EMERGENCY MEDICAL SERVICE FOR CHILDREN EMSC

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EMERGENCY MEDICAL SERVICE FOR CHILDREN(EMS-C)
Cynthia Frankel EMS-C Coordinator Alameda County
EMS
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TODAYS AGENDA

• Describe EMS-C goals vision
• Provide Alameda County status report
• Identify priority projects
• Discuss opportunities for future collaboration
• Facilitate discussion ideas for partnerships
  feedback

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NATIONAL EMS-C PROGRAM
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WHAT IS EMS-C?

• National initiative designed to reduce child and
  youth disability and death due to severe illness
  and injury.

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GOALS

• When prevention fails, ensure that all ill or
  injured children adolescents receive state of
  the art emergency medical care from
• prehospital personnel
• ED personnel
• rehabilitation specialists
• To ensure that acutely ill injured children
  have access to high quality, coordinated,
  comprehensive emergency / critical care services
  appropriate for a child's special needs.

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EMS-C INCALIFORNIA
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STATE EMS-C MODEL

• EMS Authority developed
• guidelines
• standards
• key products
• comprehensive model for EMS-C services
• The EMS-C Model - a continuum of care for
• detection of an illness or injury
• emergency department care
• rehabilitation

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5-YEAR PLAN (2001 2005)

• Improve data collection quality improvement
• Integrate pediatric issues in all aspects of EMS
• Expand illness injury prevention, first aid
  and CPR
• Optimize pediatric emergency, trauma critical
  care capabilities
• Develop broad based support for improving EMS-C
• Improve / expand pediatric emergency training
• Coordinate local, state, federal private agency
  EMS-C efforts
• Ensure universal access to EMS system

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ROLE OF THE STATE

• Provides guidance to local planning efforts
• EMSA 196 EMS-C program Standards of Practice
  and 5 year plan (published November 1994)
• Partners with Alameda County State Projects
• Consists of multidisciplinary pediatric experts
• State Technical Advisory Committee (TAC)
• EMS-C Coordinators

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EMS-C PROGRAMS IN CALIFORNIA

Del Norte
Siskiyou
Modoc
Lassen
Shasta
Trinity
Humboldt
Tehama
Plumas
EMS-C systems in place not funded by EMSA
Butte
Mendocino
Sierra
Glenn
Yuba
Nevada
Colusa
Placer
Lake
Sutter
Yolo
El Dorado
Sonoma
Napa
Alpine
EMSC programs funded by EMSA
Sacramento
Amador
Mono
Calaveras
Solano
Marin
San Joaquin
Tuolumne
Contra Costa
San Francisco
Alameda
Stanislaus
Mariposa
No EMSC system in place
San Mateo
Santa Clara
Inyo
Merced
Santa Cruz
Madera
San Benito
Fresno
Tulare
Monterey
Kings
Kern
San Luis Obispo
San Bernardino
Santa Barbara
Ventura
Los Angeles
Riverside
Orange
Imperial
San Diego
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EMS-C INALAMEDA COUNTY
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MISSION STATEMENT

• In Alameda County, the goal of the EMS-C program
  is
• To reduce pediatric morbidity mortality from
  injury illness
• To develop, implement, integrate State/National
  EMS-C activities into entire spectrum of care for
  children youth (under 21 years).
• To include prevention detection of illness or
  injury, community preparedness, EMS, critical
  care, rehabilitation.

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PURPOSE

• Provide a continuum of care for pediatric
  patients
• EDs and trauma centers
• Rehabilitation
• Adolescents at risk
• Facilitate clinical components
• Injury prevention
• Illness / injury care

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ADVISORY MEETINGS

• ED Medical Director
• American Academy Pediatrics
• Private Pediatricians
• Childrens ED physician and nurse
• Pediatric Trauma Nurse Coordinator
• EMS Med Director
• Paramedic Educators
• Fire Chiefs EMS Liaisons
• Community Injury Prevention

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PEDIATRIC BEST PRACTICES

• Facilitate and evaluate prehospital personnel
• pediatric education
• emergency medical equipment
• Develop specialized pediatric treatment protocols
• Conduct hospital Site Visits assess pediatric
  capability in trauma centers
• Promote innovative new projects
• special needs
• mental health issues

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ALAMEDA COUNTY EMS-C

• Includes expert partners collaborations
• Public Health EMS Maternal Child Health
• Childrens Hospital
• Community advocates
• Facilitate priority projects
• Emergency school guidelines
• Hospital evaluations site visits
• Special needs mental health
• Emergency information card
• Danny Foundation safe crib project
• Safe kids

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ALAMEDA COUNTY EMS-C (cont.)

• Prehospital equipment, protocols, education
• Emergency room guidelines
• Transport guidelines
• Inter-facility transfer guidelines
• Cross-border transfers
• Cross-border data
• Community integration into injury illness
  prevention

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COLLABORATION / INTEGRATION

• Educators/Child Care
• Preparedness
• Prevention
• TRIPP PEPP
• Pediatric Standards

• Telemedicine
• School Nurses
• Special Needs
• ED groups
• Case Workers

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DEVELOPING EMS-C

• Links Public Health
• Improve training
• Develop resources
• Community needs

• Managed care
• Funding coalitions
• Public knowledge
• Multi-cultural access

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For More Information

• Alameda County
• Emergency Medical Services Agency
• A Division of the Public Health Department
• 1000 San Leandro Blvd.
• San Leandro CA 94577
•  [phone] [phone] - fax
• website http//www.acgov.org/ems
• e-mail alcoems_at_acgov.org