August 2016
Monthly Newsletter


ANNOUNCEMENTS
DON'T FORGET TO NOMINATE!
Do you know someone that goes above and beyond for children, or has done something extraordinary for a child?  If so, please nominate that pediatric hero!  iEMSC will be taking nominations all year long for the amazing work that happens on behalf of children all over the State of Indiana. Please make your nomination today!  All nominations will be considered for the 2017 Healthcare Heroes Awards breakfast. You can nominate your healthcare hero by completing this  nomination form and then emailing it to margo.knefeklamp@indianapolisems.org

RECALLS

The Clorox Company voluntarily recalls Liquid-Plumr® Pro-Strength Urgent Clear™ Clog Remover and Liquid-Plumr® Foaming Clog Fighter products, as well as Liquid-Plumr® Industrial Strength Urgent Clear products due to faulty child-resistant closures.
To learn more about this product recall, please visit  www.liquidplumr.com/safety-recall/

Click here to download the newsletter:


Pediatric Emergency Care Coordinator Newsletter

The first edition of the Pediatric Care Coordinator Newsletter has been launched. This quarterly newsletter will focus on the pediatric care coordinator role and will highlight different tools and resources to help support this important position.  Please take a moment to view this quarter's newsletter and to forward it along to your colleagues.  If you would like to start receiving this newsletter please email margo.knefelkamp@indianapolisems.org.


PEDIATRIC ADVOCATE CORNER

New Performance Measures to Launch for Fiscal Year 2017

Long-term success is measured by assessing the quality of pediatric emergency care provided in the prehospital and hospital settings, and institutionalizing pediatric emergency care within the larger emergency medical service (EMS) system. To guide national efforts, the Program instituted several performance measure (PM) standards (see http://www.emscnrc.org/grantee-portal/performance-measures). These PMs were the first steps to assess the degree to which systems are in place to ensure optimal care of children in the emergency care setting. In 2012, the federal EMSC Program began development of the next generation of PMs with plans to launch the new measures program-wide in 2017. The Program is proposing three new EMS-based measures. The measures, which were developed by HRSA, the National EMSC Data Analysis Resource Center, and subject matter experts, were released for public comment in November 2015. The first public comment period ended January 5, a second public comment period will begin in February 2016 for 30 days.
 
The three new proposed PMs are:

1. The degree to which EMS agencies submit NEMSIS compliant version 3.x data to the State EMS Office for submission to NEMSIS Technical Assistance Center.
2. The percentage of EMS agencies in the state/territory that have a designated individual who coordinates pediatric emergency care
3. The percentage of EMS agencies in the state/territory that have a process that requires EMS providers to physically demonstrate the correct use of pediatric-specific equipment
 
At this time, the hospital-based and Program-permanence measures will remain the same. You can learn more about the PMs via the archived webinar at https://hrsa.connectsolutions. com/p87zh4g53z/. A complete list of all proposed HRSA performance measures and more details on each of the EMSC measures is available at: http://mchb.hrsa.gov/dgis.pdf. For a list of all current SP grantees, visit http://www.emscnrc.org.
 
Information provided by:  http://www.emscnrc.org/~/media/emsc/files/pdf/about-us/emsc_liaison_report.ashx?la=en

SPECIAL INTEREST

What Parents Should Know about Zika

Tips from the CDC regarding Zika  transmission , treatment, and prevention.

What we know about Zika
  • Infants and children can be infected with Zika.
    • The primary way that infants and children get Zika is through bites of two types of mosquitoes. Information on safely preventing mosquito bites can be found below or at CDC's Avoid Mosquito Bites page.
    • To date, no cases of Zika have been reported from breastfeeding. Because of the benefits of breastfeeding, mothers are encouraged to breastfeed, even in areas where Zika virus is found.
    • Common symptoms of Zika are fever, rash, joint pain, and red eyes. Symptoms usually go away within a few days to one week. Many people infected with Zika don't have symptoms.
    • There is no vaccine or medicine for Zika. For more information about treatment and prevention.
  • Birth defects, including microcephaly, and other problems have been reported in babies born to women infected with Zika during pregnancy.
    • Zika virus can be passed from a woman to her fetus during pregnancy or around the time of birth. We are studying how Zika virus affects pregnancies.
    • Since May 2015, Brazil has had a large outbreak of Zika. During this outbreak, Brazilian officials reported an increase in the number of babies born with microcephaly in areas with Zika. Recently, CDC concluded that Zika virus infection during pregnancy is a cause of microcephaly and other severe fetal brain defects.
    • Pregnancy loss and other pregnancy problems have been reported in women infected with Zika during pregnancy. Zika has been linked with other birth defects, including eye defects, hearing loss, and impaired growth.
    • Not all babies whose mothers had Zika during pregnancy are born with health problems. Researchers are working to better understand how often having Zika during pregnancy causes problems.
    • Infection with Zika virus at later times, including around the time of birth or in early childhood, has not been linked to microcephaly.
       
  • Microcephaly happens for many reasons, and many times the cause is unknown.
    • Genetic conditions, certain infections, and toxins can cause microcephaly. If your child has microcephaly, his or her doctor or other healthcare provider will look for the underlying reason. However, for about half of children with microcephaly, the underlying cause is never discovered.
    • If you have a child with microcephaly, it is unlikely that it had to do with Zika if you did not travel to an area with Zika during pregnancy.
    • Although head size reflects brain size, head size does not always predict short- or long-term health effects. While some children with microcephaly can have seizures, vision or hearing problems, and developmental disabilities, others do not have health problems.
What we don't know about Zika
  • We do not know how often Zika is passed from a woman to her fetus during pregnancy or around the time of birth.
  • We do not know whether the timing of the woman's Zika virus infection during pregnancy, or the severity of a woman's symptoms, affect her pregnancy.
  • We do not know the long-term health outcomes for infants and children with Zika virus infection.
What CDC is doing to learn more
  • Developing laboratory tests to diagnose Zika as quickly as possible.
  • Conducting research on the link between Zika and microcephaly.
  • Identifying new areas with Zika and establishing a US Zika Pregnancy Registry to improve our understanding of the how Zika affects mothers and their children.
  • Testing different mosquito species to find out whether they carry Zika.
  • Providing advice to US travelers returning from areas with current outbreaks; and, supporting US states and territories already affected by Zika.
  • Preparing states and Americans with prevention actions in advance of mosquito season.
What parents can do
  • Prevent mosquito bites.
     
    To protect your child from mosquito bites
    • Dress your child in clothing that covers arms and legs.
    • Cover crib, stroller, and baby carrier with mosquito netting.
    • Do not use insect repellent on babies under 2 months of age.
    • Do not use products containing oil of lemon eucalyptus or para-menthane-diol on children younger than 3 years old.
    • In children older than 2 months, do not apply insect repellent onto a child's hands, eyes, mouth, or to irritated or broken skin.
    • Never spray insect repellent directly on a child's face. Instead, spray it on your hands and then apply sparingly, taking care to avoid the eyes and mouth.
  • Control mosquitoes inside and outside your home.
  • If your child has symptoms, take him or her to see a doctor or other healthcare provider. For children with Zika symptoms of fever, rash, joint pain, or red eyes who have traveled to or resided in an affected area, contact your child's health care provider and describe where you have traveled.
    • Fever (≥100.4° F) in a baby less than 2 months old always requires evaluation by a medical professional. If your baby is less than 2 months old and has a fever, call your health care provider or get medical care.
To learn more about how to avoid mosquito bites click here. 


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EDUCATION AND  PEDIATRIC RELATED EVENTS

Upcoming Courses:
  • 3rd Annual EMS Medical Directors' Conference, Friday August 26, 2016.  
    At the conclusion of this activity, participants will be able to:
    1. Discuss the most up-to-date standards of care for Emergency Medicine.
    2. Develop a strategy for practicing Emergency Medicine using the most up to- date standards of care.
    3. Discuss the results of recent outcome-based research in prehospital  emergency medical care.
    Event Details and Registration, please click here.
  • The Indiana Emergency Response Conference will be hosted at the Sheraton - Keystone at the Crossing in Indianapolis from August 24 - 27, 2016. The 2016 IERC theme is Preparedness: Past, Present, and Future. To register, visit: www.indianaerc.com
  •  Indiana School Nurse Emergency Care Course.  Indiana EMSC and the Indiana Department of Education are pleased to announce the Indiana School Nurse Emergency Care course. This course is a hybrid course with an online portion to be completed prior to attending a one-day in-person training.    Online training modules include topics such as:
  • The School Nurse Role in Emergency Care
  • Legal Issues in Nursing
  • Assessment and Triage
  • Medical Emergencies
  • Abdominal and Genitourinary Emergencies
  • EENT and Dental Emergencies
  • Emergencies Involving Mental or Behavioral Health
  • School Emergency Response and Crisis Management
To register for this course, please click here
  • National Child Passenger Safety Certification. Child car seats reduce the risk of injury by 71% yet 73% of child restraints are used incorrectly and one-third of children are not using any type of restraint whatsoever. One way to help ensure that car restraints are being used correctly is to become a certified child passenger safety technician (CPST) through Safe Kids Worldwide ( http://cert.safekids.org/become-tech ). This is a four day course with three quizzes, three skills assessments and one car seat clinic. It is open to anyone who would like to become a technician. With the fee of $85 to sign up for the class, you are provided with a workbook that is essential to learning how to become a technician. Getting certified may be time-intensive but it is worth it when provided families the education they need to protect their child's future.    
     
  • Free Pediatric Online Training
  • FREE TRAINING - The Center for Global Health at the Colorado School of Public Health Online Pediatrics in Disasters Course
    Although a quarter of the world's population is under the age of five, 50 percent of the victims of man-made and natural disasters are children. Children are vulnerable in disasters for physiological, psychological and developmental reasons. Too often medical staff are ill-prepared for pediatric triage and emergency stabilization in terms of knowledge and experience, as well as equipment and supplies. The Pediatrics in Disaster training program trains health care providers to prioritize life-saving care for children in disasters. Because of the vulnerability of children and adolescents, pediatricians and other health professionals must ensure that local, regional and national disaster preparedness planning meets the specific needs of children and adolescents.  Click here to register
  • The Indiana Child Fatality Review Program is hosting a free training event for First Responders, Fire, Law Enforcement and EMS:  DOSE - DIRECT ON SCENE-EDUCATION is an innovative program to help eliminate sleep related infant death due to suffocation, strangulation or positional asphyxia by using First Responders to identify and remove hazards while delivering education on-scene during emergency and non-emergency runs.  Created by firefighter Captain James Carroll and NICU nurse Jennifer Combs in Broward County (FL), DOSE has been adopted as an initiative of emergency response agencies in Tennessee, New Jersey, Michigan and Louisiana, often in conjunction with the Cops & Cribs Program.  Over 1500 first responders have been trained and are beginning to see real impact in the lowering of the number of infant deaths in their jurisdictions.
  •   Why DOSETM?   In 2014, 14% of infant deaths in Indiana were due to Sudden Unexplained Infant Deaths or SUIDS.  This includes babies who die of SIDS or accidental suffocation in bed.  DOSE TM can put prevention in the hands of First Responders.  When Broward County Florida began the DOSE program, they had the highest SUID rate in the state.  Today, they are seeing less than one baby die per year! 
  • How Can My Department Get Involved?  The Indiana Child Fatality Review Program is pleased to be bringing Capt Carroll to the Indiana Emergency Response Conference (IERC) in August 2016.  He will be providing a keynote address at the conference, as well as conducting breakout sessions to guide learners in how to set up a DOSE program in their communities.  We will be providing the training materials to your department at NO COST to you or your department, as well as materials for you to provide to families receiving your Safe Sleep education and intervention.  This will include a book for the baby, a Sleep Sack, a pacifier and some educational materials.
        For more information please contact Gretchen Martin at  GMartin1@isdh.in.gov   or Kelly Cunningham at  kcunningham2@isdh.in.gov  
Contact Information:

Program Director:
Elizabeth Weinstein, M.D.

Program Manager:
Margo Knefelkamp, M.B.A.

3930 Georgetown Rd., Indianapolis, IN 46254
margo.knefelkamp@indianapolisems.org
(317) 630-7742