Emergency Medical Services for Children (EMSC) Recent News and Announcements

AAP/ACEP/ENA Guidelines on Pediatric Readiness in the Emergency Department (updated 2018)

The AAP, the American College of Emergency Physicians (ACEP), and the Emergency Nurses Association (ENA), published updated joint guidelines in the November 2018 issue of Pediatrics titled, “Pediatric Readiness in the Emergency Department,” that recommends ways health care providers can make sure every injured or critically ill child receives the best care possible. This is a revision of a 2009 AAP policy statement (Guidelines on Care of Children in Emergency Departments) and highlights recent advances in pediatric emergency care that can be incorporated into all hospital emergency departments that care for children. The statement emphasizes the importance of evidence–based guidelines and includes additional recommendations for quality improvement plans focusing on children and disaster preparedness.

Safe Transport of Children by EMS: NASEMSO Interim Guidance

The National Association of State EMS Officials (NASEMSO) is committed to advocating for the creation of evidence-based standards for safely transporting children by ambulance. Such standards would ensure a safer environment for the patients who rely on the EMS provider to act on their behalf.

Pediatric and Obstetric Emergency Preparedness Toolkit

The purpose of this 'toolkit' is to provide guidance to hospitals throughout New York State in preparing their own unique emergency disaster plan. It is especially useful to the hospitals that do not routinely care for pediatric, newborn or obstetric patients. The 'toolkit' provides an outline for roles and actions of hospital personnel, volunteers, families and the community during an emergency and guides hospital emergency planning to ensure the pediatric and obstetric population will be well cared for during a mass casualty event.

Handoffs: Transitions of Care for Children in the Emergency Department - AAP Policy Statement

An AAP policy statement authored by the Committee on Pediatric Emergency Medicine titled “Handoffs: Transitions of Care for Children in the Emergency Department” was released in the e-pages of Pediatrics in October 2016. The statement is joint with the American College of Emergency Physicians and the Emergency Nurses Association. The rationale for structuring transitions of care (ToCs), specifically those related to the care of children in the emergency setting, and a description of identified strategies are presented, along with resources for educating health care providers on ToCs.

Standardization of Inpatient Handoff Communication – AAP Policy Statement

A policy statement from the Committee on Hospital Care from the American Academy of Pediatrics entitled, “Standardization of Inpatient Handoff Communication” was released in November 2016. Handoff communication is identified as an integral part of hospital care. Throughout medical communities, inadequate handoff communication is being highlighted as a significant risk to patients. The complexity of hospitals and the number of providers involved in the care of hospitalized patients place inpatients at high risk of communication lapses. This miscommunication and the potential resulting harm make effective handoffs more critical than ever. Although hospitalized patients are being exposed to many handoffs each day, this report is limited to describing the best handoff practices between providers at the time of shift change.

Minimum Standards and Guidance for NYS Hospitals Regarding Pediatric Patients

In 2015, the Minimum Pediatric Care Standards for New York State Hospitals, Emergency Departments and Intensive Care Units Guidance Document and its appendix, Pediatric Consultation and Interfacility Transfer Guidelines, were developed to assist hospitals with meeting the recently enacted minimum standards for pediatric care under Title 10, Section 405 of the New York Codes, Rules and Regulations. The Guidance Document recapitulates the new pediatric regulations, and provides detailed recommendations from the State EMSC Advisory Committee regarding their implementation. The Appendix contains a wealth of information regarding the need for, process of and conditions that should precipitate consultation with pediatric medical and surgical subspecialists prior to potential transfer, as well as the appropriate procedures for such transfer.

Recommended Pediatric Equipment for New York Certified EMS Response Vehicles

In 2015 New York Bureau of EMS and Trauma System updated its Policy Statement (15-03)

Updated American Academy of Pediatrics Equipment List for Ground Ambulances

The American Academy of Pediatrics (AAP) has updated its co-authored a joint policy statement, "Equipment for Ground Ambulances". This policy statement was a joint effort with 6 other National Associations, the American College of Surgeons Committee on Trauma (ACS-COT), American College of Emergency Physicians (ACEP), Emergency Nurses Association (ENA), and National Association of EMS Physicians (NAEMSP), Emergency Medical Services for Children (EMSC) and National Association of State EMS Officials (NASEMSO).

AAP Releases Policy Statement: Consent for Emergency Medical Services for Children and Adolescents.

American Academy of Pediatrics (AAP) released the policy statement Consent for Emergency Medical Services for Children and Adolescents. The purpose of the statement is to provide guidance in those situations in which parental consent is not readily available, in which parental consent is not necessary, or in which parental refusal of consent places a child at risk of significant harm.

NHTSA Releases Materials from Safe Transportation of Children in Ground Ambulances Meeting

The National Highway Traffic Safety Administration (NHTSA) has released draft recommendations for the safe transportation of children in ground ambulances. The recommendations were developed during the Safe Transportation of Children in Ground Ambulances Meeting held on August 5, 2010.