TABLE 134.5 CWSHCN EDUCATIONAL PROGRAMS AVAILABLE TO THE PREHOSPITAL PROVIDER Educational programs available to the prehospital provider Program Online resource Special children’s outreach and prehospital education http://www.childrensnational.org/files/PDF/EMSC/PubRes/Scope_Instructor.pdf A full-day course for prehospital providers that covers the care and management of CSHCN Developed by the EMS and Children with Special Health Care Needs Project at Children’s National Medical Center in Washington, DC Instructor’s manual is available via the link Teaching resource for http://webdoc.nyumc.org/nyumc/files/cpem/u3/trippbls.pdf instructors in prehospital pediatrics Developed at New York University, Langone Medical Center, with input from subject matter experts from across the country and incorporating American Heart Association guidelines Utah telehealth http://www.utahtelehealth.net/education/ems_childrens/ Developed by pediatric emergency medicine physicians at the University of Utah Consists of eight online learning videos covering topics from general pediatric prehospital care, to CSHCN Pediatric education for http://www.peppsite.com/ prehospital professionals Sponsored by the AAP, this course comes in 9.25-hr BLS and 16.75-hr advanced life support versions for a wide array of prehospital providers and covers a range of general pediatric topics Reprinted from Kaziny BD The prehospital care of children with special health care needs Clin Pediatr Emerg Med 2014;15:89–95 Copyright © 2014 Elsevier With permission EMERGENCY PREPAREDNESS EMS systems are an essential component to a coordinated emergency preparedness program EMS is ready every day for an emergency, and should be integrated into local and national preparedness initiatives EMS providers and students should be educated in mass casualty incident triage systems, such as that outlined in the Model Uniform Core Criteria (MUCC), which was developed to help ensure interoperability among multiple existing triage tools Current mass casualty incident triage systems include Simple Triage and Rapid Treatment (START) and its pediatric equivalent, Jump START, as well as Sort-Assess-Lifesaving Interventions-Treatment/Triage (SALT) and Sacco Triage Method These triage systems generally begin by differentiating ambulatory from nonambulatory victims, then identifying signs of death or immediately life-threatening conditions, such as airway obstruction or hemorrhage Victims are then further triaged based on physiologic and severity of injury criteria and transport from the scene is delayed for stable victims Triaging children during a mass casualty incident or disaster presents unique challenges Firstly, children may not follow commands well Children may hide from rescuers rather than presenting themselves for care Children separated from adult family members may be scared and difficult to console, as well as quite challenging for families and providers Some injured children will be extricated from disaster scenes by adults present on the scene, and the triage personnel may not know the circumstances in which the child was found, making judgment of the severity of injury difficult In the case of a well child accompanying an injured adult, triage personnel may need a dedicated supervisor to monitor mobile children who may wander off Additional pediatric emergency preparedness resources are available at http://disasterinfo.nlm.nih.gov/dimrc/children.html EMS FOR CHILDREN PROGRAM The EMSC program was established when Congress approved the Preventive Health Amendments of 1984 The intent was to enhance the pediatric capability of EMS systems originally designed primarily for adults, with a goal of reducing child and youth mortality and morbidity sustained as a result of severe illness or trauma The program is administered through the Maternal and Child Health Bureau of the Health Resources and Services Administration (HRSA) Project efforts have included systems development, injury prevention, research,