July 2017
Monthly Newsletter

Please make your nomination today!  All nominations will be considered for the 2018  Healthcare Heroes Awards breakfast. 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. You can nominate your healthcare hero by completing this   nomination form   and then emailing it to  margo.knefelkamp@indianapolisems.org

iEMSC is seeking your assistance in further identifying Pediatric Emergency Care Coordinators (PECC) in each of Indiana's hospital emergency departments.  These individuals can be a physician or a nurse who focus on ensuring children are effectively cared for in the emergency department.  If you wish to become involved or have additional questions, please contact margo.knefelkamp@indianapolisems.org

To complete the assessment, this should be done in coordination with your ED Nurse Manager or ED Director, go to www.pedsready.org, select your state, county, and hospital's name.  All hospitals with an emergency department that is open 24/7 may complete the assessment. 

Pediatric Emergency Care Coordinator Newsletter

The fourth 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.

Disaster Preparedness Resources from the EIIC    

Indiana weather can change drastically in the course of a day.  Are you and your organization prepared for the uncertainty?  The Emergency Medical Services for Children Innovation and Improvement Center have compiled resources to help you prepare for disasters.  

The Pediatric Disaster Preparedness Toolbox is available to help you get prepared for disasters. Here are some highlighted resources from the toolbox:

Get Ready. Get Safe. This initiative is designed to help communities prepare to protect and care for children in times of crisis. The program helps generate child-focused emergency plans, provide emergency training, and ensure emergency resources are in place before crisis strikes.

Ready.gov and   Ready.gov for Kids These sites contains a wealth of resources for children, parents, and educators that can help families engage in disaster preparedness activities and stay informed.

Guidelines for Care of Children in the Emergency Department This policy statement delineates guidelines and the resources necessary to prepare hospital emergency departments to serve pediatric patients. Adoption of these guidelines should facilitate the delivery of emergency care for children of all ages and, when appropriate, timely transfer to a facility with specialized pediatric services.

Preparedness Checklist for Pediatric Practices This checklist empowers pediatricians to be ready to provide care for their patients when normal operations are disrupted due to emergency events by having fundamental supplies to ensure self-sufficiency for at least 72 hours.

EMSC Hospital Pediatric Preparedness Checklist This checklist is designed to help hospitals identify their current level of pediatric preparedness and recognize additional opportunities for improvement. This checklist is also used during EMSC Pediatric Facility Recognition Site Surveys.

Emergency Information Form for Children with Special Needs This is a printable document where you can keep all current health information with the child to inform emergency medical care providers. The form includes patient and guardian contact information, primary care and specialty physicians, medical history, baseline physical findings and vital signs, medications, allergies, and more. Although it was originally designed for children with special healthcare needs, the form can be a very useful addition to your disaster preparedness kit.

Information provided by: EMSC Innovation and Improvement Center
Prevent Tick Bites

Summer is here and now is the time to enjoy outdoor activities.  The Centers for Disease Control and Prevention have developed tips.  If you have a tick bite followed by a fever or rash, seek medical attention.

Before You Go Outdoors
  • Know where to expect ticks. Ticks live in moist and humid environments, usually in wooded, brushy, or grassy areas. You don't have to visit the wilderness to come in contact with ticks. Many people get ticks in their own yard or neighborhood.
  • Treat clothing and gear with products containing permethrin. Permethrin can be used to treat boots, clothing and camping gear and remain protective through several washings.
  • Use Environmental Protection Agency (EPA)-registered insect repellents containing DEET, picaridin, IR3535, Oil of Lemon Eucalyptus, or 2-undecanone. EPA's helpful search tool can help you find the product that best suits your needs. Always follow product instructions.
    • Do not use insect repellent on babies younger than 2 months old.
    • Do not use products containing oil of lemon eucalyptus (OLE) or para-menthane-diol (PMD) on children under 3 years old.
  • Outdoor workers can find additional information at the NIOSH Tick-borne Diseases Safety and Health Topic.
After You Come Indoors
  •  Check your clothing for ticks. Ticks may be carried into the house on clothing. Any ticks that are found should be removed. Tumble dry clothes in a dryer on high heat for 10 minutes to kill ticks on dry clothing after you come indoors. If the clothes are damp, additional time may be needed. If the clothes require washing first, hot water is recommended. Cold and medium temperature water will not kill ticks effectively.
  • Shower soon after being outdoors. Showering within two hours of coming indoors has been shown to reduce your risk of getting Lyme disease. Showering may help wash off unattached ticks and it is a good opportunity to do a tick check.
  • Check your body for ticks after being outdoors. Conduct a full body check upon return from potentially tick-infested areas, which even includes your back yard. Use a hand-held or full-length mirror to view all parts of your body. Check these parts of your body and your child's body for ticks:
  • Under the arms
  • In and around the ears
  • Inside belly button
  • Back of the knees
  • In and around the hair
  • Between the legs
  • Around the waist
What to Do if You Find an Attached Tick
  • Remove the attached tick as soon as you notice it by grasping with tweezers, as close to the skin as possible, and pulling it straight out. For detailed information about tick removal, see the tick removal page.
  • Watch for signs of illness such as rash or fever in the days and weeks following the bite, and see a health care provider if these develop. Your risk of acquiring a tick-borne illness depends on many factors, including where you live, what type of tick bit you, and how long the tick was attached. If you become ill after a tick bite, see a health care provider.
Reduce Ticks in Your Yard
  • Modify your landscape to create Tick-Safe Zones. Regularly remove leaf litter and clear tall grasses and brush around homes, and place wood chips or gravel between lawns and wooded areas to keep ticks away from recreational areas, and keep play areas and playground equipment away from away from shrubs, bushes, and other vegetation.
  • Consider using a chemical control agent. Effective tick control chemicals are available for use by the homeowner, or they can be applied by a professional pest control expert, and even limited applications can greatly reduce the number of ticks. A single springtime application of acaricide can reduce the population of ticks that cause Lyme disease by 68-100%.
  • Discourage deer. Removing plants that attract deer and constructing physical barriers may help discourage deer from entering your yard and bringing ticks with them.
Information provided by:    Centers for Disease Control and Prevention

Why Anchor It

Every 24 minutes tipped furniture or a falling TV sends an injured child to the emergency room. Preventing tip-over incidents is easy, inexpensive, and only takes 5 minutes.  The majority of tip-over incidents result in head injury.  Anchor furniture to the wall with inexpensive brackets, braces, and or wall straps sold at local hardware and home store.  Televisions that are not wall mounted should be anchored to the wall or stand using an anti-tip device.

To prepare your home and for more information, please visit  anchorit.gov


Upcoming Courses:
  • 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.  In person training to occur fall 2017.
  • MESH 2017 Grand Rounds Series. On Thursday, July 6, 2017, Merritt "Chip" Schreiber, PHD, Professor of Clinical Pediatrics at the Department of Pediatrics Harbor-UCLA Medical Center and the David Geffen School of Medicine at UCLA, Creator of PsySTART Rapid Mental Health Triage and Incident Magement System will present The Way Forward: Evidence-Based Disaster Mental Health Response and Recovery at the Indiana Blood Center, 3450 N Meridian St Indianapolis, IN 46208. Admission is free and open to the public. A free continental breakfast will be served beginning at 7:30 AM, with the presentation following from 8:00-9:00 AM. For more information on this event and to view the MESH flyer, click here 
  • 2017 Indiana Emergency Response Conference (IREC).
    Working together  through Leadership & Safety. 
    September 20-23, 2017. Location: Sheraton Indianapolis at Keystone Crossing, 8787 Keystone Crossing, Indianapolis, IN 46240.  For more information click here
  • ATV Safety Institute Instructor Preparation (IP) Course. Sponsored by the Indiana Coalition for ATV Safety.  Class size is limited to 8 people.  To apply, application must be received by August 15, 2017.  The course is November 7-10, 2017.  Time: 8:00am-5:00pm. Cost=$100.  Location: Interlake Recreation Area, East 200 IN-68, Lynnville, IN.  For more information, click here.
  • National Healthcare Coalition Preparedness Conference.  November 28-30th, 2017.  Location: Sheraton Dan Diego Hotel & Marina. 1380 Harbor Island Dr. San Diego, California 92101. For more information and to register, click here
  • Child Passenger Safety Technician Scholarship Program: The Child Passenger Safety Technician (CPST) Scholarship Program, sponsored through the Indiana State Department of Health (ISDH), Division of Trauma and Injury Prevention, is dedicated to preventing injuries and trauma throughout Indiana. Through the Maternal Child and Health Services (TITLE 5) grant, recipients can be reimbursed up to $250 for participating in a training course to become a CPST. The CPST Scholarship Program funds must be used towards any fees related to the training class, including: the cost of the class; travel; lodging; parking services; or any equipment needed in order to attend the class. For more information about this program, please contact Preston Harness, Injury Prevention Program Coordinator for ISDH. Click  here for more information.
  • 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.
Contact Information:

Program Director:
Elizabeth Weinstein, M.D.

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

3930 Georgetown Rd., Indianapolis, IN 46254
(317) 630-7742