1. Emergency Care for children at all levels Lee Wallis

2. Objectives Understand what the topic is about How can Emergency Care system can set up to provide paediatric emergency care across the platform? What are speed humps and obstacles in the way of care?

3. Levels of care Home care GP / Clinic / Day Hospital / EMS – EMS Transfer Emergency Centre – EMS Transfer Paediatric Emergency Medicine led EC – Transfer Paediatric ICU

4. Home care

5. GP / Clinic / Day Hospital / EMS

6. www.emssa.org.za

9. PLS PHPLS FEC APLS

10. Home care GP / Clinic / Day Hospital / EMS – EMS Transfer

11. EMS personnel BAA AEA ECT CCA NDip BTech

12. Standard EMS vehicle kit list

13. Paediatric Flying Squad

15. MOPMASK X 112 V HEAD STRETCHERS x 2PAEDIATRIC BAGBLACK CUPBOARD OXYGEN REG.BULLNOSERESERVOIRADULT BAG OXYGEN REG.PIN INDEXMASK X 1RESERVOIR OXYGEN FLOW METER 2NEONATAL BAGMASK X 1 OXGEN CYL LARGERESERVOIRPAEDIATRIC BAG OXGEN CYL SMALL 2LARGE MASKRESERVOIR MEDIX INCUBATORMEDIUM MASKMASK X 1 12 V CHARGERSMALL MASKPT CURCUIT HOSING 220 V CHARGERADULT BP CUFFDRAGOR EXT LEADOBESE BP CUFFCHARGER FOR PRO PAC 220 V HEAD BOXSTETHOSCOPECHILD BP CUFF NO 7 FIRE EXTINGUISHERSURGICAL CRICOID SETCHILD BP CUFF NO 8 TRAUMA BOARD 1FORCEPSNEONATE BP CUFF NO 1 HEAD BLOCKSSIZE 5.5ET TUBENEONATE BP CUFF NO 2 SPIDER HARNESSSURGICAL BLADENEONATE BP CUFF NO 3 KED EXT DEVICESYRAMED 6000 X 2NEONATE BP CUFF NO 4 SCOOP STRETCHER220 V LEADNEONATE BP CUFF NO 5 SHORT SPINE BOARDCIGARETTE CHARGER LEAD3 LEAD ECG CABLE LONG SPLINTS NUMVOLUMED 7000 X 2 (Infusion Pump) ADULT O2 SENSOR SHORT SPLINTS NUM220 V LEADNEONATAL O2 SENSOR CHAIR STRETCHERCIGARETTE CHARGER LEADO2 EXTENSION CABLE TRACTION SPLINTBABY LOG VENTILATORCAPNOGRAPH LEAD ZIP STRETCHERPT CURCUIT HOSINGLARYNGOSCOPE HANDLE BABY CRIBDRAGORBLADE MIL 0 BLANKETSCHARGER FOR PRO PAC 220 VBLADE MAC 2 ENTONOX REGULATORWELLCH ALLYN DEFIB MONITORBLADE MAC 3 ENTONOX CYLGELBLADE MAC 4 NATO STRETCHERELECTRODES MEDICALPACING PADS SUCTIONPACING CONNECTION 12 V HEADSATS EXTENSION LEAD BLACK CUPBOARDBATTERIES X2 ADULT BAGADULT SATS PROBE RESERVOIRNEONATAL SATS PROBE MASK X 1E.C.G.LEADS PAEDIATRIC BAGPROPAQ

16. Home care GP / Clinic / Day Hospital / EMS – EMS Transfer Emergency Centre

17. EM004 – equipment for emergency centres EM005 – recommended drugs for emergency centres www.emssa.org.za

18. Joint Policy Statement—Guidelines for Care of Children in the Emergency Department – American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency Physicians Pediatric Committee; Emergency Nurses Association Pediatric Committee (April 09) Services for Children in Emergency Departments – Report of the Intercollegiate Committee for Services for Children in Emergency Departments (April 07)

19. Components Child friendly design Play area Triage – Dedicated area – Dedicated system Paediatric trained nurses Paediatric emergency physician Paediatric emergency training

20. Home care GP / Clinic / Day Hospital / EMS – EMS Transfer Emergency Centre – EMS Transfer Paediatric Emergency Medicine led EC

21. College of Emergency Medicine submission The Role of the Consultant Paediatrician with Subspecialty Training in Paediatric Emergency Medicine – Royal College of Paediatrics and Child Health August 2008

22. Home care GP / Clinic / Day Hospital / EMS – EMS Transfer Emergency Centre – EMS Transfer Paediatric Emergency Medicine led EC – Transfer

23. Home care GP / Clinic / Day Hospital / EMS – EMS Transfer Emergency Centre – EMS Transfer Paediatric Emergency Medicine led EC – Transfer Paediatric ICU