December 2022; Vol.11, Issue 12
Tia Dickson, RN, BSN
Primary Children's Hospital
Did you know, at the bottom of every newsletter there is a PDF attachment that allows you to print out that issue? They make a great "bathroom read" in agencies and breakrooms.
Trauma is trauma, even when the patient is pediatric
Lindy Kartchner RN, BSN
Trauma outreach coordinator, Primary Children's Hospital Trauma Services
Excerpts from October 10th PETOS
For EMS, pediatric patients usually fall into your high acuity, low frequency category. You don't see many patient younger than 18 (about 8% of all calls in 2021). From recent stats your top 5 pediatric complaints for all pediatric calls are:
- Respiratory distress
- Behavioral health
In 2021 there were 28,217 pediatric calls but only about 1.000 were classified as critical ill or injured. Besides the scarcity of these calls, a research study found universal reasons that peds calls affect us more than adult calls.
- There is a special social value for children
- Caregivers (parents) become secondary patients
- We identify with patient and family
- There are clinical difficulties (difference in anatomy, physiology and development)
- Pediatric calls make up about 8% or your calls; of those, only 3% are critical
- Add the themes that came out of that research study
- And the differences in anatomy and physiology
You can see why your heart may start to beat a bit faster when dispatch relays a pediatric call. What is important to remember is that when it comes to trauma, trauma is trauma even for the pediatric patient.
Everyone starts in the same place—a systematic approach
What to expect at Primary Children's Hospital
- Trauma time out: Occurs before you arrive. The team leader will identify roles, lay out the information received from your called in report, and make a plan of care with all those present.
- Transfer to gurney
- Primary survey and resuscitation: the ABCDE of our systematic approach. The PAR process will pause here if the child needs any life-saving intervention (intubation, epi drips, access, etc.)
- EMS report: Follows the MIST mneumonic
- Secondary survey: A head-to-toe evaluation, collection of history, and obtaining additional diagnostic tests.
- Trauma huddle: This is a brief team discussion about anything that needs to be completed before leaving the bay.
How do you close the loop? Get follow Up
Lindy Kartchner does in-depth follow up on any trauma cases
Tia Dickson does in-depth follow up on any medical case
Skill refresher—traumatic brain injury
Protocols in practice—General trauma management
Current Events in Pediatrics
Annette Newman MS, RN, CCRN
Disaster preparedness consultant
Utah Hospital Association
On behalf of the pediatric surge team, thank you all so much for the amazing care you give to children during this early season pediatric respiratory surge. We appreciate all of you who have reached out for extra education and resources on caring for young children with bronchiolitis and other respiratory illnesses.
Currently, Utah is seeing an increase of COVID-19, RSV, parainfluenza, and influenza cases. DHHS continues to monitor hospital capacity statewide, specifically Primary Children's Hospital.
There are many excellent resources available in the quick links below and attached as PDF files (at the end of this newsletter).
- ASPR Technical Resources, Assistance Center, and Information Exchange (TRACIE) page on Pediatric Surge Resources launched to help respond to the current pediatric surge in viral respiratory illnesses
- Version 1 of the WRAP-EM JIT Basic Clinical Guidance for Pediatric Respiratory illness. It is intended to be distributed to hospitals and providers particularly in rural areas. Updates will be available at the WRAP-EM website, https://wrap-em.org/ (also attached)
- EIIC surge page which includes resources from PPN, WRAP-EM, Region 5 for kids and others. It also contains excellent EMS/prehospital resources (attached) https://emscimprovement.center/domains/preparedness/active/surge/
- PCH Clinical guidance for respiratory care of children including High-Flow Nasal Cannula (HFNC) Protocols (attached in addition to being located in the ASPR TRACIE resource link).
News from Utah EMSC
Remember when you took the 2022 EMS for children survey? Did you get your results?
NEDARC sent this report to the approximately 16,000 respondent and non-respondent EMS agencies across the country by personalized emails. The primary intent of the report is to serve as a thank you to those who completed the survey. You can download each national report below:
Check out the attached PDFs at the end of this newsletter to help deal with the pediatric respiratory surge.
The EMSC Data Center has created a new fact sheet which describes the link between pediatric readiness facility recognition on NPRP assessment scores. We continue to see that emergency departments who participate in a Pediatric Readiness Recognition Program score, on average, more than 20 points higher on the NPRP assessment than those who do not.
HRSA Highlight—CYSHCN Blueprint for Change
If you work to improve care for children and youth with special health care needs (CYSHCN), we hope you will take a look at a new report from the National Academies of Sciences, Engineering, and Medicine. They conducted a 2-day workshop to examine the impact of the COVID-19 pandemic on children with who have disabilities and their families. The report, Supporting Children with Disabilities: Lessons from the Pandemic, can help inform the work in the CYSHCN Blueprint for Change. Let's create a nation where all children enjoy a full life and thrive in their communities from childhood through adulthood.
EMSC monthly office hours
Tuesday, Jan. 3rd 2023 at 9-11am
This is an online event.
BEMSP is inviting you to a scheduled Zoom meeting.
Join Zoom meeting
Meeting ID: 870 0564 5259
Monthly from 9 a.m. to 10 a.m. on the first Tuesday from Tuesday, November 1 to Tuesday, February 7, 2023 (Mountain Time—Denver)
Virtual quarterly PECC meeting—save the date
Tuesday, Feb. 21st 2023 at 10am-12pm
This is an online event.
Kids and COVID-19
Utahns who are eligible to receive a bivalent booster dose right now include:
- Individuals 6 years of age and older are eligible for the updated Moderna booster if it has been at least 2 months since they completed their primary vaccination series or received a booster dose.
- Individuals 5 years of age and older are eligible for the updated Pfizer-BioNTech booster if it has been at least 2 months since they completed their primary vaccination series or received a booster dose.
The pandemic lead to many missed well-child checks and some children missed childhood vaccinations. Check to see if you’re up-to-date on all immunizations, whether for yourself or your children, as well as health screenings and well-child checks:
Pediatric education from Utah EMSC
Pediatric education and trauma outreach series (Petos)
Monday, Dec. 12th, 2-4pm
This is an online event.
Utah EMS for Children (EMSC), Primary Children's Hospital (PCH), and Utah Telehealth Network (UTN) offer the pediatric emergency and trauma outreach series (PETOS) to EMS providers.
This course provides one free CME from the Utah Department of Health and Human Services Office of Emergency Medical Services for EMTs and paramedics. The lectures are presented by physicians and pediatric experts from Primary Children’s Hospital. The format is informal; inviting questions and discussion.
Join us on Zoom each second Monday at 02:00 PM Mountain Time (US and Canada) Click the pic below!
Archived presentations can be viewed and also qualify for CME. Access at https://intermountainhealthcare.org/primary-childrens/classes-events/petos
To obtain a completion certificate
- For "live" (virtual) participants: To receive a certificate of completion for attendance be sure to include your email address when the host requests it in the chat during the live presentation. Certificates are e-mailed out after verification of attendance and processing.
- For archived viewing: After viewing archived presentations (link above) e-mail firstname.lastname@example.org with the date and title of presentation viewed. You will receive a three question quiz to verify participation. Once the quiz is returned, certificates are e-mailed out.
We try to have certificates out within a week but will occasionally have delays.
Looking for a PEPP class?
Pediatric education for the prehospital provider
Register online at www.peppsite.com. Look up classes in Utah and find the 1 that works for you. Once you find the class, go to jblearning.com, and look up pepp als in the search tool. Purchase the number ($21.95). Return to peppsite.org to register for the class and follow the prompts.
If you have any questions, please email Erik Andersen at email@example.com or text/call 435-597-7098. Continue to watch the website for additional classes.
Other pediatric education
45th Annual current concepts in neonatal and pediatric transport conference
Tuesday, Feb. 21st 2023 at 8am to Friday, Feb. 24th 2023 at 5pm
215 West South Temple
Salt Lake City, UT
EMS Focused Education
University of Utah's EMS Grand Rounds (Offered every 2nd Wednesday of even months)
Wednesday, Dec. 14th, 2pm
This is an online event.
Click here to join
Virtual-Zoom Meeting Meeting
ID: 938 0162 7994 Passcode: 561313
Hospital Focused Education
Primary Children's Pediatric Grand Rounds (offered every Thursday, Sept-May)
Thursday, Dec. 22nd, 8am
This is an online event.
The Pediatric Grand Rounds weekly lecture series covers cutting-edge research and practical clinical applications, for hospital and community-based pediatricians, registered nurses, and other physicians and practitioners who care for children of any age.
The series is held every Thursday, 8 a.m. to 9 a.m. from September through May in the 3rd Floor Auditorium at Primary Children's Hospital. The lectures are also broadcast live to locations throughout Utah and nationwide.
Emergency Medical Services for Children, Utah Bureau of EMS and Preparedness
The Emergency Medical Services for Children (EMSC) Program aims to ensure emergency medical care for the ill and injured child or adolescent is well integrated into an emergency medical service system. We work to ensure the system is backed by optimal resources and that the entire spectrum of emergency services (prevention, acute care, and rehabilitation) is provided to children and adolescents, regardless of where they live, attend school, or travel.