EMERGENCY MEDICAL SERVICES FOR CHILDREN NEWSLETTER VOLUME 12, NO.4, J A N / F E B 2 0 0 0

Page 2

Fourteen 

Organizations

Receive Funding to

Help Improve EMSC

Page 4

AAP and ACEP Unveil

EIF for Special

Needs Children

Page 5

NEDARC to 

Conduct EMSIS

Region Meetings

2000 Annual 

Grantee Meeting

Scheduled

Page 8 

Region Meeting

U p d a t e

Page 14 

National Congress:

Getting There and

Getting Around

National Congress to Feature

the Latest Research in EMSC

Sessions Added to Address

Research Methodology and

Government Funding 

Attention all current and future

researchers! By attending the upcoming

National Congress on Childhood Emergencies,

individuals can learn about state-of-the-art

research in emergency medical services for

children (EMSC). The meeting’s core research

sessions will be divided into two categories:

platforms and posters. Each of the seven 

platform sessions will address five or six original research topics. (The platform abstracts will

be published in the February issue of Pediatric

Emergency Care.) The poster session will highlight 12 additional research studies.

Attendees also will have the opportunity 

to participate in five informative 90-minute 

sessions on research methodology and 

AAPCC Receives $1 Million for National Poison

Control Toll-free Number

I N S I D E T H I S

I S S U E

(See Research Sessions, page 13)

I

n October, the Centers for Disease Control

and Prevention and the Health Resources and

Services Administration awarded the American

Association of Poison Control Centers (AAPCC)

$1.05 million to implement a national poison

control toll-free telephone number. The funds will

be used to establish the number, enhance the

nationwide data collection system for poison

exposures, and develop a national public education

campaign promoting poison prevention and the

toll-free number.

“More than 130 emergency phone numbers

for poison centers exist in the U.S.,” said Rose

Ann Soloway, associate director of AAPCC. “By

advertising this single number, we will be able to

simplify access to poison control information.”

Poison Control Centers are located throughout the nation. The number of centers within a

state usually depends on the size of its population. For example, only one center covers the

state of New Mexico, but New York City has its

own Poison Control Center.

Poison Control Centers answer more than 2

million calls each year. The types of calls

received can range from a parent or caregiver

calling about a youngster who has ingested products from a medicine cabinet, to a factory worker

calling about a toxic exposure at a job site, to a

camper calling about a spider bite. 

According to Soloway, “The national hotline

will not change the operation of poison centers.

Calls to the toll-free number will be routed to the

nearest center where experts will determine if

what happened is potentially dangerous and then

recommend treatment.” After the initial assessment and treatment, experts will follow up with

the caller to ensure that he or she followed the

center’s instructions and to address any questions or problems. 

The new number, which has been selected

but not publicized, will be activated during

Summer 2000. How the hotline will be promoted and where it will be initially tested has yet

to be determined. However, Soloway said that

the testing will be conducted at one center at a

time to help troubleshoot problems within the

new system. 

For more information about AAPCC or its

new contract, contact Soloway at ras@poison.org.
2 EMSC New s J AN/ FEB 2000 

EMSC Program Director, MCHB

David Heppel, MD

D i r e c t o r, EMSC National Resource Center

Jane Ball, RN, DrPH

Managing Editor

Suzanne Sellman, MA

Associate Editor

Makita Weaver

Editor

Margo Gillman

Design 

Design Central, Inc.

EMSC News is a publication of the 

Emergency Medical Services for Children

(EMSC) Program, a federally funded initiative jointly administered by the Health

Resources and Services Administration’s

Maternal and Child Health Bureau

(MCHB) and the National Highway Tr a f f i c

Safety Administration. ISSN 1522-5275.

EMSC News is published four times a year

by the EMSC National Resource Center,

111 Michigan Avenue, NW, Wa s h i n g t o n ,

DC 20010-2970; 202/884-4927 (phone);

301/650-8045 (fax); info@emscnrc.com 

( e - m a i l ) ; w w w.ems-c.org (web). 

Subscriptions to EMSC News are free.

EMSC News welcomes articles on people,

programs, and procedures related to

emergency medical services for children.

All manuscripts, artwork, or photography

should be submitted to Suzanne Sellman

at the EMSC National Resource Center.

© 2000 EMSC Program. All rights reserved.

Fourteen Organizations to Receive PFC Contracts or PIC Grants to Help Improve EMSC

T

he Emergency Medical Services

for Children (EMSC) Program is

pleased to announce that 14 of

the nation’s largest and most prestigious organizations involved in pediatric or emergency care have been or

will be awarded Emergency Medical

Services Partnership for Children

(PFC) contracts or Partners in Information and Communication (PIC)

grants by the Maternal and Child

Health Bureau to help improve pediatric emergency care. Eight of these

organizations are featured with a

description of their respective fiscal

2000 activities below.

Ambulatory Pediatrics Association

The Ambulatory Pediatrics 

Association (APA) represents 1,600

physicians, nurses, nurse practitioners, 

epidemiologists, psychologists, and

other health care professionals who

are involved in academic pediatrics.

Its mission is to facilitate improved

patient care, teaching, and research in

general pediatrics.

Activities are underway to:

• Update APA’s annotated bibliography of pediatric emergency medical

research with relevant articles and books

published from 1998 through 2000;

• Convene the National Research

Conference on EMSC in Washington,

DC, by identifying speakers, arranging

logistics, developing programming,

and recruiting participants; and

• Prepare a report summarizing

participant discussions and recommendations for submission to an

appropriate journal for publication.

American Academy of Pediatrics

The American Academy of Pediatrics (AAP) is an organization of

55,000 pediatricians dedicated to the

health, safety, and well-being of infants,

children, adolescents, and young adults.

AAP focuses its efforts and resources

on professional education; advocacy for

children, youth, and pediatricians; 

policy development; public education;

membership services; and research.

Activities are underway to:

• Convene a meeting with representatives of the American College of

Emergency Physicians (ACEP) to 

identify opportunities for collaboration;

• Help promote National EMS We e k ;

• Collaborate with ACEP and Medic

Alert to develop and distribute an

information kit about emergency 

preparedness for children with special

health care needs. The kit will aim to

increase utilization of an emergency

information form by physicians and

other health care professionals;

• Add a pediatric emergency medicine section to AAP’s web site; and

• Convene a task force meeting

with ACEP and American Hospital

Association representatives to discuss

opportunities for collaborating on the

development of a first-aid training 

curriculum for child care providers

and parents.

American Association of Poison 

Control Centers

The American Association of 

Poison Control Centers (AAPCC) is 

a nonprofit organization representing

the poison centers throughout the

United States. Since 1983, AAPCC has

managed the Toxic Exposure Surveillance System (TESS), the only current

system for collecting national data on

poison exposures in the United States.

AAPCC also certifies poison centers

and specialists in poison information.

In addition, the association cosponsors

the annual North American Congress

of Clinical Toxicology, a national scientific meeting devoted to the study 

of clinical toxicology.

Activities are underway to:

• Identify approximately 800 pediatric poisoning categories, the frequency of poisoning occurrence, the

reasons for these exposures, the

involvement of health care facilities,

and poison outcomes, using 1998 data

collected from AAPCC’s TESS;

• Develop and submit for publication in a standard medical journal a

review of pediatric poisonings reported

in TESS from 1994 to 1998, focusing

on case severity rather than frequency;

• Create poison prevention public

education materials for posting at the

AAPCC web site; and 

• Develop ongoing reports on 

product recalls, product tampering

and contamination, and emerging

drugs or product hazards for placement on the AAPCC web site.
EMSC News J AN/FEB 2000 3

National Association of School

Nurses

The National Association of

School Nurses (NASN) represents

more than 10,000 school nurses and

48 State School Nurses Associations.

Its mission is to advance the practice

of school nursing and provide leadership in the delivery of quality health

programs to the school community.

Activities are underway to:

• Develop a student curriculum

and instructor manual to educate

school nurses about prehospital care

in the school setting. Building on the

courses of Managing School Emergencies I and II, the curriculum will

include information about multiple

trauma as it relates to respiratory,

circulatory, and neurological emergencies; triage principals; communicating

assessment and interventions to EMS

personnel; and the value of developing

a community/school disaster plan;

• Pilot-test the curriculum and

instructor manual at two sites; and

• Train a national cadre of instructors to teach the course.

Two additional organizations have

been awarded PIC grants: the American

Pediatric Surgical Association (APSA)

and the National Association of State

EMS Directors (NASEMSD). Both

organizations have a five-year grant 

as oppose to a one-year PFC contract.

American Pediatric Surgical 

Association

Chartered in 1970, APSA is the

world’s largest professional organization for pediatric surgeons. APSA’s

membership includes more than 90%

of the board-certified pediatric surgeons

from 45 states in the continental U.S.,

seven Canadian provinces, Puerto

Rico, and the District of Columbia.

Activities are underway to:

• Develop specific national, evidencebased quality measures that are

applicable across the continuum of

care for certain types of injury common among children; and

• Disseminate findings to pediatric

emergency care providers and planners

to allow evaluation and modification of

current trauma systems, assist in the

design of new systems, facilitate strategic planning by public policy officials,

and modify professional practices

among different providers.

National Association of State EMS

Directors

Established in 1980, NASEMSD

provides leadership and support in

developing effective EMS systems

throughout the nation and in formulating national EMS policy. It also fosters communication and informationsharing among state EMS directors. 

Activities underway are to:

• Establish and support more

effective methods of promotion and

collaboration on specific maternal and

child health issues and concerns among

PIC members, and enhance existing

communication channels to encourage

the greater integration of ideas.

• Develop and distribute to all

NASEMSD members a diagram and

description of both Maternal and Child

Health and NASEMSD programs, initiatives, and priorities and plot “points

of intersection” where activities and

interests join at federal and state levels. 

• Initiate ongoing dialogue

between and among PIC organizations

in an effort to learn about and communicate program initiatives or priorities that may affect EMS; and

• Increase and document the number of NASEMSD activities addressing

key maternal and child health issues.

Six additional PFC contracts will

be awarded. Information about each

organization’s activities will be featured in a future issue of EMSC News.

For more information, contact

the EMSC National Resource Center’s

Renee Barrett, PhD, or Ms. Wayne

Neal, RN, at (202) 884-4927.

American College of Emergency

Physicians

ACEP is the oldest and largest

representative body for emergency

physicians. Its membership services

include the publication of a monthly

scientific medical journal; professional

education programming for physicians, nurses, and hospital administrators; consumer education programs

developed in cooperation with emergency physicians, corporations, and

the general public; and government 

representation.

Activities are underway to:

• Help coordinate the AAP/ACEP

meeting;

• Work with AAP to develop and

distribute an information kit about

emergency preparedness for children

with special health care needs; and 

• Develop a pediatric emergency

medicine policy kit for distribution to

emergency departments.

American Psychological Association

With a membership of more than

132,000 researchers, educators, clinicians, consultants, and students, the

American Psychological Association

(APA) is the largest scientific and 

professional organization representing

the field of psychology in the United

States. APA works to advance psychology

as a science, a profession, and a

means of promoting human welfare.

Activities are underway to:

• Develop a bibliography of articles,

journals, books, and other resources

that address the psychological and

behavioral aspects of EMSC, such as

Post Traumatic Stress Disorder, Critical Stress Debriefing, and Critical 

Incidence Stress Management; and

• Organize a consensus meeting

to identify the mental health needs of 

providers who treat children for 

significant injuries, examine the 

emotional implications of emergencies, and identify research questions

concerning mental health and medical 

emergencies.
4 E MS C Ne ws JAN /FEB 2 00 0 

T

hrough a partnership with the

Emergency Medical Services for

Children (EMSC) Program, the

American Academy of Pediatrics

(AAP) and the American College of

Emergency Physicians (ACEP) have

created an Emergency Information

Form (EIF) to ensure that children

with special health care needs receive

prompt and appropriate emergency

care when a parent or pediatrician is

unavailable. 

The two-page document provides

emergency departments and healthcare workers with critical information

about children with chronic physical,

developmental, behavioral, or emotional

conditions that are beyond those of

normally developed children. 

“These children have very complicated histories,” said ACEP’s

Michael Gerardi, MD. “Without having

access to their extensive medical

records, it’s very hard (for emergency

department personnel) to get a handle

on what’s going on.”

The EIF contains the following

information:

• Parent or guardian contact 

information;

• Primary care and specialty 

physician contact information;

• Diagnoses;

• Allergies;

• Critical procedures to avoid;

• Immunizations;

• Life-saving maneuvers or 

interventions; and

• Relevant past medical history.

After the form is completed by

the child’s physician, AAP and ACEP

recommend that parents register their

children with a central repository, such

a s the MedicAlert 24-hour Emergency

Response Center. In fact, the MedicAlert

Foundation has established an agreement with ACEP and AAP to use its call

center as a central repository for EIFs. 

Children who are registered with

MedicAlert receive a medical identification bracelet or necklace. In the

case of an acute illness or injury, a

health care professional can call the

MedicAlert Foundation toll-free from

anywhere in the world to request the

EIF for the affected child. Within minutes, the EIF would be faxed to the

health care professional.

“The original goal was to produce

a snapshot of a child’s health status

that was easy to access and could be

AAP and ACEP Unveil 

Emergency Information Form

for Special Needs Children

• • • • • •PUBLIC POLICY OLICYUPDATEATE• • • • • •

President Signs Wireless

Communications Bill 

On October 26, 1999, President

Clinton signed the Wireless Communications and Public Safety Act of 1999

(Public Law 106-81) into law, designating 9-1-1 as the emergency telephone

number for all wireline and wireless

telephones within the United States.

“People with wireless phones can

speed the delivery of public safety services by providing rapid reports of car

crashes, incidents of aggressive or

drunk driving, serious crimes, and natural disasters,” Clinton said. “Getting

rapid care to someone who is suffering

from a heart attack or is involved in a

car crash can mean the difference

between life and death.”

Introduced by Senator Conrad R.

Burns (R-MT), the law will allow

telecommunications carriers to provide

the location of mobile phone users to:

• Emergency dispatchers and emergency service personnel;

• The user's legal guardian or family

member in an emergency situation

involving the risk of death or serious

physical harm; and 

• Database management services

and information providers who assist

emergency services. Telephone

exchange service providers also must

provide listed and unlisted subscriber

information to providers of emergency

care and emergency support services.

The law also:

• Encourages statewide coordination

of public safety and law enforcement

officials’ efforts to protect citizens and

save lives;

• Increases private sector investment in emergency wireless services 

by providing wireless companies with

the same level of liability protection

that “wireline” telecommunications

companies have; and

• Mandates the Federal Communications Commission to encourage and

support state efforts to build emergency

communications infrastructure and

provide appropriate transition periods

for areas that currently do not have 

9-1-1 service.

For more information, contact

Pam Benson, the Emergency Medical

Services for Children National

Resource Center’s senior public policy

associate, at (919) 788-7757.

utilized by the general public as well as

health care workers,” said Ms.Wa y n e

Neal, RN, EMSC’s children with special

health care needs specialist. “After two

years of cooperative work, I believe we

have hit the nail on the head.”

The EIF can be downloaded from

the AAP and ACEP web sites at

www.aap.org and www.acep.org,

respectively. Forms are also available

in packets of 100 for a nominal fee. 

In addition, camera-ready forms have

been published in the October 1999

issues of ACEP’s Annals of Emergency

Medicine and AAP’s Pediatrics.
E MSC N ews JA N/FEB 2000 5

R

ecently, the National EMSC Data

Analysis Resource Center

(NEDARC), located at the 

University of Utah School of Medicine

in Salt Lake City, UT, was awarded

funding to continue functioning as the

EMSC Data and Quality Improvement

Center. The primary goals of the new

grant are to provide technical assistance

with the collection, maintenance, and

analysis of high quality data related to

pediatric care within the EMS system;

increase the capabilities of state EMS

offices in managing information systems,

including data analysis; and develop

successful quality improvement based

on the information collected.

To help reach these goals, N E D A R C

will collaborate with the Maternal and

Child Health Bureau (MCHB) and the

National Highway Traffic Safety

Administration (NHTSA) to conduct

regional, multi-state EMS Information

Systems (EMSIS) demonstration

courses to states interested in having

the course presented to all relevant

stakeholders at the local level. 

The EMSIS workshop is an eighthour seminar developed by NHTSA’s

Emergency Medical Services Division,

T

he 2000 Annual EMSC Grantee

Meeting will be held on Sunday,

March 26, at the Omni Inner Harbor

Hotel in Baltimore, MD, in collaboration

with the National Congress on Childhood

Emergencies. The meeting is intended

for all current emergency medical services for children (EMSC) grantees, 

parent advocates, and selected guests.

More than 200 attendees are expected.

Meeting sessions will cover topics

related to leadership development,

in collaboration with the National

Association of Governors’ Highway

Safety Representatives. It is designed

to provide guidance to states interested in developing a statewide EMS database for system evaluation. The seminar helps states to develop a framework for a data plan of action, which

includes defining minimum data information sought by out-of-hospital stakeholders, as well as discussing the various methodologies for data collection

and evaluation. Specific program

objectives include having participants: 

• Identify the need to collect EMS 

out-of-hospital data utilizing the consensus-based Uniform Prehospital Data

Set (UPHDS) for system evaluations;

• Describe the process and initial steps

needed to develop an action plan for

implementing an out-of-hospital EMS

information system using UPHDS; and

• Determine the advantages and disadvantages of the different types of

EMS data technologies.

In addition to helping facilitate

the course, NEDARC will provide follow-up technical assistance to states

that take the EMSIS course. The specific dates and times for conducting

NEDARC to Conduct EMSIS Region Meetings as Part of FY 2000 Grant

the EMSIS demonstration courses

have not been finalized. However,

one option under consideration is to

conduct the EMSIS demonstration

courses at EMSC Regional Meetings.

Other objectives of NEDARC’s

new grant are to:

• Collaborate with national groups

and federal agencies on the development of national EMS data; 

• Conduct data collection and analysis workshops at EMS/EMSC regional

and national meetings and work with

NHTSA to provide workshops addressing probabilistic linkage; and

• Provide technical assistance — 

primarily with database design and

implementation, statistical analysis,

probabilistic linkage, and quality

improvement in health care — to

EMSC grantees, EMS state offices,

MCHB, and NHTSA. 

Individuals who are interested 

in having an EMSIS course taught

within their state, or who would like

information about NEDARC, should

contact Lenora Olson, MA, at 

(801) 585-9157.

grant writing, data and software utilization, foundation funding, news media

training, and site survey preparation.

Additional discussions will focus on

parent and consumer involvement in

EMSC activities. 

The meeting is structured to

enable attendees to participate in the

American Academy of Pediatrics’ Pediatric Education for Prehospital Professionals (PEPP) Course or the National

Association of EMTs’ Pediatric Prehospi2000 Annual EMSC Grantee Meeting to Coincide with National Congress

tal Care Program — two preconference

programs that will be offered during

the National Congress.

Meeting registration packets were

distributed to every grantee in lateN o v e m b e r. All grantees are required to

pre-register by Friday, February 18,

2000. For additional meeting information, please contact the EMSC National

Resource Center’s Ken Allen at 

(619) 299-8990.
6 E MS C N ews JAN / FEB 2 00 0 

Pediatric Symposium

Features Renowned

Speakers, Great 

Entertainment

A

pproximately 250

participants from

multiple disciplines

enjoyed listening to

renowned speakers, interesting topics, and unparalleled entertainment at the

second annual Kansas

Pediatric Symposium,

held October 14-16, 1999,

at the Holidome Conference Center in Topeka,

KS. The symposium featured 15 general sessions,

17 breakout sessions, and

31 faculty from Colorado, Florida,

Kansas, Missouri, Montana, Utah, and

Washington, DC. 

Nineteen continuing education

hours were provided to allied health

care providers and 16 continuing

medical education hours were offered

to physicians. Topics addressed

included pediatric trauma

care, EMSC national initiatives, clinical and social

aspects of asthma care, 

coalition building, disaster

management, pediatric triage,

head trauma, rapid

sequence intubation, emotional life 

support, and much more. 

Among the noted 

speakers were:

• Lou Romig, MD, of

Miami Children’s Hospital,

who delivered presentations

on pediatric disaster management, the pediatric

assessment triangle, and

JUMP START — a triage

system she developed;

• Brent Cass, EMT-P, the first

paramedic to enter Columbine High

S c h o o l with the Special Weapons and

Tactics (SWAT) team, who recounted

personal details of the rescue effort;

• Brad Vaughan, DO, of Children’s

Mercy Hospital in Kansas City, MO,

who delivered a well-received presentation on pediatric drownings; 

Keep Up the Good Work Kansas!

H

ow well have states integrated

the emergency medical needs of

children into their EMS system? 

A new report, scheduled for publication this Summer by the Emergency

Medical Services for Children (EMSC)

National Resource Center (NRC), will

provide a clearer picture of what states

and U.S. territories are doing to address

pediatric emergency needs. The stateby-state profile data will include demographic information; basic child health

indicators, such as infant mortality

rates, adolescent suicide rates, and risk

behaviors; indicators of contact with

the EMS system, such as ambulance

run data; and more.

Sandra Adomako, NRC’s new

research intern, will develop the report

using data from the EMSC Needs

Assessment Tool, the Centers for Disease Control and Prevention’s National

Center for Health Statistics, regional

EMSC reports, and other health and

NRC Updates Report on Integration of Pediatrics

into State EMS Systems

• Author Joe Tobias, MD, of the

University of Missouri Children’s

Hospital, who spoke about airway

management, acute pain management,

and sedation of children; and

• Katherine Gnauck, MD, of the

Washington University School of Medicine, who addressed the controversial

topic of rapid sequence intubation. 

The symposium was cosponsored

and facilitated by the Kansas Board of

EMS and the Kansas Chapter of the

American Academy of Pediatrics. The

third annual symposium either will be

held in October or November 2000. 

For more information, contact 

Joe Moreland, MPA, RN, EMT-P, at

jmoreland@cjnetworks.com. 

ambulatory care information sources. 

Adomako is a master of public

health candidate at the George 

Washington University School of Public Health and Health Services, who is 

specializing in maternal and child

health. Once it’s completed, the report

will be available through the EMSC

Clearinghouse. 

For more information about the

report, contact NRC at (202) 884-4927.
• Pediatric Assessment

(product #791); 

• A Child in Need (product #784);

• Helping Kids Survive: Interactive

Training for Prehospital Providers

(product #828); 

• EMSC’s Emergency First Care and

Injury Prevention and EMSC’s

First Aid for Child Day Care 

(product #829);

• Meeting the Challenge: Improving

Emergency Medical Care for Children with Special Health Care

Needs (product #834);

• Red Flags in Pediatric Medical

Emergencies (product #835);

• High Risk Obstetrics (formatted for

MacIntosh only; product #836);

• Prehospital Trauma Management:

Critical Decisions(product #833); 

• Advanced Airway Management

Skills (product #837).

In addition to these CDs, innovative programs are continually being

developed and publicized via EMSC

channels. For example, the Minnesota

EMSC project is working on Comprehensive Advanced Life Support

(CALS) and Benchmark Procedural

Skills Lab, a program that trains 

participants on how to handle 50 of

the most common critical pediatric

emergencies seen in rural emergency

departments. The National Association

of EMT’s has recently developed a

community assessment guide to help

community and civic organizations

assess the quality of local emergency

Have prehospital care providers

kept pace with the incredible

advances in medicine? Are they

truly providing the best care

possible to children?

When seeking answers to these

questions, it is easy to identify external

factors, such as educational opportunities, system protocols, and quality of

medical equipment, which can influence

the quality of care EMS professionals

provide to children and adolescents. 

It is much harder to point the finger

inward and assess the energies we as

individuals dedicate to improving the

quality of care provided. 

Ask yourself: “Do I truly provide the

best pediatric care possible, given my

personal and professional resources?” 

If the answer is no, contact the Emergency Medical Services for Children

(EMSC) National Clearinghouse at 

(703) 902-1203 and ask for a copy of the

EMSC Product Catalog, or visit the

EMSC web site at www.ems–c.org.

A wealth of self-paced educational

CD-ROMs, covering everything from

community-based assessments to

advanced airway management, are

available through the Clearinghouse,

including:

• Pediatric Basics: Age and Growth

Characteristics/Psychological

Aspects (product #575);

• Pediatric Respiratory Emergencies

(product #719);

• Pediatric Vascular Access

(product #792);

• • • • • • •• • • • • • •

EM SC New s JAN/FEB 2 00 0 7

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • •EMSC S EMSC SY S T E M S Y S T E M S Y S T E M S SC O O P C O O P C O O P• • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

medical services for children. The

National Fire Protection Association’s

critically acclaimed injury prevention

program, Risk Watch, also is available

through the Clearinghouse.

To provide quality care, providers

must perpetually expand their knowledge, hone their skills, and actively

participate in the improvement of the

continuum of care. For most EMS

providers, time and energy are precious commodities that should not 

be wasted. This is why the EMSC 

Program strives to provide a wide

range of easy-to-digest information

through its Clearinghouse services.

For more information about these

and other self-paced learning and skill

retention products, contact the Clearinghouse at the telephone number

provided above or the EMSC National

Resource Center librarian at 

(202) 884-4927. After receiving this

information, get involved in EMSC

issues to ensure that children receive

the best care possible!
8 EMS C New s J AN /FEB 2000 

EMSC Region Meeting Update 

O

n October 1, 1999, hundreds

of emergency medical services

for children (EMSC) representatives from seven states — Connecticut, Maine, Maryland, Massachusetts,

New Hampshire, New York, and Vermont — participated in the second

annual New England EMSC Regional Videoconference. Coordinated by

the Vermont EMSC program, the event

featured presentations on pediatric

disaster life support by Richard

Aghababian, MD, on youth suicide

prevention gatekeeper training by

Susan O’Halloran and Cheryl Dicara;

on thermal injury by Dennis Vane,

MD; on shaken baby syndrome by

Lawrence Ricci, MD, and on injury

prevention by Martin Eichelberger MD.

The videoconference was conducted at Fletcher Allen Health Care

on the campus of the University of

Vermont. Each of the seven states

hosted at least one site for downlinking the program.

For additional information about

this session and future videoconferences, contact Pat Malone at

pmalone@zoo.uvm.edu.

The Region IX Injury Prevention Network (IPN) held its annual

meeting on September 16-17, 1999, at

the Waikiki Terrace Hotel in Honolulu,

HI, with 16 individuals from California, Arizona, Nevada, and Hawaii in

attendance. Key speakers included

The Prevention Institute’s Larry

Cohen, the National Center for Injury

Prevention and Control’s La Tanya

Beal-Butler, and Trippler Army Medical Center telemedicine staff. Sessions addressed violence prevention;

unintentional injury resources, initiatives, and research; and the future use

of telemedicine in injury control.

Region IX will conduct a meeting next

Fall, if funding is available. 

For more information about this

conference or future Region IX meetings, contact IPN Secretary Lois

Williams at (916) 322-4336.

On September 16-19, 1999,

approximately 90 individuals from

Montana, Nevada, Colorado, Idaho,

Arizona, New Mexico, Wyoming, North

Dakota, Wisconsin, and Utah attended

the Intermountain Regional EMSC

Coordinating Council (IRECC)

meeting at the John Ascuaga’s Nugget

Resort in Sparks, NV. Topics concerning

adolescent suicide prevention, interventions, postventions, and evaluation

highlighted the meeting’s agenda.

Guest speakers included the National

Center for Injury Prevention and Control’s Lloyd Potter, PhD, MPH; the

American Association of Suicidology’s

Lanny Berman, PhD; and Morton 

Silverman, MD, editor-in-chief of Suicide and Life Threatening Behavior.

Participants received a draft copy

of IRECC’s State of the Region Report

2000, which focuses on adolescent

suicide. The new Surgeon General’s

report, Call to Action to Prevent 

Suicide, was also distributed. A session on the new CDCfunded National Suicide Prevention

Research Center was

particularly well

received. It detailed

how the center is concentrating its activities

in the Intermountain

region in response to the

area’s high suicide rates.

I R E C C ’s next meeting will take

place during Fall 2000. For more information, contact Nels Sanddal, MS,

REMT-B, at nsanddal@citmt.org.

On September 24-25, 1999,

approximately 70 individuals from Illinois, Kentucky, Ohio, Iowa, Indiana,

Missouri, Wisconsin, Minnesota, and

Michigan attended the EMSC/Great

Lakes Injury Prevention Network

(now referred to as Central America

Region EMSC (CARE)). The meeting

addressed state reports and the future

direction of the region. A presentation

from the Maternal and Child Health

Bureau’s Maria Baldi and the EMSC

National Resource Center’s Shulamit

Lewin, MHS, and Ken Williams, MA,

discussed EMSC national activities

and changes in the grant cycle.

Key speakers included Child

Fatality Review Teams Expert Michael

Durfee, MD; Children’s National Medical Center’s Joseph Wright, MD; and

the National Center for Health Statistics' Lois Fingerhunt, MA.

Participants also received a copy

of CARE’s first State of the Region

Report. CARE's next meeting will take

place during Fall 2000. For more

information, contact Evelyn Lyons at

elyons@wpo.it.luc.edu.

On October 16, 1999, following

the Kansas Pediatric Symposium (see

related story, page 6), representatives

from seven states — Iowa, Kansas,

Minnesota, Nebraska,

North Dakota, S o u t h

Dakota, and Wyoming —

and the Aberdeen

Native American

Health Services convened briefly at the

Holidome Conference Center in

To p e k a , KS, for the

Heartland EMSC

Coalition Meeting. Each state representative shared information about

their EMSC activities. Guest speakers

included IRECC’s Nels Sanddal, MS,

REMT-B, and the EMSC National

Resource Center’s Bob Waddell, E M T- P.

For additional information about

this meeting or the next annual meeting, which is scheduled for Spring 2000,
WH AH ATT’SS N E W ? N E W ? N E W ? An EMSC Product Update An EMSC Product Update An EMSC Product Update •••••••••

EMSC News J AN/F EB 20 00 9

Helping Kids Survive: Interactive

Training for Prehospital

P r o v i d e r s

Multiple organizations helped create

this product (1999)

This three-volume CD-ROM

program helps basic and

advanced life-support

prehospital personnel

sharpen their critical decision

making skills. After viewing short

scenarios, users are taught how to

make assessment and treatment decisions about pediatric medical and respiratory emergencies. Pediatric emergency procedures also are presented

through step-by-step demonstrations.

The cost of each CD-set is $5. Ask for

product #828.

Psychological Factors in EMSC:

Abstracts of the Psychological,

Behavioral, and Medical

Literature, 1991-1998

By the American Psychological Association (1999)

This bibliography provides an

overview of the international research

conducted with the EMS pediatric population between 1991 and 1998. It

describes some of the psychological,

behavioral, and cultural factors that

arise for patients, families, and

providers involved with EMSC. It is

classified into eight categories: psychological dimensions of illness and injury;

mental disorders presenting to EMS;

children's reactions to disasters; violence and abuse; quality improvement

strategies; children's systems-of-care

and EMS; cultural competence; and utilization of EMS. The cost per bibliography is $20. Ask for product #832.

EMSC Managed Care Task Force

List of Recommendations and

Priorities

By the EMSC National Resource Center

( 1 9 9 9 )

This document lists 11 managed

care priorities with recommendations

for addressing each issue. The priorities relate to access, development of

national guidelines and performance

measures, continuity of care, reimbursement, definition of medical

necessity, and development of parent

and caregiver resources. This document may be downloaded from

www.ems-c.org, by clicking on “Products and Resources,” then “downloadable files.” Look for product #831.

To obtain hard copies of any of

these resources, contact the EMSC

Clearinghouse at (703) 902-1203 or

access the EMSC web site at

www.ems-c.org.

••••••••••••••••••••••

Child and Adolescent Health

Care: A Community 

Assessment Guide

By the National Association 

of Emergency Medical

Technicians (NAEMT) (1999)

This 38-page guide

enables community organizations to assess the quality of

emergency medical services for children (EMSC) within their communities and to identify and prioritize

activities to enhance the health of the

community’s children and adolescents.

The guide is a five-part interview tool

containing questionnaires for prehospital care professionals, public health

practitioners, local primary care

physicians, community hospital emergency departments, and pediatric specialty centers. The entire guide can

be reviewed at NAEMT and EMSC web

sites, www.naemt.org and www.emsc.org, respectively. The cost of each

hard copy is $3.50.

Ask for

product

#821.

contact Joe Moreland, RN, EMT-P, MPA, at

jmoreland@cjnetworks.com.

The Southeastern EMSC Regional

Meeting is tentatively scheduled to take

place on April 7-9, 2000, in Charleston, SC.

Participating states include Alabama, Florida, Georgia, Kentucky, Mississippi, North

Carolina, South Carolina, and Tennessee.

For more information, contact Karen Frush,

MD, at frush002@mc.duke.edu.
h

j

1 0 E MSC N ews JAN/ FEB 2 00 0

C

E

A l a s k a

The Alaska Emergency Medical

Services for Children (EMSC) program

is currently developing criteria for

Pediatric Technical Assistance Teams

that will provide pediatric training and

evaluate the pediatric emergency medical care of rural volunteer ambulance

services. Upon request, these regional

teams will travel to communities to

review pediatric run reports, inventory

pediatric equipment and supplies, and

engage in other activities to improve

pediatric emergency medical care. 

The criteria and model will be

tested in at least one community during 2000, with additional tests to follow in the next few years. For 

more information, contact Doreen 

Risley via e-mail at Doreen_Risley@

health.state.ak.us.

Arkansas 

Earlier this year, the Arkansas

EMSC program produced a multi-part

injury prevention curriculum that was

distributed to state ambulance services. As a result, the Pro-Life EMS of

Marion, with assistance from the

Arkansas EMSC project coordinator,

presented injury prevention information at Avondale Kindergarten Center

on November 1, 1999. 

For more information, contact

Brian Nation via e-mail at bnation@

mail.doh.state.ar.us.

C o n n e c t i c u t

The Connecticut EMSC program

and the state Safe Kids Coalition are

helping EMS providers reduce the rate

of unintentional injuries to children

by conducting injury prevention workshops and working with communities

to implement local training. 

In addition, physicians and midlevel practitioners from Connecticut’s

hospitals continue to participate in

EMSC-sponsored Advanced Pediatric

Life Support courses. 

Finally, the EMSC Advisory Committee is continuing to work on its

proposal to ensure the long-term survival of EMSC in Connecticut. For

more information, contact Cheryl

Mayeran at (860) 509-7978 or via 

e-mail at cheryl.mayeran@po.state.ct.us.

I d a h o

The Idaho EMSC program is

engaged in problem assessment and

community building for its “Analyses

of Idaho EMS” project. Staff are using

an epidemiological approach to capture the nature, extent, and severity

of pediatric events in the prehospital

setting. This information will be used

to establish planning and programming priorities. 

For more information, contact

Boni Carrell via e-mail at

CarrellB@idhw.state.id.us.

I l l i n o i s

The Illinois EMSC program is

pleased to announce that Patricia

Sikorski, RN, MSN, has joined its team

as EMSC coordinator. Sikorski has a

wealth of experience and expertise in

the areas of maternal and child health,

education, and program development.

She can be reached at (708) 3 2 7 - 3 6 7 2

or via e-mail at psikors@ luc.edu. i

L o u i s i a n a

Louisiana’s EMSC program is currently promoting its Clowning for

Safety injury prevention workshops,

which combine safety information

with clownful entertainment. Depending on regional needs, issues range

from gun and water safety to wearing

seatbelts and helmets. 

For more information, contact

the Louisiana Bureau of EMS at 

(225) 342-4881.

New York

The New York state affiliate of the

American Public Health Association

(APHA) recently awarded the New

York EMSC program funding to develop

a multi-faceted approach to help

emergency medical services providers,

pediatricians, traffic safety specialists,

and public health practitioners

increase the use of seat belts and

child safety restraints in motor vehicles. The mini-grant is provided by

APHA, the National Highway Traffic

Safety Administration, and the American Medical Association through their

State Level Leadership in Public

Health, Medicine, and Traffic Safety

Initiative for fiscal year 2000.

In addition, the state’s EMSC

Advisory Committee has developed a

pediatric prehospital care reference

card for field use. The two-sided card

contains guidance on pediatric assessment and a variety of useful charts

and treatment algorithms. The card is

currently being reviewed for statewide

distribution in early 2000.

For more information, contact

Gloria Hale via e-mail at ghc08@

health.state.ny.us.

North Carolina

More than 80 educators attended

the North Carolina EMSC program's

Child Abuse Recognition Education

(C.A.R.E.) train-the-trainer course
A

q

E MS C N ews JAN /FEB 2000 1 1

during the Annual Emergency Medicine Today Conference, held September 25-29, 1999, in Greensboro, NC.

North Carolina's KIDBase, Risk Watch,

and a school health emergency preparedness program were also highlighted during the conference.

Available through the EMSC

National Clearinghouse, the C.A.R.E.

course can be modified to serve the

needs of systems in other states. To

order a copy, contact the Clearinghouse at (703) 902-1203.

For more information, contact

Sue Hohenhaus via e-mail at

Sue.Hohenhaus@ncmail.net.

Puerto Rico

In September, Puerto Rico’s EMSC

program conducted car seat safety

checks for parents, teachers, and students during “Safety Month” activities

at a local school.

Staff members currently are 

training first-responders, paramedics,

nurses, and doctors in basic and

advanced pediatric life support. To

date, 100 first-responders have

received basic pediatric life support

training, while 190 have completed

advanced training.

An initiative to institutionalize

Puerto Rico’s EMSC program is currently being debated by the local legislature. For more information, contact

Mariali Vega via e-mail at mar_vega@

rcmaxp.upr.clu.edu.

South Dakota

South Dakota’s EMSC program is

working with United Tribes Technical

College in Bismarck, ND, to address

childhood injury rates in Native American communities. Through the partnership, students from the school’s

Injury Prevention Associates program

will be placed in Native American

communities next Summer to participate in three-week internships aimed

at collecting data, providing injury

prevention education, and promoting

“Safe Community” initiatives. At the

end of the program, each community

will be encouraged to hire the students as full-time injury prevention

specialists.

For more information, contact

Dave Boer at (605) 333-6652 or 

via e-mail at dboer@usd.edu.

Washington D.C.

The Washington, DC EMSC program has teamed up with the Virginia

State Office of EMS (OEMS) to produce and air via closed circuit satellite

a two-part EMS children with special

health care needs prehospital training

program.

Virginia's OEMS operates the

Emergency Medical Services Satellite

Training (EMSAT), a monthly one-hour

interactive training and information

program for Virginia EMS providers.

EMSAT broadcasts and videotapes

offer required EMS topics at the basic

and advance life support levels and

enrichment classes that may not be

widely available throughout the state.

Continuing education credit is available for individuals viewing EMSAT

broadcasts and videotapes.

The first part of the children with

special needs training program aired

on September 15, 1999. Part two will

air in January 2000. Since project

implementation, more than 700 prehospital care providers in the Washington, DC, and Virginia areas have

been trained. 

Copies of the prehospital training

program will be available through the

EMSC Clearinghouse this Spring.

Orders may be placed by contacting

the Clearinghouse at (703) 902-1203.

For more information, contact

Betsy Smith at (202) 884-5358.

Florida EMSC Hosts 

“National Walk Our 

Children to School” Day

T

he North Broward Hospital District’s Emergency Medical Services for Children program

teamed up with Broward General

Medical Center’s (BGMC) Chris Evert

Women and Children’s Center to celebrate the third annual National

“Walk Our Children to School” Day

on October 6, 1999, in Ft. Lauderdale, FL. 

At 7:30 a.m., approximately 75

students from Harbordale Elementary School arrived at BGMC for a

nutritious breakfast. At 8:00 a.m.,

the students witnessed a safety

demonstration by the Fort Lauderdale Police Department and crash

test dummies, Vince and Larry. Then

the students were escorted to Harbordale School by Freak Seales, chief

counsel of the National Highway

Traffic Safety Administration, U.S.

Coast Guard Rear Admiral Thad

Allen, U.S. Navy Rear Admiral

Ronald Route, sailors from the Navy

Destroyer USS Cole, and the Ft.

Lauderdale police. Students carried

homemade stop signs and posters to

visually impart their messages.

Pedestrian

Safety 

Tips

1. Cross at the corners.

2. Look right and left 

before crossing.

3. Obey all traffic signs 

and lights.

4. Use the sidewalk and

never wander from the

path to school.

5. Walk, never run through 

a crossing.

6. Obey the crossing guard.
1 2 EMSC New s J AN/ FEB 2 00 0 

Roving Reporter

On September 28, 1999, Emergency Medical Services for Children

(EMSC) National Resource Center Director Jane Ball, RN, DrPH,

received the Health Resources and Services Administration Administrator’s Special Citation Award for exceptional skill and selfless

dedication to the EMSC Program. Pictured above from left to right

are Mark Nehring DMD, MHP; Maria Baldi; Dr. Ball; and 

Jean Athey PhD.

• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •YO U R O U R QU E S T I O N U E S T I O N U E S T I O N CO U N T S O U N T S O U N T S!• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

service announcements for national

distribution. Others have shared their

stories with the media or served as

spokespersons at news conferences

and other media events.

• Families can help ensure that

programs and services are culturally

effective. In Oklahoma, Native American families helped to develop a

bystander care program on the reservations by translating patient information materials.

• Families bring important skills

and perspectives to the design and

implementation of injury prevention

and other types of programs and systems. With appropriate training, they

can also help teach the programs. 

• Families, particularly parents,

have the greatest influence on children's health and well-being. Many

parents have met with paramedics and

emergency department staff to educate them about the care their special

needs children may require in an

emergency situation. Others have

developed emergency care plans.

• Parents can serve as peer counselors for other parents of severely

injured children. When trained appropriately, they can offer comfort,

answer basic questions, solve problems, and alleviate stress by sharing

their personal stories. 

Q: Why is it Important for EMSC to

Collaborate with Families?

A:Listed below are a few of themany reasons why Emergency

Medical Services for Children (EMSC)

grantees and advocates should involve

families in their activities to improve

the care provided to children in emergency situations.

• Families can support public 

policy activities by participating in

town meetings, public receptions, 

and events that feature their local,

state, and federal legislators. They 

can create a telephone tree or letterwriting campaign. In general, once a

legislative office receives 10 or more

calls or letters about a vote or piece of

legislation, it becomes an issue of

which policy makers take note.

• Family members may have connections to community resources,

funding sources, and other organizations that can assist with statewide

planning. For example, a parent may

work for a company that has programs

for funding children's projects.

• Families can help raise public

awareness about specific issues. Some

families have agreed to share their

experiences with the emergency care

system on videotape, which can be

developed into commercials or public

• Parents without health profession

training who have experienced emergency care provided to their child can

provide important information to the

EMS system, such as

1. How family members might

interpret the action/words of

providers, and

2. Suggestions for improving communication to family members

and children.

• Family members can share the

knowledge gained from their personal

experiences by volunteering their time

with local schools and religious organizations.

• Parents have the opportunity to

educate pediatricians about the

importance of EMSC and related

activities within their communities,

during regular office visits.

The 2000 Annual Grantees Meeting, taking place on March 26, at the

Omni Inner Harbor Hotel in Baltimore, MD, will offer sessions on working with families to enhance pediatric

emergency medical care. Parents who

are interested in attending the sessions, should contact Ken Allen,

senior program planning associate, at

(619) 299–8990.
Statistic of the Quarter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

EMSC News J AN/FEB 20 00 1 3

Number of Parents Who Want to be Present During Invasive Procedures Performed

on Their Children in the Emergency Department: A Survey of 400 Parents

government funding. Following is a

brief description of each session.

• Marianne Gausche, MD, and

Roger Lewis, MD, PhD, of HarborviewUCLA Medical Center, will present a

session entitled, “Field Research and

Clinical Studies: The Research

Process in EMSC.”

• Health Economists Ann Haddix, PhD, and John “Mick” Tilford,

PhD, of Emory University and

Arkansas Children’s Hospital

Research Institute, respectively, will

share their experiences and

insights on costs and cost-effectiveness methodology in EMSC research.

• Lynne Haverkos, MD, MPH, of the

National Institute for Child Health and

Human Development’s Behavioral

Pediatrics and Health Promotion 

Program, will moderate a discussion

about government funding opportunities for EMSC research. Panelists for

this session will include representatives of the Agency for Health Care

Policy and Research; the Health

Resources and Services Administration’s Maternal and Child

Health Bureau; the Centers for Disease Control

and Prevention’s

National Center for

Injury Prevention

and Control and

National Institute

for Occupational

Safety and Health;

and the National Institutes

of Health’s National Heart, Lung, and

Blood Institute, National Institute for

Mental Health, and National Institute

for Nursing Research. This session will

describe the funding that is available

and provide application instructions. 

• Murray Pollock, MD, MBA, a

pediatric trauma outcomes researcher

who created the Pediatric Risk of Mortality (PRISM) Scoring System, and

Mary Aitken, MD, of Arkansas Child r e n ’s Hospital, will lead a workshop on

EMSC outcomes and severity measures.

• Arlene Fink, PhD, author of H o w

to Prepare Survey Questions (Sage, 

Newbury Park, CA 1995) and several

other books about survey methodology,

and Steven Blumberg, PhD, of the

National Center for Health Statistics,

will team up to present a session entitled, “Better Data from Better To o l s :

Designing A Good Questionnaire.” 

Continuing education credits will

be available for session participants.

Online registration for the Congress is

available at www.ems-c.org. 

R e s e a rch Sessions

( f rom page 1) . . . . . . . . . . . . . . .
1 4 EMSC News JAN/ FEB 2 00 0 

S

tarting with this issue, EMSC

News will change from a quarterly to a bimonthly newsletter,

with publication dates tentatively set

for January, March, May, July, September, and November.

“When the newsletter first was

published in 1990, the EMSC Program

was only a few years old,” said

Suzanne Sellman, communications

director of the Emergency Medical

Services for Children (EMSC) National

Resource Center (NRC). “In less than

10 years, our subscription rate has

grown from a few hundred to approximately 12,000. In the past six months,

subscriptions have jumped to more

than 17,000.”

According to Sellman, the

increase is a result of growing interest

in pediatric emergency care. The

EMSC Program currently provides

grants in 50 states, the District of

Columbia, and six U.S. territories.

Active partnerships have been established with more than 20 national and

professional organizations, including

members of the Partnership for Children consortium, the General Federation of Women's Clubs, Kiwanis, and

the National Organization for Youth

Safety. In addition, pediatric emergency medicine has become a wellrecognized discipline. “Simply put, we

have more news to report and this

news needs to be disseminated in a

more timely fashion,” Sellman said. 

EMSC News is published and 

distributed by NRC, free of charge. To

subscribe to or submit articles on people, programs, and procedures related

to pediatric emergency medical services, contact Sellman via e-mail at

ssellman@ emscnrc.com.

Due to the numerous activities

surrounding the National Congress on

Childhood Emergencies, the March

2000 issue will not be published.

EMSC News to be 

Published Bimonthly

P

rior to arriving at the Baltimore

Washington International (BWI)

airport to attend or exhibit at

the March 2000 National Congress on

Childhood Emergencies, preparations

for hotel accommodations, travel, and

leisure must be made. Special group

rates have been arranged for accommodations at the exhibiting hotel, the

Omni Inner Harbor, at $129 for a single or double room, if reserved by

February 16, 2000. Please call the

hotel for reservations at 

(410) 752-1100.

BWI airport

is approximately

12 miles from

the Omni Inner

Harbor Hotel.

Tr a n s p o r t a t i o n

from the airport to the

hotel will cost

about $20 by

taxicab and

$12 by the

BWI Super Shuttle. The

shuttle arrives every half-hour, on the

h o u r, outside of the baggage claim area

without prior reservations.

If arriving at the Reagan National

or Dulles airports, which are more

than 50 miles away from Baltimore, it

may be necessary to rent a car. Contact Reagan National at (703) 417-

8000 or Dulles at (703) 572-2700 to

obtain a list of rental car agencies and

rates. Reagan National also has access

to the Washington, DC METRO (subway) system, which connects to the

Baltimore-bound MARC train.

Detailed information about routes

and rates can be obtained by calling

METRO at (202) 637-7000 and MARC

at (800) 325-7245.

National Congress: Getting

There and Getting Around

A wide range of spectacular

restaurants, shops, and tourist attractions are within two to six blocks

from the hotel, including Ann Taylor,

Bath & Body Works, The Coach Store,

The Disney Store, The Cheesecake

Factory, Phillips Harborplace, Planet

Hollywood, The National Aquarium,

ESPN Zone, Center Stage, Maryland

Science Center, and much more.

Most of these

attractions,

which are

located in the

heart of downtown at the Harbor Place and

The Gallery, can

be reached by taking the Omni’s free

shuttle. The shuttle

leaves every hour,

on the hour. 

Additional attractions can be

reached by taking the Water Taxi from

the Harbor Place to one of its 17 landings, including The National Aquarium, Maryland Science Center, Fells

Point, and Fort McHenry. The fares

are $4.50 for adults and $2.00 for children, which includes special discount

offers to area shops and restaurants as

well as Trolley passes to the B&O

Museum, Babe Ruth Museum, Port

D i s c o v e r y, and Oriole Park at Camden

Yards. For more information, call Harbor Boating Inc. at (410) 563-3901.

The average temperature in Baltimore during late March is between 50

and 60 degrees Fahrenheit.

Pride of Baltimore II
E MS C News JAN /F EB 20 00 1 5

News from NEDARC • • • • • • LATEST LIBRARY ADDITIONS DDITIONS DDITIONS• • • • • •

N

ational EMSC Data Analysis

Resource Center (NEDARC)

staff have “gone back to the

classroom.” In collaboration with the

Utah Department of Health Violence

and Injury Prevention Program,

NEDARC compiled a statewide report

on school injuries. The report detailed

Utah school injury information from

1990-1998, as well as data on emergency department visits and inpatient

hospital stays for injured students. It

primarily will be distributed to school

superintendents and principals, but

will also be used to promote legislative

and injury prevention efforts. 

The report was highlighted in an

article entitled, “Epidemiology of

School Injuries in Utah: A PopulationBased Study,” which was published in

the December issue of the Journal of

School Health.

NEDARC also is excited to

announce that it has received funding

(see related article, page 5) to expand

its focus by assisting states with EMSCrelated needs, organizing regional meetings, and continuing its own EMSC

research. NEDARC staff members will

contact each state EMSC director soon

to determine how the center can help

fulfill EMSC project data needs. For

more information about NEDARC, call

(801) 581-6410 or visit the web site,

w w w. n e d a r c . m e d . u t a h . e d u .

Trauma Deaths and Inappropriate

Trauma Care in Montana.” Journal of

Trauma. 47, No. 2 (1999): 243-53.

• Furnival, Ronald and Schunk, Jeff.

"ABCs of Scoring Systems for Pediatric

Trauma." Prehospital Emergency Care.

15, No. 3 (1999): 215-23.

• Greenes, David and Schutzman,

Sara.”Clinical Indicators of Intracranial Injury in Head-Injured Infants.”

Pediatrics. 104, No. 4 (1999): 861-67.

• Hudson, Susan; Thompson, Donna;

and Mack, Mick G. “The Prevention of

Playground Injuries.” Journal of School

Nursing. 15, No. 3 (1999): 30-33.

• Leach, Charlotte; Blair, Peter;

Fleming, Peter; Smith, Iain; Platt, Martin Ward; Berry, Peter; Golding, Jean;

and CESDI SUDI Research Group. 

“Epidemiology of SIDS and Explained

Sudden Infant Deaths.” Pediatrics. 1 0 4 ,

No. 4 (1999): e43.

• Paul, Tim; Marias, Mark; Pons,

Peter; Pons, Kathryn; and Moore, Ernest.

"Adult Versus Pediatric Prehospital Tr a uma Care: Is There a Difference?" J o u rnal of Trauma: Injury, Infection, and

Critical Care. 47, No. 3 (1999): 455-59.

• S h o r t e r, Nicholas; Mooney, David;

and Harmon, Bethany. “Snowboarding

Injuries in Children and Adolescents.”

American Journal of Emergency Medicine. 17, No. 3 (1999): 261-63.

If an interesting publication or

product (written or produced within

the last 18 months) has crossed your

desk, please contact the EMSC

National Resource Center Library

Technician Rebecca Zeltinger at (301)

650-8043 or via e-mail at

rzeltinger@emscnrc.com. Notices or

copies of journal articles, books,

videos, and reports on EMSC-related

topics should be mailed to: EMSC

National Resource Center, Rebecca

Zeltinger, 111 Michigan Avenue, NW,

Washington, DC 20010-2970.

Notable EMSC-Related Articles:

• Bernardo, Lisa Marie; Henker,

Richard; and O'Conner, Joan. 

“Pediatric Update: Temperature 

Measurement in Pediatric Trauma

Patients: A Comparison of Thermometry

and Measurement Routes.” Journal of

Emergency Nursing. 327-329, No. 25

(1999): 4.

• Boie, Eric; Moore, Gregory; Brummett, Chad; and Nelson, David. “Do 

Parents Want to Be Present During I

nvasive Procedures Performed on Their

Children in the Emergency Department? A Survey of 400 Parents.”

Annals of Emergency Medicine. 34, No.

1 (1999): 70-74.

• Carlton, Susan. “When to Call 911.”

Parents. 74, No. 8 (1999): 59, 61-62.

• Chaffee, Mary. “A Te l e h e a l t h

O d y s s e y.” American Journal of Nursing. 99, No. 7 (1999): 27-30.

• Committee on Children with Disabilities, American Academy of Pediatrics. “Care Coordination: Integrating

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9 7 8 - 8 1 .

• Committee on Injury and Poison

Prevention, American Academy of Pediatrics. “Safe Transportation of Newborns

at Hospital Discharge.”Pediatrics. 1 0 4 ,

No. 4 (1999): 986-87.

• “Transporting Children with Special

Health Care Needs.” Pediatrics. 104, No.

4 (1999): 988-92.

• Committee on Pediatric Emergency Medicine, American Academy

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(1999): e53.

• Esposito, Thomas; Sanddal, Nels;

Dean, Michael; Hansen, Joseph;

Reynolds, Stuart; and Battan, Keith.

“Analysis of Preventable Pediatric
1999-2000

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