EMSC: THE EMERGENCY MEDICAL SERVICES FOR CHILDREN PROGRAM OVERVIEW OF PROGRAMS EMSC: THE EMERGENCY MEDICAL SERVICES FOR CHILDREN PROGRAM SNEMS-C: THE SCHOOL NURSE EMERGENCY MEDICAL SERVICES FOR CHILDREN PROGRAM

CONFLICT OF INTEREST / COMMERCIAL SUPPORT DISCLOSURE This educational activity is being presented without the provision of commercial support and without bias or conflict of interest from the planners and presenters.

LECTURE OBJECTIVES Outline the basic reasons that prompted development of a National Emergency Medical Services for Children (EMSC) program Discuss the overall goal of the School Nurse Emergency Medical Services for Children Program (SNEMS-C)

EMS EMSC SNEMS-C .

DEVELOPMENT OF U.S. EMS SYSTEMS Development began in the late 1960’s - early 1970’s Based on medical advancements Vietnam War American Heart Association Primarily designed for adult trauma or cardiac patient Unintentionally overlooked the needs of children

THE DATA Studies estimated that children had TWICE the mortality of adults in similar emergency situations

EMERGENCY MEDICAL SERVICES FOR CHILREN (EMSC) DEVELOPED TO ADDRESS GAPS IN THE SYSTEM General lack of preparedness in managing the emergency care needs of the seriously/critically ill or injured child No widespread availability or dissemination of healthcare practitioner pediatric emergency care education Lack of pediatric emergency care treatment standards/protocols Lack of range of pediatric sized equipment in ambulances and emergency departments Others

THE NEED FOR EMSC “While I was U.S. Surgeon General, the United States Congress passed legislation to improve emergency medical services for children. It received my full support, because critically ill and injured children were not receiving the same high quality of emergency health care we provided for adults. But this is not unusual; throughout history, children have not been our first priority.” C. Everett Koop, MD Surgeon General 1982-1989

EMSC National EMSC Program established in 1984 through federal legislation Jointly sponsored by Maternal & Child Health Bureau National Highway Traffic Safety Administration Funding provided to states to enhance the pediatric component of their emergency medical services system

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EMSC – SPONSORED EDUCATIONAL PROGRAMS EMSC funds have been distributed to support pediatric education: Advanced Pediatric Life Support Course (APLS) Emergency Nursing Pediatric Course (ENPC) Pediatric Advanced Life Support Course (PALS) Pediatric Education for Prehospital Professionals (PEPP) Pediatric - Basic Life Support Course (P-BTLS) JumpSTART Multicasualty Triage Training School Nurse Emergency Medical Services for Children Program (SNEMS-C)

SNEMS-C COURSE BACKGROUND 1985 - Connecticut developed an Emergency Care Training Course for School Nurses  UCONN received a EMSC Targeted Issues grant to revise the course  SNEMS-C 1995 - Connecticut revised the curriculum and held a train-the-trainer workshop. Illinois EMSC sent four nurses to this workshop to become course instructors 1996 - Illinois EMSC began conducting the first School Nurse Emergency Care (SNEC) courses in that state 2017 – UCONN revised the curriculum and retained two new instructors – 5th edition  

COURSE FORMAT Team-taught by School nurses and Emergency department nurses Course length is 3 days Course combines lectures, case presentations/scenarios and skill stations Successful course completion Contact hours awarded Course renewal recommended every four years

COURSE GOAL The goal of the SNEMS-C course is to provide an educational opportunity that assists the school nurse in developing the necessary skills to appropriately assess, triage and manage the ill or injured student in the school setting.

COURSE OBJECTIVES AT THE END OF THIS COURSE, THE SCHOOL NURSE SHOULD BE ABLE TO: Use prioritized assessment skills Provide care that conforms with EMS protocols Develop a comprehensive emergency school plan Develop specific strategies for students’ health care needs Collect and analyze data to improve student health outcomes

BENEFITS OF THE SNEMS-C COURSE Partnerships Other school nurses/school personnel Local EMS Community agencies Parents/caregivers Education Networking Mentoring Standards

REMEMBER: PROVIDING FOR CHILDREN IN AN EMERGENCY IS A TEAM EFFORT ARE YOU PREPARED? .

RESOURCES National EMSC website National Association of School Nurses www.ems-c.org National Association of School Nurses www.nasn.org Association of School Nurses of Connecticut www.ctschoolnurses.org Connecticut State Department of Education www.sde.ct.gov Connecticut Department of Public Health www.ct.gov/dph American Academy of Pediatrics www.aap.org www.healthychildren.org Centers for Disease Control and Prevention www.cdc.gov 18

QUESTIONS?