Improving pediatric EMS care

For more than 10 years, Vermont's EMS for Children program has worked with families, local emergency responders, hospital and community organizations throughout the state to improve emergency care of our children through education, system development and research.

Pediatric Education

The EMS for Children (EMSC) program works with state and local services to increase educational opportunities for emergency providers to improve their abilities to treat ill and injured children. The program has supported Pediatric Education for Prehospital Professionals (PEPP), and makes sure pediatric topics are presented at the annual EMS conference.

Safe Transport of Children in Ambulances (CPS for EMS)

The Safe Transport training, also known as Child Passenger Safety (CPS) for EMS, was developed to increase the number of properly restrained children during ambulance transport.

The course is designed to educate EMS personnel and others involved in transporting children in ambulances, about the selection and installation of ambulance-specific restraints and some types of conventional child restraints in the ambulance.

PEGASUS- Evidence Based Pediatric Protocols for Prehospital Care

Pediatric Evidence-Based Guidelines Assessment of EMS System Utilization (PEGASUS) project is working to improve the evidence base for pediatric prehospital care utilizing the National Prehospital Evidence-Based Guideline (EBG) Model Process. To date, the multidisciplinary project team led by Manish Shah, MD of Baylor College of Medicine and Texas Children’s Hospital, has developed four pediatric-relevant guidelines – airway management, allergic reactions, shock, and spinal care.

Vermont and all the New England state EMS offices have incorporated these evidence-based guidelines and recommendations into our EMS statewide protocols.

 Resources

EMS Pre-Hospital Providers
  • Ambulance Transport of Kids  Nationally there are several resources regarding safely transporting children.
  • EMS for Children Day (Wednesday of EMS Week) Each year the federal EMSC program partners with American College of Emergency Physicians, the American Academy of Pediatrics, and the Emergency Nurses Association to celebrate EMS for Children Day.
Community Healthcare Provider

  • Pediatric Readiness Project This multi-phase quality improvement initiative ensures that all U.S. emergency departments have the essential guidelines and resources in place to provide effective emergency care to children.
  • Checklist: Essential Pediatric Domains and Considerations for Hospital Disaster Preparedness Policies
  • Guidelines for Care of Children in the Emergency Department
  • AAP Children and Disasters Website
Families
  •  Family Preparedness for disasters and other emergencies
  • Emergency Information Form is an important form to ensure that a child’s medical history is summarized and available when needed. Learn more about the EIF here.