April 2019; Volume 8, Issue 4
A Word From Our Program Manager
Spring is here! I have evidence in my yard with blooming crocuses, irises, and daffodils. The tulips are not far behind. Each spring we celebrate EMS week which falls on May 19-25 this year. This year's theme is EMS Strong: Beyond the Call. How appropriate! EMS plays a significant role in the community. Not only do EMS professionals focus on the best emergency care for patients, they take a holistic approach and also address emotional and psychological aspects. In going Beyond the Call, EMS professionals play a role in public health as well by providing community education and prevention programs. They are considered "influencers" in their communities, utilizing their leadership skills and going Beyond the Call, even after their regular job is done.
There are five theme days for EMS week:
- Monday: EMS Education Day (educate the public to prevent injury and illness)
- Tuesday: EMS Safety Day (educate the public and EMS providers about safety measures)
- Wednesday: EMS for Children Day (highlights the unique aspects of providing care to children and raises awareness for specialized care for children)
- Thursday: Save a Life Day (CPR and Stop the Bleed)
- Friday: EMS Recognition Day (honor local EMS heroes)
The Primary Children's Hospital will host a breakfast for EMS providers the morning of Wednesday, May 22. The Bureau of EMS and Preparedness, EMS for Children program will also be there to provide information on programs available to EMS professionals to educate the public about injury and illness prevention. Please stop by and say hello.
Thank you for your continued service in providing emergency care, public education, and injury prevention techniques to your communities and in improving pediatric care in Utah. We appreciate your efforts in going Beyond the Call!
For more information on EMS week go to: https://www.acep.org/emsweek
Pedi Points - Tia Dickson RN, BSN Primary Children's Hospital
Who Are We?
We are advocates for pediatric medical practice, EMS agents, and children.
The EMSC Program aims to ensure that emergency medical care for the ill and injured child or adolescent is well integrated into our emergency medical service system. A child should be able to get the same excellent care, backed by current evidence-based knowledge, regardless of where they live or travel in this state. EMSC works closely with Primary Children’s Hospital (PCH). The only children’s hospital in the state, PCH is an excellent resource for expert guidance on the care of children.
EMSC’s overall goal is to reduce pediatric morbidity and mortality in Utah. We work to:
- Develop effective and sustainable training methods to improve pediatric knowledge among EMS providers.
- Assure that program grantees address improvements in pediatric care provided by emergency medical services (EMS) providers in the pre-hospital setting.
- Identify evidence-based triage protocols and hospital designation choices of acutely ill or injured children.
- Evaluate the health outcomes of pre-hospital pediatric care.
- Develop modules of regionalization and telemedicine that allow for timely transfers or care delivery to critically ill or injured children in rural settings where specialty care is not readily available.
Our newsletter, EMSC Connects, works to provide good pediatric information to our target audience; anyone who wants to improve their care and understanding of children in healthcare. We also highlight pediatric training activities and prevention throughout the state. We invite submissions from our audience, both for calendar events and articles of interest. We want to hear about your pediatric experiences, teaching points, and perspectives. Submit to TDickson@utah.gov
We invite you, along with your EMSC program, to be an advocate for the children in our state. Every healthcare professional who interacts with children should keep their role as a child advocate in the forefront of their practice.
The Doc Spot - Katherine Wolpert, MD
Every year there are 9,000 children who die due to injuries. This is equal to 150 school busloads of children. Injuries are often preventable and the American Academy of Pediatrics (AAP) focuses on injury prevention and seat belt safety to keep kids healthy.
Motor vehicle crashes are a leading cause of death and disability among children in the United States. In fatal crashes involving children, one in three was an unrestrained passenger. The misuse or non-use of safety restraints is the leading factor in preventable motor vehicle deaths and injuries. All children in a vehicle need to be properly restrained and all children younger than age 13 should ride in the back seat.
New AAP recommendations say that Infants and toddlers should ride in a rear-facing car seat as long as possible, until they reach the highest weight and height allowed by their seats (at least 2 years of age or more). Infant and toddler heads are large and that can put increased strain on the neck during an accident. Rear-facing car seats are the safest option, giving the best support to an infant’s head, neck, and spine.
Adult head = 6% of total body weight
Infant head = 25% of total body weight
Eventually the child will need to be moved into a properly fitted booster seat. There should be no rush to transition between steps. Booster seats are appropriate for children who weigh at least 40 pounds and many can accommodate children up to 65 pounds or more.
Most children cannot fit properly into a vehicle seat belt until they are 13 years old or 4 feet 9 inches tall. Seat belts are designed for adults, not children. Children using seat belts too soon are four times more likely to suffer a serious head injury than those restrained in child safety seats or booster seats. Children using incorrect restraints instead of a booster seat are 3.5 times as likely to sustain an abdominal injury.
In 2012, booster seat use among children ages 4-7 in motor vehicle crashes was 56% in Utah. Older children were less likely to be properly restrained than younger children. While more than 90% of 1-year-old children were in an appropriate child safety seat in a crash, only 76% of 4-year-olds, 47% of 6-year-olds, and 14% of 8-year-olds were in an age appropriate restraint.
Utah law states that children must ride in booster seats until age 8. If drivers, or any passengers in a car are not properly restrained, a fine will be applied.
Resources: To find your local car seat safety technician who can help install and fit your child’s seat, please go to: https://highwaysafety.utah.gov/wp-content/uploads/sites/22/2018/10/Is-Your-Child-Safe-Oct-18.pdf
Caring for Our Children: National Health and Safety Performance Standards—Guidelines for Early Care and Education Programs, 3rd Edition. http://cfoc.nrckids.org
Parents remember, the responsibility doesn't end once your child is secure in their car seat
Did You Know?
News from National - Will motor vehicle safety technologies reduce MVCs?
Pediatric Education and Trauma Outreach Series (Petos)
Monday, April 8th, 2pm
Salt Lake City Public Safety Building, 475 South 300 East, Salt Lake City, Utah, USA
2019 Northern Utah Trauma System Conference
Saturday, April 27th, 8am
1301 North 600 West
Primary Children's Pediatric Grand Rounds
Thursday, April 11th, 8-9am
100 Mario Capecchi Drive
Salt Lake City, UT
Topics of interest to EMS:
- April 11th Practicing Pediatrics on the Navajo Reservation
- April 18th Abuse or Accident? Evidence to Aid in Differentiation
The Pediatric Grand Rounds weekly lecture series covers cutting-edge research and practical clinical applications for hospital and community-based pediatricians and other practitioners who provide care for children of any age.
The series is held every Thursday, 8 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.
Looking for a PEPP Class?
EMSC Pediatric Education for Prehospital Providers
Register online at peppsite.org. Look up classes in Utah and find the one 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 ($18.95). Return to peppsite.org to register for the class and follow the prompts.
If you have any questions, please email Erik Andersen at firstname.lastname@example.org or text/call 435-597-7098. Continue to watch the website for additional classes.
Emergency Medical Services for Children, Utah Bureau of EMS and Preparedness
The Emergency Medical Services for Children (EMSC) Program aims to ensure that emergency medical care for the ill and injured child or adolescent is well integrated into an emergency medical service system. We work to ensure that 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, no matter where they live, attend school, or travel.