EMS for Children Colorado

The Role of the Nurse and Physician PECC:

• Importance of the Pediatric Care Coordinator

• Role of the Nursing PECC in the ED

• Role of the Physician PECC in the ED

• PECC Learning Modules

The Pediatric Emergency Care Coordinator

The Role of the Pediatric Emergency Care Coordinator and Pediatric Readiness

PECC Models and Best Practices

Pediatric Patient & Medication Safety

Click to view COPPER PECC requirements

Competency Evaluation:

• Sample evaluation tool

Pediatric Readiness Curriculum:

• COPPER Curriculum Guide (for small sites/sites with limited peds experience)

Pediatric Advanced Life Support (PALS):

• EdCore PALS courses

• Stat Medical PALS courses

• Find a AHA PALS course

• Little Life Savers Academy (PALS and NRP)

Pediatric Emergency Assessment, Recognition and Stabilization (PEARS):

• American Heart Association's PEARS

Mobile Pediatric Simulation-Based Education:

• Rocky Mountain Hospital for Children

• EMS for Children Colorado / Children's Hospital Colorado

Emergency Pediatric Procedures (useful how-to videos):

• How to draw up and administer small doses of Epinephrine

• Intranasal medication administration

• Airway suctioning

• Using a length-based tape

• Bag valve mask

• Push-pull rapid fluid administration

• IO insertion

Pediatric Education

Upcoming Education Events

On Demand Education from Children's Hospital Colorado

On Demand Education from Children's Hospital Minnesota

Click to view COPPER competency requirements

QI Data Collection Tools:

• COPPER QI data collection tool

• Pediatric interfacility transfer monitoring tool

• National Pediatric Readiness Quality Initiative (NPRQI) A free data platform that enables EDs to measure and analyze – in real-time and at the patient level – their progress on quality metrics that improve outcomes for children.

Click to view COPPER QI/PI requirements

Weighing Children in Kilograms:

• Height and weight conversion chart

• Length-based system for estimating child's weight, for example:

  • Broselow tape

  • PALS pediatric emergency tape

Pediatric Vital Signs:

• Pediatric vital sign badge cards - (emsc.colorado@cuanschutz.edu) to request these for your ED

• Pediatric pocket reference cards (sample) - email Mari Leyva (Angelica.Leyva@childrenscolorado.org) to request these for for your ED

Safe, Weight-Based Medication Administration:

• Pre-calculated drug dosing and formulation guide, for example:

  • Handtevy

  • SafeDose

  • Lexicomp

• Pediatric medication administration policy (use as a template to create your own)

• Tylenol and Advil dosing cards - email (RMHC.Outreach@healthonecares.com) to request these for your ED

• Peds medication administration exam and answer sheet

Age-Appropriate Communication:

• Engage-Calm-Distract, a tool for emergency medical providers, caregivers and educators communicating with children and youth. It includes a companion quick reference guide titled Pediatric Emotional Distress Reference System now available as a free app.

• Supporting Pediatric Patients: Developmental Responses, Language, and Communication

Click to view COPPER Requirements for Pediatric Patient and Medication Safety

Intake and triage assessment:

• Sample policy for intake and triage assessment of the pediatric patient

• Emergency Severity Index (ESI) Implementation Handbook (see chapter 6 for pediatric triage)

Pediatric patient assessment:

• Sample policy on pediatric patient assessment and reassessment

• Sample policy on assessment and reassessment from Rocky Mountain Hospital for Children

• Pediatric assessment triangle (poster) - email Nicolena Mitchell (emsc.colorado@cuanschutz.edu) to request a poster for your ED

• Pediatric assessment lecture

• Pediatric assessments and intervention slide deck

Documentation of vital signs and identification of abnormal vital signs:

• Sample policy on documentation of vital signs

• Pocket reference cards with pediatric vital sign ranges: email Mari Angelica (angelica.leyva@childrenscolorado.org) to request these for your ED

• Badge cards with pediatric vital sign ranges: contact Miranda Applegate (RMHC.Outreach@healthonecares.com) to request these for your ED

Immunization status and management:

• CDC vaccine schedule app for providers

• CDC vaccine schedule (we recommend posting it in the ED or have it available for quick access)

• Post URL or QR code for Colorado Immunization Information System where patients can request immunization records

Sedation and analgesia:

• Sample policy on pediatric procedural sedation/analgesia

• In cases where emergent sedation is needed, sites may consider calling either of the following to get recommendations from a Pediatric Emergency Medicine physician:

  • Children’s Hospital Colorado OneCall (Aurora): 720-777-3999

  • Children's Hospital Colorado (Colorado Springs): 719-305-3999

  • Rocky Mountain Hospital for Children, 1-844-934-RMHC or 1-844-934-7642

Consent:

• Policy statement with key recommendations on obtaining consent for children and adolescents

• Sample policy on informed consent

Social and Behavioral Health:

• Critical crossroads toolkit for pediatric mental health care in the ED

• Pediatric Mental Healthcare Care Access Technical Assistance Toolkit

• The Follow-Up Project - Colorado’s Hospital Follow-Up Project is a collaboration between CDPHE’s Office of Suicide Prevention, Rocky Mountain Crisis Partners, CDHS’ Office of Behavioral Health. Follow-up services are telephonic caring contacts offered to clients discharging from an emergency department after experiencing a mental health crisis or overdose event

Use of Restraints:

• Sample flowchart for use of non-violent pediatric restraints

• Care of the Agitated Patient Flow Chart

• Recommendations for use of restraints among children and adolescents in the ED

Child Maltreatment:

• COPPER sample child maltreatment policy

• Identification of child abuse training module

• Identification of victims of child labor and sex trafficking

• Mandated reporter training

• Colorado Child Abuse and Neglect Hotline: 1-844-CO-4-Kids

Death of a Child in the ED:

• Recommendations to guide the care of children, families, and staff in the event of the death of a child in the ED

DNR Orders:

• Sample policy on end of life issues

Family-Centered Care:

• Sample policy on family presence during invasive procedures and resuscitation

• Tips for family centered care

• Policy statement

Communicating with the Primary Care Provider:

• Sample policy on communicating with community pediatricians

Disaster Preparedness:

• Checklist for hospital disaster preparedness

• Topic brief on planning for pediatric surge

• Family Reunification

Interfacility Transfers:

• Interfacility transfer toolkit for pediatric patients

• Key recommendations from The American Academy of Pediatrics Resources Recommended for the Care of Pediatric Patients in Hospital

Monitoring of the Pediatric Patient:

• How to read/interpret end-tidal capnography waveforms

Pediatric Surge:

• Pediatric Surge Playbook

Click to view COPPER policy, procedure, and protocol requirements

Imaging and Radiology:

• Sample policy on imaging and radiology for children in the ED

• Trauma Imaging Algorithm Poster from Children's Hospital Colorado

• EIIC: Best Practices in Pediatric Trauma Imaging

• LEGO MRI Scanner Models

Click to view COPPER requirements for ED support services

Equipment Location:

• Pediatric code cart scavenger hunt (use as a template to create one appropriate for your ED)

• Broselow Code Cart virtual escape room

Click to view COPPER equipment requirements

Clinical Pathways:

• Clinical pathways (Children's Hospital Colorado)

Pediatric Assessment:

• Pediatric assessment triangle poster

Triage:

• Emergency Severity Index (ESI) implementation handbook (see chapter 6 for pediatric triage)

Access:

• Urgent access algorithm

• Comfort Holds resources

Immunizations:

• CDC's immunization schedule for children and adolescents

Antimicrobial Stewardship:

• Adult and pediatric antimicrobial stewardship guidance for healthcare providers in Colorado

Trauma:

• Transfusion and Mass Transfusion, contact: shannon.becker@childrenscolorado.org

• Pediatric Trauma Resuscitation Checklist

• EIIC: Hemorrhagic Shock & Massive Transfusion Protocol (MTP)

Pediartric Emergency Guidelines Poster

Neonatal Resusitation Poster

Asthma:

• Using a metered dose inhaler (MDI)

• Asthma action plan (AAP)

Nose Frida:

• Nose Frida (English)

• Nose Frida (Spanish)

Tylenol and Ibuprofin Dosing

• English and Spanish

Disaster Preparedness Guide for Caregivers

• Disaster Preparedness Guide for Caregivers

Upcoming Pediatric Education Events

• Calendar on EMS for Children Colorado website

Pediatric Readiness Curriculum

• COPPER Curriculum Guide (for small sites/sites with limited peds experience)

Care of Pediatric Patients in the Acute Care Setting

• Little Big Med Podcast

• PEM Currents: The Pediatric Emergency Medicine Podcast

Treatments and Innovations for the Delivery of Pediatric Medicine:

• Charting Pediatrics Podcast

Peditric Pandemic Network

• Sign up for updates

• Ready. Prep. Go! Podcast

Emergency Pediatric Procedures (useful how-to videos)

• How to draw up and administer small doses of Epinephrine

• Intranasal medication administration

• Airway suctioning

• Using a length-based tape

• Bag valve mask

• Push-pull rapid fluid administration

• IO insertion

Mobile Pediatric Simulation-Based Education

• Rocky Mountain Hospital for Children Mobile Training Center

• EMS for Children Colorado / Children's Hospital Colorado Mobile Simulation Lab

Telesimulation

• SimBox & TeleSimBox - free online remote learning for everyone

Pediatric Continuing Education

• Children's Hospital Colorado Continuing Education

• Rocky Mountain Hospital for Children and HCA (healthonecares.com)

• Denver Health Pediatric Trauma Grand Rounds

On Demand Learning

Cardiac Arrest and Resusitation

• Sudden Cardiac Death in Young Athletes

• Pediatric Syncope and Sudden Death

• Is This Sepsis? Saving a Life Starts with Asking the Question

• Optimizing Outcomes for Pediatric Cardiac Arrest

• Drowning in Pediatrics

Child Abuse

• Human Trafficking an Overview

Medical Conditions

• Diabetic Ketoacidosis in Youth

• Multisystem Inflammatory Syndrome in Children

• Emergency Department Evaluation & Management of MISC in Children

• Spotting Measles Before It Spreads

• Pediatric Critical Care Case Studies

Mental and Behavioral Health

• Early Identification and Targeted Treatment of Pediatric Mental Health Concerns in a Medical Setting

• Addressing the Nation’s Youth Mental Health Crisis: Evidence-Based Practices for Suicide Screening and Prevention

• The Mental Health Crisis and Trauma Informed Care

• Early Identification and Targeted Treatment of Pediatric Mental Health Concerns in a Medical Setting

Neonatal Emergencies

• Neonatal Emergencies

• Evaluating the Newborn for Critical Congenital Heart Disease

Respiratory Distress

• Practical Approach to Pediatric Respiratory Distress

• Common Pediatric Respiratory Infections

• Current Recommendations for the Care of Patients with Bronchiolitis: What’s the Evidence & Why Does it Matter?

• Management of Pediatric Respiratory Syndromes

Trauma

• Pediatric Dental Emergencies

• Evaluation and Management of Pediatric Patients with Acute Concussion

• Pediatric Trauma Case Studies