing education, participants must submit a completed evaluation form and document their attendance by logging into the Internet webcast site. Select "EMSC Webcasts." The webcast requires prior online registration. To ensure that your computer meets all technical requirements, please register at least a day in advance of the webcast.

NEDARC Updates Its Website; Incorporates User-Friendly Design (07/26/2006)

The National EMSC Data Analysis Resource Center (NEDARC) has launched its new web site. The revised site features a user-friendly navigation design and all new content and resources for EMSC, including a section on EMSC performance measures; step-by-step guidance on data collection, analysis, data utilization, grant writing, and EMS data systems; and a resource library.

Although the web address remains the same, please note that computer bookmarks need to be updated due to slight differences in domain coding.

2006 National Heroes Awards Winners Honored (06/28/2006)

The 2006 EMSC National Heroes Awards were presented on June 21, 2006. For complete information, access the "National Heroes Award Program" page within this web site.

IOM Releases Series of Reports on the Status of U.S. Emergency Medical Care (06/21/2006)

Last week, the Institutes of Medicine (IOM) released three highly-anticipated reports from its Committee on the Future of Emergency Medicine in the United States Health System. The reports address the full range of services, including 9-1-1 and medical dispatch, prehospital EMS (including ground and air medical services), and hospital-based emergency and trauma care for adults and children.

A recording of the press briefing on the release of these reports occurred on June 14. EMSC grantees had the opportunity to learn more about each of the reports when committee chairpersons presented their findings and recommendations during a live webcast from the Annual EMSC Grantee Meeting on Tuesday, June 20, 2006.

Second of Two-Part EMSC Series Published in CPEM (06/21/2006)

The June 2006 issue of Clinical Pediatric Emergency Medicine (CPEM) features several articles written by EMSC colleagues, including staff at Children’s National Medical Center in Washington, DC. A few of the articles appearing in this, the second half of a two-part issue focusing exclusively on EMSC, are listed below by title and author. The first part was published in the March 2006 issue.

  • Emergency Medical Services for Children and the Institute of Medicine Revisited, 1993-2006; Wright JL
  • Pediatric Trauma Systems in the United States: Do They Make a Difference?; Junkins, Jr EP, O'Connell KJ, and Mann NC
  • The 2005 Guidelines for CPR and Emergency Cardiovascular Care: Implications for Emergency Medical Services for Children; Brown K and Lightfoot C
  • The Pediatric Emergency Care Applied Research Network: Progress and Update; Dayan P, Chamberlain J, Dean JM, Maio RF, and Kuppermann N

Publication of this issue was planned to coincide with the release of the Institute of Medicine report on the Future of Emergency Medicine in the United States Health System.

NEDARC Releases Performance Measure Survey Templates (06/21/2006)

The National EMSC Data Analysis Resource Center (NEDARC) has just released its Performance Measure Survey Templates. These templates will help EMSC grantees who are planning to conduct surveys to collect data for performance measure #66. Be sure to read all the instructions associated with each performance measure template, as the templates may need to be adapted to each state's particular needs.

PEPP Partnerships in Action! (02/10/2006)

In December 2005, Pediatric Education for Prehospital Providers (PEPP) course coordinators from Florida headed to the Virgin Islands to provide prehospital pediatric service training to local EMTs and nationally registered paramedics. Twenty-eight students successfully completed the basic class and 21 students attended the advance class. Eighteen students participated in the course coordinator class. Congratulations to Florida and to the newly trained EMS providers!

PECARN Publishes Paper on Pediatric Emergency Visit Data (02/10/2006)

"Availability of Pediatric Emergency Visit Data from Existing Data Sources,” by Gorelick, Marc, et al., appeared in the December issue of Academic Emergency Medicine (Vol. 12, No. 12). Authors of the study, which involved 25 emergency departments (ED) within the Pediatric Emergency Care Applied Research Network (PECARN), found that data elements important in emergency medical care for children are frequently missing in existing administrative and medical record sources and that completeness varies widely across EDs. The abstract follows:

Objectives: To determine the availability and completeness of selected data elements from administrative and clinical sources for emergency department (ED) visits in a national pediatric research network. Methods: This was a retrospective study of 25 EDs in the Pediatric Emergency Care Applied Research Network. Data were obtained from two sources at each ED: 1) extant electronic administrative data for all visits during a 12-month period in 2002 and 2) data abstracted from medical records by trained abstractors for visits during ten randomly selected days over a three-month period in 2003. Epidemiologic data were obtained for all visits and additional clinical data for patients with two target conditions: asthma and fractures. Results: A total of 749,036 visits were analyzed from administrative sources and 12,756 medical records abstracted. Data availability varied by element, method of capture, and site. From administrative sources, data on insurance type were the most complete (1.3 percent overall missing; range, 0 percent–18.5 percent for individual sites), whereas mode of arrival (25.5 percent missing) and triage time (65.3 percent) were the least complete. Disposition was missing in only 1.2 percent of medical records overall (range, 0percent–5 percent) and diagnosis was missing in 3 percent (range, 0 percent–16 percent); these were missing from 14.4 percent and 10.5 percent, respectively, of administrative sources. Among visits with injury diagnoses, E-codes were missing in 27 percent of cases. For patients with asthma (n ¼ 861), documentation of specific elements of the clinical examination by nurses and physicians was also variable. Conclusions: Data elements important in emergency medical care for children are frequently missing in existing administrative and medical record sources; completeness varies widely across EDs. Researchers must be aware of these limitations in the use of existing data when planning studies.

Pennsylvania Targeted Issues Grantee Develops Pediatric Diagnostic Grouping System (02/10/2006)

Principal Investigator Evaline Alessandrini, MD, of Children’s Hospital of Philadelphia recently developed a new diagnostic grouping system for the clinical assessment of pediatric emergency department (ED) visits that includes 22 major groups and 72 subgroups. The system was tested using data from 25 hospitals within the Pediatric Emergency Care Applied Research Network, state ED data from Connecticut and Wisconsin, and the NHAMCS ED dataset, and was found to be consistent and comprehensive with regard to the distribution and number of ED diagnoses. Dr. Alessandrini and her team are now testing a severity classification system they developed, which rates ICD-9 codes with regard to the intensity of ED resources required.