1. 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

2. 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.

3. 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)

4. EMS
EMSC
SNEMS-C .

5. 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

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

7. 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

8. 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

9. 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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11. 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)

12. SNEMS-C COURSE BACKGROUND
Connecticut developed an Emergency Care Training Course for School Nurses  UCONN received a EMSC Targeted Issues grant to revise the course  SNEMS-C
Connecticut revised the curriculum and held a train-the-trainer workshop. Illinois EMSC sent four nurses to this workshop to become course instructors
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

13. 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

14. 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.

15. 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

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

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

18. RESOURCES National EMSC website National Association of School Nurses
National Association of School Nurses
Association of School Nurses of Connecticut
Connecticut State Department of Education
Connecticut Department of Public Health
American Academy of Pediatrics
Centers for Disease Control and Prevention 18

19. QUESTIONS?