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This episode is brought to you by Styker Medical Corporation with their comittment to improving medical education. In this episode we discuss the priorities of pediatric head and cervical spine imagine with the experts in the fields of Pediatric Emergency Medicine and Neurosurgery. Learn from those who know about how to manage your next pediatric patient with traumatic brain injury or cervical spine injury. With TBI a major cause of pediatric death, you don't want to miss this episode with all you need to know.
Rememer:
Avoid the H bombs
This series is a collaboration with the EMS for Children Innovation and Improvement Center (EIIC) and will be part of the pre-hospital resources for its Pediatric Education and Advocacy Kit (PEAK) for multisystem trauma. Click on the link to learn more! https://emscimprovement.center/education-and-resources/peak/.
In this episode we kick off a multipart series on pediatric trauma just in time for summer and trauma season. Join your two hosts as they tackle the prehospital management of pediatric trauma. Everything from head to toe and the pathophysiology that makes pediatric trauma unique from the adult population. Below are the episode talking points you don't want to miss.
Objectives
Brought to you by The National Association of EMS Physicians (NAEMSP) and Missouri Emergency Medical Services for Children (MO-EMSC).
Hosts: Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney
Website: https://sites.libsyn.com/414020
GET CEU CREDIT THROUGH PRODIGY EMS
Content Experts: Joelle Donofrio-Odmann, DO and Joseph Finney, MD
Pediatric Assessment Triangle
The Changing Landscape of Traumatic Pediatric Death
Goldstick, 2022
Trimodal Distribution of Death
From McLaughlin et al, 2017:
74% of pediatric deaths age 1-14y were in first 24 hours. Of children who die from traumatic injuries, most die within 24 hours of arriving to the hospital. When compared to adult trauma patients, children are more likely to die in the emergency department (ED) rather than surviving long enough for hospital admission or transfer to the operating room.
Where you are treated matters
Theodorou et al in 2021 reviewed over 7000 pediatric trauma admissions and found, of the 134 patients who died, Traumatic brain injury was the most common cause of death (66%), followed by anoxia (9.7%) and hemorrhage (8%). 54% died in the ED. More likely to die if suffered penetrating trauma.
Pediatric Trauma: ATC vs PTC
The United States Government Accountability Office found 57 percent of the nation's 74 million children lived within 30 miles of a pediatric trauma center that can treat pediatric injuries, regardless of severity.
The presence of pediatric trauma centers was associated with lower rates of MVC death in children. Adult level 1/2 trauma centers appear to offer comparable risk reduction. Where population differences in pediatric trauma mortality are observed, addressing disparities in county-level access to pediatric trauma care may serve as a viable target for system-level improvement.
Pediatric patients
In this episode we discuss the future of pediatric head and cervical spine imagine with the very physicians who brought us the groundbreaking research that will forever change how we approach these pediatric injuries. This episode will have you rethinking the evidence behind your own protocols and making adjustments going forward.
Brought to you by The National Association of EMS Physicians (NAEMSP) and Missouri Emergency Medical Services for Children (MO-EMSC).
Hosts: Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney
Website: https://sites.libsyn.com/414020
GET CEU CREDIT THROUGH PRODIGY EMS
Content Experts: Joelle Donofrio-Odmann, DO and Joseph Finney, MD
Guest Experts:
Dr. Nate Kuppermann
Dr. Julie Leonard
Emergency Medical Services for Children (EMSC) Innovation and Improvement Center (EIIC)
https://emscimprovement.center/
Pediatric Emergency Care Applied Research Network (PECARN):
https://pecarn.org/
Studies from the episode:
Julie C Leonard, Monica Harding, Lawrence J Cook, Jeffrey R Leonard, Kathleen M Adelgais, Fahd A Ahmad, Lorin R Browne, Rebecca K Burger, Pradip P Chaudhari, Daniel J Corwin, Nicolaus W Glomb, Lois K Lee, Sylvia Owusu-Ansah, Lauren C Riney, Alexander J Rogers, Daniel M Rubalcava, Robert E Sapien, Matthew A Szadkowski, Leah Tzimenatos, Caleb E Ward, Kenneth Yen, Nathan Kuppermann, PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study, The Lancet Child & Adolescent Health, 2024, ISSN 2352-4642, https://doi.org/10.1016/S2352-4642(24)00104-4. (https://www.sciencedirect.com/science/article/pii/S2352464224001044)
https://www.sciencedirect.com/science/article/pii/S2352464224001044
Holmes JF, Yen K, Ugalde IT, Ishimine P, Chaudhari PP, Atigapramoj N, Badawy M, McCarten-Gibbs KA, Nielsen D, Sage AC, Tatro G, Upperman JS, Adelson PD, Tancredi DJ, Kuppermann N. PECARN prediction rules for CT imaging of children presenting to the emergency department with blunt abdominal or minor head trauma: a multicentre prospective validation study. Lancet Child Adolesc Health. 2024 May;8(5):339-347. doi: 10.1016/S2352-4642(24)00029-4. PMID: 38609287.
https://www.thelancet.com/journals/lanchi/article/PIIS2352-4642(24)00029-4/fulltext
Gambacorta A, Moro M, Curatola A, Brancato F, Covino M, Chiaretti A, Gatto A. PECARN Rule in diagnostic process of pediatric patients with minor head trauma in emergency department. Eur J Pediatr. 2022 May;181(5):2147-2154. doi: 10.1007/s00431-022-04424-9. Epub 2022 Feb 22. PMID: 35194653; PMCID: PMC9056473.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9056473/
Kuppermann N, Holmes JF, Dayan PS, Hoyle JD Jr, Atabaki SM, Holubkov R, Nadel FM, Monroe D, Stanley RM, Borgialli DA, Badawy MK, Schunk JE, Quayle KS, Mahajan P, Lichenstein R, Lillis KA, Tunik MG, Jacobs ES, Callahan JM, Gorelick MH, Glass TF, Lee LK, Bachman MC, Cooper A, Powell EC, Gerardi MJ, Melville KA, Muizelaar JP, Wisner DH, Zuspan SJ, Dean JM, Wootton-Gorges SL; Pediatric Emergency Care Applied Research Network (PECARN). Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet. 2009 Oct 3;374(9696):1160-70. doi: 10.1016/S0140-6736(09)61558-0. Epub 2009 Sep 14. Erratum in: Lancet. 2014 Jan 25;383(9914):308. PMID: 19758692.
https://www.sciencedirect.com/science/article/pii/S0140673609615580?via%3Dihub
Brought to you by The National Association of EMS Physicians (NAEMSP) and Missouri Emergency Medical Services for Children (MO-EMSC) and The Emergency Medical Services for Children Innovation and Improvement Center (EIIC)
Hosts: Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney
Website: https://sites.libsyn.com/414020
GET CEU CREDIT THROUGH PRODIGY EMS
Content Experts: Joelle Donofrio-Odmann, DO and Joseph Finney, MD
Guest Experts:
Welcome back for a special episode outside our normal schedule! This episode was recorded in collaboration with The EMSC Innovation and Improvement Center (EIIC) to provide expert review of prehospital pediatric airway management. With respiratory complaints being one of the most common prehospital pediatric emergencies, you definitely want to join us to ensure you and your agency are ready for the next pediatric airway emergency.
Description This recorded 60-minute webinar, originally presented for EMSC Day, will share the developments on prehospital pediatric airway management, followed by a 30-minute Q&A session. Hosted by experts in the field, this session will share the historical milestones, current practices, and future advancements shaping pediatric airway management in emergency medical services (EMS). Objectives: - To review the seminal and early research in prehospital pediatric airway management -To provide updates on the current recommendations on best practices for prehospital pediatric airway management -To share information about the upcoming Pediatric Prehospital Airway Resuscitation Trial (Pedi-PART) Presenters: Marianne Gausche-Hill, MD, FACEP, FAAP, FAEMS -Professor Clinical Emergency Medicine and Pediatrics, David -Geffen School of Medicine at UCLA -Harbor-UCLA Medical Center, Departments of Emergency Medicine and Pediatrics -Interim CEO, The Lundquist Institute for Biomedical Innovation at Harbor-UCLA Medical Center Lorin R. Browne, DO -Professor, Pediatrics and Emergency Medicine Medical College of Wisconsin -Associate Medical Director (Pediatrics) -Milwaukee County Office of Emergency Management EMS Joelle Donofrio-Odmann, DO FAAP FACEP FAEMS -Co-host of The Pediatric EMS Podcast -Deputy Chief Medical Officer, City of San Diego -Medical Director, SDFD Paramedic School -EMS Medical Director, Rady Children’s Hospital -Associate Professor of Clinical Pediatrics and Emergency Medicine -University of California, San Diego Henry E. Wang, MD, MS -Professor and Vice Chair for Research -Department of Emergency Medicine -Deputy Director, OSU Center for Clinical and Translational Science -The Ohio State University Kathleen Adelgais, MD MPH FAAP FAEMS Co-Lead, Prehospital Domain EMS for Children Innovation and Improvement Center University of Colorado School of Medicine Colorado EMS for Children Resources: EMSC Innovation and Improvement Center https://emscimprovement.center/Pediatric Emergency Applied Care Research Network (PECARN)
PEDI-PART
NAEMSP Airway Compendium Position Statement
Brought to you by The National Association of EMS Physicians (NAEMSP), Emergency Medical Services for Children (EMSC) and The Emergency Medical Services for Children Innovation and Improvement Center (EIIC)
Hosts: Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney
Website: https://directory.libsyn.com/episode/index/show/34eda738-c0e3-471c-94e6-5d7bb718e70f/id/31363087
Direct Download:
GET CEU CREDIT THROUGH PRODIGY EMS
In this episode we bring you two experts in pediatric prehospital care who are working tirelessly to identify why caring for children in cardiac arrest is so unique and so challenging. Join us as we review two papers that shed light on this critical care scenario and offer opportunities to elevate care for you and your agency.
Content Experts: Joelle Donofrio-Odmann, DO and Joseph Finney, MD
Guest Experts:
Matt Hansen, MD
Carl Errikson, MD
Papers reviewed in this episode:
Take home points:
Brought to you by The National Association of EMS Physicians (NAEMSP) and Missouri Emergency Medical Services for Children (MO-EMSC)
Hosts: Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney
Website:
Direct Download:
GET CEU CREDIT THROUGH PRODIGY EMS: Unfortunately, not this episode but check out episode 8 in a few weeks for CEU credits!
Content Experts: Joelle Donofrio-Odmann, DO and Joseph Finney, MD
Guest Experts:
Kathleen Adelgais, MD, MPH/MSPH Project Director, Colorado EMS for Children ProgramProfessor of Pediatrics - Children's Hospital Colorado
Kathryn Kothari, MD Medical Director, Emergency Medical ServicesAssistant Professor, Pediatrics - Emergency Medicine, Baylor College of Medicine
Episode Details:
Welcome back for a special episode outside our normal schedule! This episode was recorded in collaboration with Phil Moy of The Prehospital Emergency Care Journal Podcast. We came together to discuss The Prehospital Pediatric Readiness Project which is an amazing project focused on improving prehospital pediatric care.
Is your agency pediatric ready? Are you ready to care for that next critically ill or injured child? Do you have the right equipment, the necessary training, and the adequate knowledge to care for children?
We can get you there!
Check out this episode as we discuss the upcoming release of the prehospital pediatric readiness assessment survey and find out where your agency ranks on pediatric readiness.
Survey opens on Tuesday, April 23rd, 2024
Our guests will give you all the how and why for this amazing program. If you want to get your agency up to speed or need resources for pediatric focused education, training, and protocols, listen up as we get you everything you need to know to complete the survey and get your agency on the road to pediatric readiness!
Resources:
Emergency Medical Services for Children (EMSC):
https://mchb.hrsa.gov/programs-impact/emergency-medical-services-children-emsc
Roadmap to pediatric readiness: https://publications.aap.org/pediatrics/article/145/1/e20193308/36984/Pediatric-Readiness-in-Emergency-Medical-Services
Joint policy statement on pediatric readiness:
https://www.tandfonline.com/doi/full/10.1080/10903127.2019.1685614
Brought to you by The National Association of EMS Physicians (NAEMSP) and Missouri Emergency Medical Services for Children (MO-EMSC)
Hosts: Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney
Website:
Direct Download: https://traffic.libsyn.com/34eda738-c0e3-471c-94e6-5d7bb718e70f/Drowning_part_2-_Drowning_Prevention_Is_Everyones_Responsibility.mp3
GET CEU CREDIT THROUGH PRODIGY EMS: https://frontend.prodigyems.com/class/EA5EDAC0-EB23-4CF4-8735-6565BBD1599F
Content Experts: Joelle Donofrio-Odmann, DO and Joseph Finney, MD
Special Guests:
Molly A. Greenshields, MD: Assistant Professor of Pediatrics at Children's Minnesota
Caitlin Farrell, MD: Associate Physician in Pediatrics, Division of Emergency Medicine and Assistant Professor of Pediatrics and Emergency Medicine, Harvard Medical School.
Director, Section on EMS and Prehospital Care at Boston Children's Hospital Elise Zimmerman, M.D., SIM Program Director; Clinical Assistant Professor of Pediatrics, UC San Diego Chris and Christina Martin: Founders of The Gunner Martin Foundation and advocates for drowning preventionJon Boisvert: City of San Diego Oceanfront Lifeguard, San Diego Junior Lifeguard instructor
B-side Narrator: Joelle Donofrio-Odmann, DO and Joseph Finney, MD
Editing and Publication: Joseph Finney, MD
Episode Summary
We have a terrific episode for you today for this part 2 of our pediatric drowning series. To recap, episode one focused on the experiences of ocean front lifeguards and Midwest paramedics where we laid out prehospital priorities for the management of pediatric drowning. If you haven’t listened already, check that episode out before this one. The foundation of episode one will inform the understanding of this episode so go check that one out now. Ok, now for part 2 of our series. Today we are focusing on the story of two very special individuals who have made it their mission to ensure no more children die from drowning. They will take us on a personal journey that changed the trajectory of their lives forever leading to a career as a firefighter and a vocation of advocacy to help them heal after a tragic event. And it is in that advocacy that today’s episode really originates from because, as we will learn, the key to successful prehospital pediatric drowning management is ensuring the event never happens in the first place. And it’s there that we meet 3 experts in quality improvement and injury prevention as well as research. We will discuss some amazing work focused on drowning prevention and exploring the factors associated with disparities in pediatric drowning.
A word of caution, this episode recounts a real-life emergency that may be difficult for some listeners. And one last thing, although we normally guide the discussion for you the listener with pauses and summaries, this first part of the episode is so powerful and so real, it needs no guidance. On the back half of the episode, we will be there to highlight and reinforce but for this first part, just try and follow our guests. This is worth your full attention.
Ok, let’s get to it!
EMS Professionals are the frontline of drowning prevention and advocacy!! You can be the difference.
Key Tips for EMS Medical Directors and Agencies:
5 keys to water safety:
Critical Factors in an effective water barriers:
Isolation fences (enclosed on all 4 sides, can’t enter the pool directly from the house
Fence height >4ft, bottom of fence
Brought to you by The National Association of EMS Physicians (NAEMSP)
Hosts: Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney
Website: https://sites.libsyn.com/414020/a-silent-epidemic-prehospital-priorities-in-the-management-of-pediatric-drowning
Direct Download: https://traffic.libsyn.com/34eda738-c0e3-471c-94e6-5d7bb718e70f/Episode_5-_Drowning-_Swimming_is_a_fundamental_right_but_water_safety_isnt_fundamental.mp3
GET CEU CREDIT THROUGH PRODIGY EMS: https://link.prodigyems.com/pemsp5
Content Experts: Joelle Donofrio-Odmann, DO and Joseph Finney, MD
Special Guests:
Bryan Clark: Marine Safety Lieutenant at San Diego Fire-Rescue Lifeguard and ParamedicGina Pellerito: Critical Care Paramedic with Mehlville Fire Protection District, Research Analyst/MOEMSC Chair at MU school of Medicine
Jon Boisvert: City of San Diego Oceanfront Lifeguard, San Diego Junior Lifeguard instructor
B-side Narrator: Joelle Donofrio-Odmann, DO
Editing and Publication: Joseph Finney, MD
Episode Summary
Welcome back to the Pediatric EMS podcast. Where I (Joe) live, summer is winding down, but this episode topic knows no seasonality. It affects everyone and it can happen at any moment. Today, on episode 5 of the pediatric EMS podcast, Joelle and I bring you a two-part episode focused on the silent epidemic of pediatric drowning. Today, in part one, we hear from two San Diego lifeguards who break down how experts in drowning prevention approach water safety, drowning prevention, rescue, and resuscitation. But we will also have a guest from one of our first episodes, Gina Pellerito who will take us through a call she will never forget, one that put her on a career path focused on improving prehospital pediatric care. In part two, we will hear from a whole new group of experts in advocacy, prevention, and expert research including a story you won’t want to miss. You have waited long enough, let’s get into part one and learn how to manage a drowning event.
Disposition: “The decision to admit to an ICU or hospital bed vs observation in the ED or discharge home should consider the severity of the patient’s drowning as well as any co-morbid or premorbid conditions” (Szpilman et al 2020)
The majority of drowning victims are well and without symptoms. Historically, despite well-appearance, all victims of drowning were admitted for observation given concern for sudden clinical deterioration (Noonan et al 1996). This thinking has changed over time, luckily. Now, only a certain group of symptomatic drowning victims will require admission. Except for our most severe patients, if there are symptoms, they will primarily be respiratory in nature. I find it easiest to divide patients into three broad potential categories; well appearing and asymptomatic, symptomatic with respiratory distress, and those who are unresponsive with cardiorespiratory collapse. This can feel like an oversimplification but it is important to help triage patients and determine who can go home, who should be observed, and who needs to be admitted.
Noonan et al in 1996 performed a retrospective chart review of 72 drowning victims. They found that 98% of patients who developed any symptoms did so in the first 4.5 hours. Based on their findings, they recommended the following:
Asymptomatic, well appearing in the ED→ Observation for 6-8 hours and discharge if no symptoms develop
Stable mildly symptomatic patients should be observed for 6-8 hours and admitted if they deteriorate or fail to improve, supportive care with supplemental oxygen and evaluation for aspiration/edema with CXR should be performed
Ill, symptomatic patients should be stabilized in the ED and subsequently admitted to the ICU or general inpatient unit
Consider ECG in all patients to screen for arrhythmia if history concerning
Ultimately, most patients can be observed and discharged. Management of the more critically ill patients will require a thoughtful, multidisciplinary approach with the goal of “maintaining adequate oxygenation, preventing aspiration and stabilising body temperature.” (Royal Children’s Hospital Melbourne CPG)
In this episode:
Resources
https://www.sandiego.gov/lifeguards/junior
https://www.aap.org/en/news-room/campaigns-and-toolkits/drowning-prevention/
Amazing course on pediatric drowning for EMS and bystanders:
https://health.hawaii.gov/docd-training/pediatric_emergencies_elearning/providers/#/lessons/Pn3dw1oE25gcbh9PWhmfiOK6s9w43Xgh
Clarifying terms for drowning: https://health.clevelandclinic.org/dry-drowning-separating-fact-from-fiction/#:~:text=When%20you're%20struggling%20underwater,Milk.
Prehospital Readiness: https://emscimprovement.center/domains/pediatric-readiness-project/
Key Take-Aways:
Come back for part 2 where we focus on prevention and advocacy in pediatric drowning. Plus, we will have a story you DO NOT WANT TO MISS!
Stay safe and stay sharp.
Joe and Joelle
Expedite The Route, Simplify The Dose: Managing Pediatric Prehospital Seizures
Brought to you by The National Association of EMS Physicians (NAEMSP)
Hosts: Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney
Website:
https://directory.libsyn.com/episode/index/id/26196993
Direct Download:
https://traffic.libsyn.com/34eda738-c0e3-471c-94e6-5d7bb718e70f/The_Pediatric_EMS_Podcast_Episode_4-_Prehospital_Pediatric_Seizures_export.mp3
Content Experts: Manish Shah, MD, Denise Whitfield, MD, Rejean Guerriero, DO
B-side Narrator: Joelle Donofrio-Odmann, DO
Editing and Publication: Joseph Finney, MD
Episode Summary
I know it’s been a minute, but we are glad to be back to bring you an extremely important episode focused on the prehospital management of pediatric seizures. Seizures are one of the most common reasons EMS is called for a pediatric patient and prompt termination of that seizure can be lifesaving. A prehospital pediatric seizure is not only one of the scariest events for a parent, but it is also high stress for the paramedics and with pediatric airway management, medication dosing, and a stressful scene all piling up in the head of a paramedic, this seemingly simple call can become an immense challenge for even the most experienced clinician. But you don’t have to worry about that next call for a pediatric seizure. We at The Pediatric EMS Podcast have teamed up with 3 experts you will meet throughout the episode to break it all down and walk you through each critical aspect of pediatric seizures from understanding what a seizure is, what your priorities in treatment need to be, and finally how to systematically approach the patient to ensure you safely, effectively, and quickly manage your next prehospital Pediatric seizure. We will provide you with evidence-based recommendations to simplify the treatment of this scary EMS encounter. We are going to solidify your understanding of the priorities in managing a pediatric seizure from both the medic and medical director perspective so you can intervene rapidly and successfully the next time you get this call. Let’s get started!
In this episode:
Key Take-Aways:
Our guest experts:
Manish Shah, MD, MS
Dr. Shah is a Professor of Pediatrics in the Division of Emergency Medicine at Baylor College of Medicine in Houston, Texas. Dr. Shah is a supremely accomplished prehospital pediatric researcher. the Co-Chair of the Assessment Subcommittee for the National Prehospital Pediatric Readiness Project since 2019. His research is focused on the integration of pediatric evidence into EMS protocols. He is The Principal Investigator (PI) for the Charlotte, Houston, and Milwaukee Prehospital (CHaMP) research node of the Pediatric Emergency Care Applied Research Network (PECARN). Dr. Shah is the Principle Investigator for Pedi-Dose, the pediatric seizure dose optimization study within PECARN working to optimize pediatric dosing for seizures in EMS.
Rejean Guerriero, DO
Dr. Guerriero is a pediatric Neurologist and physician scientist at Washington University School of Medicine and Saint Louis Children's Hospital. Dr. Guerriero is an expert in Epilepsy, critical care neurology, traumatic brain injury, general neurology; ICU-EEG, status epilepticus, and refractory seizures. Dr. Guerriero works closely with the Special Needs Tracking and Awareness Response System (STARS) to ensure prompt, tailored, and effictive care for pediatric patients with complex medical needs by EMS.
Denise Whitfield, MD, MBA, FACEP, FAEMS
Dr. Whitfield is the Director of Education and Innovation at the Los Angeles County EMS Agency. She is a former Commander in the U.S. Navy with extensive experience delivering emergency medical care in diverse environments. She spent 12 years on active duty, with combat deployments to Iraq and Afghanistan. As a Naval Flight Surgeon, she completed operational assignments with the Marine Corps. As her final Navy assignment, she served as a White House Physician where she conducted operational medical planning and ensured medical care delivery for the President, Vice-President and First Lady. Dr. Whitfield completed an EMS fellowship with LA County and joined the EMS Agency in July 2018. She currently directs education programs at the EMS Agency including annual EMS Update the EmergiPress continuing education newsletter. She is an Assistant Professor of Clinical Medicine at the David Geffen School of Medicine at UCLA and serves as faculty for the EMS Fellowship Program at Harbor-UCLA Medical Center in collaboration with the Los Angeles County EMS Agency. Dr. Whitfield recently published "The Effectiveness of Intranasal Midazolam for the Treatment of Prehospital Pediatric Seizures: A Non-inferiority Study" in the journal Prehospital Emergency Care.
Episode Resources
Dr. Whitfield's publication
https://pubmed.ncbi.nlm.nih.gov/33656973/
Whitfield D, Bosson N, Kaji AH, Gausche-Hill M. The Effectiveness of Intranasal Midazolam for the Treatment of Prehospital Pediatric Seizures: A Non-inferiority Study. Prehosp Emerg Care. 2022 May-Jun;26(3):339-347. doi: 10.1080/10903127.2021.1897197. Epub 2021 Mar 29. PMID: 33656973.
STARS: Special Needs Tracking and Awareness Response System
https://www.glennon.org/what-we-do/stars-special-needs-tracking-and-awareness-response-system/
Resources from Dr. Shah
Translating Emergency Knowledge for Kids (TREKK): Bottom line recommendations for pediatric seizure management (created through a joint collaboration between the Emergency Medical Services for Children Innovation and Improvement Center (EIIC) and TREKK: https://trekk.ca/resources?tag_id=D013226&external_resource_type=All NASEMSO Model Clinical EMS Guidelines: I contributed to the seizure guideline (among others) in this document: https://nasemso.org/projects/model-ems-clinical-guidelines/ Prehospital Guidelines Consortium: Great repository for prehospital evidence-based guidelines http://prehospitalguidelines.org EIIC Pediatric Education and Advocacy Kit (PEAK): I contributed to the development of this PEAK on pediatric seizures https://emscimprovement.center/education-and-resources/peak/peak-status-epilepticus/ Pediatric Emergency Care Applied Research Network (PECARN): PECARN has a prehospital-specific research node called the Charlotte, Houston, and Milwaukee Prehospital (CHaMP) node https://pecarn.org Pediatric Dose Optimization for Seizures in EMS (PediDOSE): https://www.texaschildrens.org/research/area/neurology/pedidose-study Published Simulation-Based Pediatric Prehospital Curriculum on MedEd Portal: Pediatric Simulation Training for Emergency Prehospital Providers (PediSTEPPs) course curriculum https://www.mededportal.org/doi/10.15766/mep_2374-8265.9949Breaking Down Silos: Pediatric Disaster Preparation and Management
Is your community ready for a disaster event involving children? Well, it’s time to get ready. In this episode of The Pediatric EMS Podcast our guest experts recount firsthand experience of Hurricane Katrina and the shooting at Robb Elementary School in Uvalde, Texas as they guide you through the necessary components of preparing for the next pediatric disaster event. We have experts in Disaster Medicine, EMS, and Pediatric Emergency medicine to give you critical insight into planning, preparation, management, and recovery. Let’s get started!
Brought to you by The National Association of EMS Physicians (NAEMSP)
Hosts: Dr. Joelle Donofrio-Odmann and Dr. Joseph Finney
Website:
https://sites.libsyn.com/414020/breaking-down-silos-pediatric-disaster-preparation-and-management
Direct Download:
https://traffic.libsyn.com/34eda738-c0e3-471c-94e6-5d7bb718e70f/Episod_3.mp3
Editing and Publication: Joseph Finney
Technical Support: Phil Moy
Narrator: Joseph Finney
Content Experts:
Heidi Abraham
Emergency Medicine Physician and Deputy Medical Director for Austin Travis County EMS and the Texas Department of Public Safety. Dr. Abraham is the Medical Director for The New Braunfels Fire Department in New Braunfels, Texas
Brent Kaziny
Pediatric Emergency Medicine Physician and Medical Director of Emergency Management at Texas Children’s Hospital. Brent is co-director of the disaster domain of the EMS for Children Innovation and Improvement Center (EIIC). He is also on the executive core of The Pediatric Pandemic Network (PPN).
Amyna Husain
Pediatric Emergency Medicine Physician and Pediatric Medical Control Chief at Johns Hopkins Hospital. Dr. Husain works nationally with the AAP and The Pediatric Pandemic network. Dr. Husain is also involved in the National Emerging Special Pathogens Training and Education Center regarding special populations (NETEC).
Mark X. Cicero
Pediatric Emergency Medicine Physician, Disaster Physician, and EMS Physician. Dr. Cicero serves as the education lead for the Pediatric Pandemic Network as well serving on the National Advisory Committee on Children and Disasters.
Jeff Siegler
EMS Physician and Emergency Medicine Physician at Washington University School of Medicine Dr. Siegler is the Medical Director of Saint Louis Children’s Hospital Special Needs Tracking and Awareness Response System (STARS) as well as Medical Director for both an EMS district and a Fire Department in Saint Louis. Dr. Siegler works with local SWAT teams as the team physician.
Kate Spectorsky
Pediatric Emergency Medicine and Disaster Medicine Physician at Saint Louis Children’s Hospital in Association with Washington University School of Medicine. Dr. Spectorsky is involved with the American Academy of Pediatrics Section on Disaster Preparedness.
Critical Components of Disaster Management:
Resources for preparing your hospital or agency:
MPRT: Mobile Pediatric Response Team
Talking To Children about Disaster Events:
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