Transcript Emergency Medical Service for Children (EMSC)

EMERGENCY MEDICAL
SERVICE FOR CHILDREN
(EMS-C)
Cynthia Frankel
EMS-C Coordinator
Alameda County EMS
TODAY’S AGENDA
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Describe EMS-C goals & vision
Provide Alameda County status report
Identify priority projects
Discuss opportunities for future
collaboration
• Facilitate discussion: ideas for
partnerships & feedback
NATIONAL EMS-C
PROGRAM
WHAT IS EMS-C?
National initiative designed to
reduce child and youth disability
and death due to severe illness
and injury.
GOALS
• When prevention fails, ensure that all ill or
injured children & adolescents receive state of
the art emergency medical care from:
 prehospital personnel
 ED personnel
 rehabilitation specialists
• To ensure that acutely ill & injured children
have access to high quality, coordinated, &
comprehensive emergency / critical care
services appropriate for a child's special needs.
EMS-C IN
CALIFORNIA
STATE EMS-C MODEL
• EMS Authority developed:
 guidelines
 standards
 key products
 comprehensive model for EMS-C services
• The EMS-C Model - a continuum of care for:
 detection of an illness or injury
 emergency department care
 rehabilitation
5-YEAR PLAN (2001 – 2005)
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Improve data collection & quality improvement
Integrate pediatric issues in all aspects of EMS
Expand illness & injury prevention, first aid and CPR
Optimize pediatric emergency, trauma & critical care
capabilities
Develop broad based support for improving EMS-C
Improve / expand pediatric emergency training
Coordinate local, state, federal & private agency
EMS-C efforts
Ensure universal access to EMS system
ROLE OF THE STATE
• Provides guidance to local planning efforts
 EMSA #196 EMS-C program “Standards of Practice”
and 5 year plan (published November 1994)
• Partners with Alameda County: State Projects
• Consists of multidisciplinary pediatric experts
 State Technical Advisory Committee (TAC)
 EMS-C Coordinators
EMS-C PROGRAMS
IN CALIFORNIA
Del
Norte
Siskiyou
Trinity
Modoc
Shasta
Lassen
Humboldt
Tehama
Plumas
Mendocino
Butte
Glenn
EMS-C systems in place
not funded by EMSA
Sierra
Colusa
Lake
Placer
Yolo
El Dorado
Sonoma Napa
Alpine
San
Contra Joaquin
Tuolumne
Costa
San Francisco
EMSC programs funded by EMSA
Mono
Solano
Alameda
Stanislaus
Mariposa
San Mateo
Santa Cruz
Santa
Clara
No EMSC system in place
Inyo
Merced
Madera
San
Benito
Monterey
Fresno
Tulare
Kings
Kern
San Luis Obispo
San Bernardino
Santa Barbara
Ventura
Los Angeles
Riverside
Orange
Imperial
San Diego
EMS-C IN
ALAMEDA COUNTY
MISSION STATEMENT
• In Alameda County, the goal of the EMS-C
program is:
 To reduce pediatric morbidity & mortality from
injury & illness
 To develop, implement, & integrate State/National
EMS-C activities into entire spectrum of care for
children & youth (under 21 years).
 To include prevention & detection of illness or
injury, community preparedness, EMS, critical
care, & rehabilitation.
PURPOSE
• Provide a continuum of care for pediatric
patients:
 ED’s and trauma centers
 Rehabilitation
 Adolescents at risk
• Facilitate clinical components:
 Injury prevention
 Illness / injury care
ADVISORY MEETINGS
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ED Medical Director
American Academy Pediatrics
Private Pediatricians
Children’s ED physician and nurse
Pediatric Trauma Nurse Coordinator
EMS Med Director
Paramedic Educators
Fire Chiefs & EMS Liaisons
Community Injury Prevention
PEDIATRIC “BEST PRACTICES”
• Facilitate and evaluate prehospital personnel
 pediatric education
 emergency medical equipment
• Develop specialized pediatric treatment
protocols
• Conduct hospital “Site Visits” – assess
pediatric capability in trauma centers
• Promote innovative new projects:
 special needs;
 mental health issues
ALAMEDA COUNTY EMS-C
• Includes expert partners & collaborations:
 Public Health: EMS & Maternal Child Health
 Children’s Hospital
 Community advocates
• Facilitate priority projects:
 Emergency school guidelines
 Hospital evaluations: site visits
 Special needs: mental health
 Emergency information card
 Danny Foundation: “safe crib project”
 Safe kids
ALAMEDA COUNTY EMS-C
(cont.)
• Prehospital equipment, protocols, &
education
• Emergency room guidelines
• Transport guidelines
• Inter-facility transfer guidelines
• Cross-border transfers
• Cross-border data
• Community integration into injury & illness
prevention
COLLABORATION / INTEGRATION
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Educators/Child Care
Preparedness
Prevention
TRIPP & PEPP
Pediatric Standards
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Telemedicine
School Nurses
Special Needs
ED groups
Case Workers
DEVELOPING EMS-C
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Links – Public Health
Improve training
Develop resources
Community needs
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Managed care
Funding coalitions
Public knowledge
Multi-cultural access
For More Information
Alameda County
Emergency Medical Services Agency
A Division of the Public Health Department
1000 San Leandro Blvd.
San Leandro CA 94577
(510) 618-2050
(510) 618-2099 - fax
website: http://www.acgov.org/ems
e-mail: [email protected]
EMS for children