EMSC QuickNews welcomes articles on people, programs, and procedures related to emergency medical services for children. All information, artwork, or photography should be submitted to Tanya Brown at the EMSC National Resource Center.
EMSC QuickNews is published biweekly by the EMSC National Resource Center, 801 Roeder Road, Suite 600, Silver Spring, MD 20910, 301.244.6300 (phone)
Copyright © 2015. All rights reserved.
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Reminder: Applications for New SPROC Grants Due January 20
The SPROC program aims to develop systems of care to increase access to pediatric specialists for all children through the: development of facility recognition programs; expansion of facility recognition programs to ensure the inclusion of children in tribal, territorial, rural and insular communities; and development of similar coordinated systems of care that would reduce and prevent pediatric morbidity and mortality because of timely access to pediatric specialists through established networks.
Additional information about SPROC can be found in the funding opportunity announcement and on the EMSC National Resource Center (NRC) website.
The closing date for applications is January 20, 2016.
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Now Archived: November's Pediatric Disaster Planning and Preparedness CoP Webinar
The Pediatric Disaster Planning and Preparedness Community of Practice (CoP) web conference held on Tuesday, November 24, 2015 has been
archived. Patricia Frost, MS, RN, PNP, director, Emergency Medical Services (EMS) for Contra Costa County, and founder and co-chair, California Neonatal/Pediatric/ Perinatal Disaster Preparedness Coalition, presented "Small Hospital Pediatric Disaster Preparedness: Building Local Capability." The focus was on the special challenges a pediatric mass casualty event or community disaster affecting families pose for small hospitals and how large and small hospitals can build pediatric capability.
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State and Territory Updates
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Pennsylvania EMSC Webinar on Pediatric Decontamination
At 6:00 pm (Eastern) on Thursday, December 3, the Pennsylvania EMSC Program will present the free one-hour webinar "When Mr. Yuk Meets Mr. Bubble: A Primer on Pediatric Decontamination." The focus of this webinar will be on unique challenges EMS providers face when responding to a hazmat incident involving children. Nurse educator Joyce Foresman-Capuzzi, MSN, RN, EMT-P will be the featured speaker.
Pre-registration is not required for this educational event; attendance will be on a first-come, first-serve basis. To attend the
webinar, select the "Enter as a Guest" option and input your first and last name (or EMS agency name if multiple attendees from same agency) then click the 'Enter Room' button. Audio will be broadcast through your computer speakers - there will be no phone-bridge set up.
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National Pediatric Readiness Project Update
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ENA State Champion Team Meeting
On November 12, the Emergency Nurses Association (ENA) facilitated a meeting in Des Plains, IL, to begin the development of state pediatric readiness champion teams. The champion team concept will bring together pediatric readiness champions in five pilot states to support pediatric readiness in every emergency department.
EMSC state program managers and ENA state chairs from each pilot state, Colorado, Illinois, Indiana, Louisiana, and Pennsylvania, were in attendance. Additionally, representatives from the American Academy of Pediatrics and the American College of Emergency Physicians were in attendance to share information about their organizational initiatives to support pediatric readiness.
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Research Resources and Results
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Variability in Quality of Chest Compressions Provided during Simulated Cardiac Arrest across Nine Pediatric Institutions
A recent article published in Resuscitation described the degree of variability in the quality of cardiopulmonary resuscitation (CPR) provided during simulated cardiac arrest in multiple pediatric institutions. The study also determined if the variability in the quality of CPR provided is affected by Just-in-Time CPR training and/or visual feedback during a simulated cardiac arrest.
Using secondary analysis of a prospective, multi-center trial, investigators randomly assigned study participants to one of three categories: (1) no intervention, (2) real-time CPR visual feedback during cardiac arrest or (3) Just-in-Time (JIT) CPR training. There was a total of 1,605 study participants (group 1, n=528, group 2, n=552, and group 3, n=525).
Investigators found in the group with no intervention, compression depth and rate varied significantly between study sites (depth median range: 22.2-39.2mm and rate range 116.0-147.6min (-1), p<0.001). Similarly, the proportion of compressions with acceptable depth and rate varied significantly across the nine sites (depth 0-11.5% and 0-60.5%, p<0.001). Lastly, despite real-time visual feedback or JIT training, the variability in depth and rate continued (p<0.001).
Investigator concluded that despite real-time visual feedback or JIT CPR training, the quality of CPR provided during simulated cardiac arrest varied significantly across multiple pediatric institutions.
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This Week In Health Policy News
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Quality of Coverage and Access to Care for Children in Low-Income Families
A recent American Medical Association study utilized a repeated cross-sectional analysis of U.S. National Surveys of Children's Health from 2003-2007 and 2011-2012, to compare the health care access, quality, and cost outcomes by insurance types among children in low to moderate-income households.
The study found that children insured by Medicaid and the Children's Health Insurance Program (CHIP) were more likely to receive preventative medical and dental care than children with private insurance (medical: Medicaid 88%, CHIP 88% and private 83%) (dental: Medicaid 80%, CHIP 77%, and private 73%, p<0.01). The study also found that all insurance types experienced challenges in access to specialty providers with CHIP insured children experiencing the highest difficulty. Furthermore, caregivers of children with special healthcare needs experienced greater challenges accessing specialty care, frustration in obtaining health care services, and lower likelihood of insurance always meeting the child's needs than children insured by Medicaid of CHIP (29%, 36% and 63%, respectively). Lastly, caregivers of privately insured children were more likely to have greater out-of-pocket expenses than children insured by Medicaid or CHIP (77% vs. 26% and 38%, respectively, p<0.01).
The study concluded that these results could help guide future policy decisions regarding health coverage for low to moderate-income families.
For more information, access the November 16 online issue of
JAMA Pediatrics.
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Family and Caregiver Outreach
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Holiday Safety & Mental Health Tips
The holidays are an exciting time of year for kids, and to help ensure they have a safe holiday season, here are some
tips from the American Academy of Pediatrics.
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Reports and Articles of Interest
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EMF/NIDA Training Awards Available!
The Emergency Medicine Foundation (EMF) has partnered with the National Institute on Drug Abuse (NIDA) to support two $20,000 Substance Use Disorder (SUD) Training Awards. The goals of the award are to promote knowledge of treatments for patients with SUD and facilitate the development of future emergency medicine practitioners and researchers in SUD. The applicant may be a resident in an Accreditation Council for Graduate Medical Education (ACGME) approved emergency medicine residency training program, a first-year graduate, or entering first-year faculty member. Eligible candidates will not have a career development award and must be based in United States programs and institutions.
Proposals must be submitted to EMF by December 18, 2015.
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CDC Releases New CDC Injury Center Research Priorities
The Centers for Disease Control and Prevention's (CDC) National Center for Injury Prevention and Control has released the new CDC Injury Center Research Priorities. For more than 20 years, CDC's Injury Center has studied injuries and violence and researched the best ways to prevent them. Research Priorities is a living document that will guide the Center in identifying solutions to emerging injury and violence issues, to encourage innovative research, and to focus CDC's public health expertise.
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