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EMERGENCY MEDICAL SERVICE FOR CHILDREN (EMS-C)

EMERGENCY MEDICAL SERVICE FOR CHILDREN (EMS-C). Cynthia Frankel EMS-C Coordinator Alameda County EMS. TODAY’S AGENDA. Describe EMS-C goals & vision Provide Alameda County status report Identify priority projects Discuss opportunities for future collaboration

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EMERGENCY MEDICAL SERVICE FOR CHILDREN (EMS-C)

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

  2. TODAY’S 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

  3. NATIONAL EMS-C PROGRAM

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

  5. 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.

  6. EMS-C INCALIFORNIA

  7. 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

  8. 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

  9. 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

  10. EMS-C PROGRAMS IN CALIFORNIA Del Norte Siskiyou Modoc Trinity Shasta Lassen Humboldt Tehama Plumas EMS-C systems in place not funded by EMSA Butte Mendocino Glenn Sierra Yuba Colusa Nevada Sutter Lake Placer Yolo El Dorado Sonoma Napa Alpine EMSC programs funded by EMSA Sacramento Amador Calaveras Mono Solano Marin San Joaquin Contra Costa Tuolumne 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

  11. EMS-C INALAMEDA COUNTY

  12. 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.

  13. PURPOSE • Provide a continuum of care for pediatric patients: • ED’s and trauma centers • Rehabilitation • Adolescents at risk • Facilitate clinical components: • Injury prevention • Illness / injury care

  14. ED Medical Director American Academy Pediatrics Private Pediatricians Children’s ED physician and nurse Pediatric Trauma Nurse Coordinator EMS Med Director Paramedic Educators Fire Chiefs & EMS Liaisons Community Injury Prevention ADVISORY MEETINGS

  15. 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

  16. ALAMEDA COUNTY EMS-C • Includes expert partners & collaborations: • Public Health: EMS & Maternal Child Health • Children’s 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

  17. 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 ALAMEDA COUNTY EMS-C(cont.)

  18. COLLABORATION / INTEGRATION • Telemedicine • School Nurses • Special Needs • ED groups • Case Workers • Educators/Child Care • Preparedness • Prevention • TRIPP & PEPP • Pediatric Standards

  19. DEVELOPING EMS-C • Managed care • Funding coalitions • Public knowledge • Multi-cultural access • Links – Public Health • Improve training • Develop resources • Community needs

  20. For More Information Alameda County Emergency Medical Services Agency A Division of the Public Health Department 1000 San Leandro Blvd. San Leandro CA 94577  (510) 618-2050 (510) 618-2099 - fax website:http://www.acgov.org/ems e-mail:alcoems@acgov.org EMS for children

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