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

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EMERGENCY MEDICAL EMERGENCY MEDICAL SERVICE FOR CHILDREN SERVICE FOR CHILDREN (EMS-C) (EMS-C) Cynthia Frankel EMS-C Coordinator Alameda County EMS
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  • EMERGENCY MEDICAL SERVICE FOR CHILDREN(EMS-C)Cynthia FrankelEMS-C CoordinatorAlameda County EMS

  • TODAYS AGENDADescribe EMS-C goals & visionProvide Alameda County status reportIdentify priority projectsDiscuss opportunities for future collaborationFacilitate discussion: ideas for partnerships & feedback

  • NATIONAL EMS-C PROGRAM

  • WHAT IS EMS-C?National initiative designed to reduce child and youth disability and death due to severe illness and injury.

  • GOALSWhen 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.

  • EMS-C INCALIFORNIA

  • STATE EMS-C MODELEMS Authority developed: guidelinesstandardskey productscomprehensive model for EMS-C services

    The EMS-C Model - a continuum of care for:detection of an illness or injuryemergency department carerehabilitation

  • 5-YEAR PLAN (2001 2005)Improve data collection & quality improvement Integrate pediatric issues in all aspects of EMSExpand illness & injury prevention, first aid and CPR Optimize pediatric emergency, trauma & critical care capabilitiesDevelop broad based support for improving EMS-CImprove / expand pediatric emergency trainingCoordinate local, state, federal & private agency EMS-C effortsEnsure universal access to EMS system

  • ROLE OF THE STATEProvides guidance to local planning effortsEMSA #196 EMS-C program Standards of Practice and 5 year plan (published November 1994)

    Partners with Alameda County: State Projects

    Consists of multidisciplinary pediatric expertsState Technical Advisory Committee (TAC) EMS-C Coordinators

  • HumboldtSiskiyouModocLassenShastaTrinityTehamaPlumasSierraButteGlennNevadaPlacer ColusaMendocinoLakeSonoma NapaYoloSutterYubaEl DoradoAmadorAlpineMonoTuolumneSacramentoSanJoaquinSolanoContraCostaMarinSan FranciscoSan MateoSanta CruzAlamedaSantaClaraStanislausMercedMariposaMaderaSanBenitoMontereyFresnoInyoKingsTulareKernSan Luis ObispoSanta BarbaraVenturaLos AngelesSan BernardinoRiversideOrangeSan DiegoImperialEMS-C systems in placenot funded by EMSAEMSC programs funded by EMSANo EMSC system in placeCalaverasDelNorteEMS-C PROGRAMS IN CALIFORNIA

  • EMS-C INALAMEDA COUNTY

  • MISSION STATEMENTIn Alameda County, the goal of the EMS-C program is:To reduce pediatric morbidity & mortality from injury & illnessTo 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.

  • PURPOSEProvide a continuum of care for pediatric patients:EDs and trauma centersRehabilitationAdolescents at risk

    Facilitate clinical components:Injury preventionIllness / injury care

  • ADVISORY MEETINGSED Medical DirectorAmerican Academy PediatricsPrivate PediatriciansChildrens ED physician and nursePediatric Trauma Nurse CoordinatorEMS Med DirectorParamedic EducatorsFire Chiefs & EMS LiaisonsCommunity Injury Prevention

  • PEDIATRIC BEST PRACTICESFacilitate and evaluate prehospital personnel pediatric educationemergency medical equipmentDevelop specialized pediatric treatment protocolsConduct hospital Site Visits assess pediatric capability in trauma centersPromote innovative new projects: special needs; mental health issues

  • ALAMEDA COUNTY EMS-CIncludes expert partners & collaborations:Public Health: EMS & Maternal Child HealthChildrens Hospital Community advocatesFacilitate priority projects:Emergency school guidelinesHospital evaluations: site visitsSpecial needs: mental health Emergency information cardDanny Foundation: safe crib projectSafe kids

  • ALAMEDA COUNTY EMS-C (cont.)Prehospital equipment, protocols, & educationEmergency room guidelinesTransport guidelinesInter-facility transfer guidelinesCross-border transfersCross-border data Community integration into injury & illness prevention

  • COLLABORATION / INTEGRATIONEducators/Child CarePreparednessPrevention TRIPP & PEPPPediatric StandardsTelemedicineSchool NursesSpecial NeedsED groupsCase Workers

  • DEVELOPING EMS-CLinks Public HealthImprove trainingDevelop resourcesCommunity needsManaged careFunding coalitionsPublic knowledgeMulti-cultural access

  • For More InformationAlameda County Emergency Medical Services AgencyA Division of the Public Health Department1000 San Leandro Blvd. San Leandro CA 94577(510) 618-2050 (510) 618-2099 - faxwebsite: http://www.acgov.org/ems e-mail: [email protected]

    Data: Standardized process for indicator and benchmark development. Define a minimum data set for EMSC. Define other related data sets - Identify and eliminate barriers to data collection/use. Analyze to evaluate outcomes of specific interventions.Integrate Peds Issues: 100% CA Counties integrating EMSC Components into EMS Systems Evaluate, enhance, and sustain Encourage management guidelines by pediatric care providers (UC, Family clinics, medical offices, etc.) Pediatric Emergency Department management Guidelines Determine effect of Payor Status. Disaster planningExpand Availability Injury and Illness Prevention programs (IIPP) First aide and CPR programs (Most effective) community education IIPP integration into Prehospital programs & EducOptimize Critical Care and Emergency Services


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