EMERGENCY MEDICAL SERVICES FOR CHILDREN NEWSLETTER

news

VOLUME 13, NO.4, NOVEMBER/DECEMBER 2000

Page 2

AHA Approves 

EMSC Course for 

Use with PALS

Page 3

Bereavement Guidelines

for ED Staff Now 

Available

Page 4 

JumpSTART Video

Released

Page 5

New Guidelines 

Available to Help 

People with LEP

Page 9 

19 Organizations 

Collaborate on 

EMSC Resource Kit

Page 12 

National Heroes

Award Nomination

Form Included in 

This Issue

Crash Testing for Pediatric Ambulance 

Transport Safety Begins

INSIDE THIS

ISSUE

I

n July, the first

ever ambulance

vehicle crash safety tests using instrumented crash test

dummies (CTDs)

were conducted to

test the performance

of these vehicles and

a variety of occupant

and equipment restraint practices currently available or in use. The data will be used to develop a

comprehensive approach for safe emergency

medical services (EMS) pediatric transport.

According to Nadine Levick, MD, assistant

professor for the Johns Hopkins University

School of Medicine and the study’s lead

researcher, “This is the first vehicle-to-vehicle

ambulance intersection crash test in the world.

The data from these and other detailed safety

tests are currently being analyzed and will be 

an integral element in the development of safety

guidelines for the transport of ill and injured 

children.”

Above: Vechicles after the first crash test.

The interior of second crash test, demonstrating the unrestrained

occupant having been thrown forward towards the bulkhead.

Left: Fully prepared ambulance test

vehicle prior to the first test. On board 

are Dr. Levick, safety engineer David

Travale, and crash test dummies.

In each crash test, electronic sensors were

placed in the rear of the ambulance to measure

the forces that are generated during an ambulance crash. Each ambulance included medical

and monitoring equipment to model real-world

conditions and fully instrumented CTDs resembling an adult male and female and a child. A

variety of late-model vehicles were tested

under side and frontal impact conditions in

simulated intersection crashes. 

The tests were conducted at The Calspan

University of Buffalo Research Center in Buffalo,

NY. Many people from throughout the country

attended the benchmark event, including EMS

and emergency medicine leaders; military personnel; federal, state, and local government

representatives; and automotive safety experts.
2 EMSC News NOV/DEC 2000 

EMSC Program Project Officer, MCHB

Cindy Doyle, RN, BSN, MA

Director, EMSC National Resource Center

Jane Ball, RN, DrPH

Managing Editor

Suzanne Sellman, MA

Editor

Donna Frassetto

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 Traffic

Safety Administration. ISSN 1522-5275.

EMSC News is published six times a year

by the EMSC National Resource Center,

111 Michigan Avenue, NW, Washington,

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

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

(e-mail); www.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.

news

AHA Approves EMSC Course for Use with PALS 

T

he American Heart Association

(AHA) has completed their

review of a new Emergency

Medical Services for Children (EMSC)

course developed by the Tennessee

and North Carolina EMSC programs, and approved it for use in

conjunction with their widely recognized Pediatric Advanced Life

Support (PALS) course. 

“I think that this is an extraordinary opportunity to partner

with EMSC to get this critical

information to rural communities

to treat pediatric emergencies,” said

Mike Bell, director of training and

field operations for AHA.

According to Rhonda Phillippi, RN,

project coordinator for the Tennessee

EMSC program, the soon-to-be-released

Pediatric Emergency Care Course

(PECC) was designed specifically for

hospital personnel. “It utilizes attributes of the PALS course but goes beyond

caring for children in respiratory failure, shock, or cardiopulmonary arrest

to include asthma, bronchiolitis, pneumonia, medical emergencies (seizures,

meningitis, sepsis, diabetic ketoacidosis, status epilepticus, etc.), behavioral

emergencies (violence, suicide, schizophrenia, and drug-related psychiatric

emergencies), and trauma care (burns,

poison, and near-drowning).” In addition, it includes information about pain

and sedation, triage, family-centered

care, and children with special health

care needs, as well as how to identify

and report child abuse and inform and

provide follow-up care to family members after the death of a child.

“We are very excited about this

course,” said Jane Ball, DrPH, RN,

director for the EMSC National

Resource Center. “We have courses,

guidelines, and other material targeting prehospital providers, but this is

the first comprehensive product

designed specifically for doctors,

nurses, and technicians who are

responsible for treating children’s

emergency conditions. It’s something

that has been in the making for

years.”

“It is thrilling to see the original

PECC developed by Sarah Norwood

and Arno Zaritsky mature in to a comprehensive pediatric emergency care

course,” said Susan Hohenhause, RN,

project coordinator for the North Carolina EMSC program.

In November, more than 5,000

health care providers and decisionmakers will be among the first to

receive a copy of this course.

According to Suzanne Sellman,

communications director for the

EMSC National Resource Center,

“This course is one of 25 products

featured on an EMSC CD-ROM that

is being distributed free of charge

as part of an aggressive outreach

and communications effort aim-ed at

the EMSC provider community.” For

more information about this campaigns

see page 9.

Both printed and downloadable

versions of the course are expected to

be available early next year. More

information about how to order the

printed version will be included in

future issues of EMSC News.

“I think that this is an extraordinary opportunity to partner with

EMSC to get this critical information

to rural communities to treat pediatric emergencies.”

– Mike Bell, AHA.

Mark Your Calendar

2001 ANNUAL

EMSC GRANTEE MEETING

June 3-5 

Sheraton Premier at 

Tysons Corner

Vienna, VA
EMSC News NOV/DEC 2000 3

Despite the best medical care,

thousands of children and adolescents die suddenly in the

emergency department (ED) each year.

The emotional toll of a child’s death on

parents, siblings, relatives, and even

health care providers is enormous.

Confusion, grief, guilt, disbelief, and

anger are just a few of the feelings to

be expected. 

In this situation, ED staff must act

quickly, compassionately, and in an

organized manner. The quality of assistance provided can make a huge difference in the way the family responds to

staff and multiple decision-making

issues.

In 1999, the National Association

of Social Workers (NASW), working

under an Emergency Medical Services

for Children (EMSC) Partnership for

Children (PFC) contract, released practice guidelines designed to assist ED

staff in providing assistance to family

members coping with the sudden death

of a child. The Bereavement Practice

Guidelines for Health Care Professionals in the Emergency Department were

developed by a consensus panel made

up of emergency physicians, nurses,

psychiatrists, social workers, chaplains, emergency medical services

providers, psychologists, child life specialists, and parents. The 30-page

booklet is divided into five sections or

phases of care and offers guidance on

how best to: 

• Prepare the ED to help the family

by establishing protocols and 

procedures;

• Respond quickly and in an organized manner when the family

arrives in the ED; 

• Inform family members when a

child dies in the ED;

• Provide follow-up after the death

of a child in the ED; and

• Help staff cope with childhood

deaths in the ED

According to Mirean Coleman,

EMSC project director for NASW,

developing practice guidelines that

address the mental health and communications needs of families experiencBereavement Guidelines for ED Staff Lead to

National Training; Heightened Interest

ing the sudden death of a child

enhances the quality of care provided

to the family. “However, we were very

surprised to discover that other professionals were also very interested in

these practice guidelines and would

like to be involved in the training at

some point,” Coleman said. NASW has

received hundreds of telephone calls

and e-mails from their members and

other professionals about the possibility of expanding the training to include

other health care professionals. 

This past fall, NASW began conducting training sessions to enhance

the skills of social workers who counsel families who have experienced the

sudden loss of a child in the ED. “This

has been one of our most popular

training sessions,” Coleman said. “The

two that we have held thus far have

both sold out.” For more information

about the dates and locations of future

workshops, contact Coleman at

(202)336-8265. To obtain a copy of

Bereavement Practice Guidelines for

Health Care Professionals in the

Emergency Department, contact the

EMSC Clearinghouse at (703) 902-

1203 or access the EMSC web site at

www.ems-c.org. Once there, go to Publications and Resources.

News from NEDARC

NEDARC is coming to a location

near you! The National EMSC

Data Analysis Resource Center

(NEDARC) held its first data workshop

on August 23, 2000, in Salt Lake City,

UT, and will be holding two additional

workshops this winter. 

EMSC representatives from 11

states attended the first workshop,

which focused on identifying solutions

to data collection barriers. In addition,

NEDARC staff presented information

on EMS Information Systems (EMSIS)

courses, data analysis, probabilistic

linkage, data communication, using

EMS data to drive quality improvement, and program evaluation. 

So what if you missed out on this

workshop? Never fear. NEDARC is

pleased to announce that two additional, all-day workshops will be held

this January. The first will be held on

January 19 in Atlanta, GA, followed

by a second workshop on January 26,

in Chicago, IL. 

EMSC grantees received additional funding in their budgets to attend

one of the three workshops. For more

information about the workshops or

to register, access NEDARC’s web site

at http://nedarc.med.utah.edu.

NEDARC
What Is JumpSTART?

Modeled after the widely recognized START (Simple Triage and Rapid Treatment) program, the JumpSTART system is designed

to help rescuers quickly

and accurately categorize pediatric

patients into treatment groups. It is

extremely useful in the MCI setting

because it maximizes responder efficiency until additional help arrives.

Like its predecessor, which was

designed primarily for adults, JumpSTART is built on the premise that

rapid primary triage (less than 60 seconds per patient) based on assessment of respiration, perfusion, and

mental status (RPM) is effective in

“doing the best for the most with the

least.”

Why Was JumpSTART

Developed?

Dr. Romig developed the JumpSTART system to assist in maximizing

outcome for the greatest number of

MCI patients by addressing the unique

anatomy and physiology of children.

Any factor that increases the efficiency and effectiveness of triage for a

specific group of victims also

enhances the appropriate expenditure of resources for all victims.

By providing age-specific guidelines, JumpSTART also helps to

counter the negative emotional

aspects of pediatric triage decision-making. An objective triage

system not only inhibits subjective, emotion-influenced triage

decisions but also helps to insulate triage personnel from the

heavy emotional burden of having to make potential life-ordeath decisions for children.

I

magine being the first person at the

scene of a crash involving a bus full

of children with various levels of

injuries. What will you do? Who should

receive care first? Until recently, the

lack of objective triage criteria for

pediatric patients involved in a multicasualty incident (MCI) made these

questions difficult to answer. In many

instances, rescuers’ natural emotional

responses to injured children influenced their clinical judgment during

the triage process. As a result, children may have been incorrectly

triaged. Rescuers with strong sympathy may also have wasted time and

resources in attempting to save a child

who was not realistically resuscitatable. 

In an effort to provide concrete

guidelines for the effective triage of

children involved in an MCI, the Virginia Emergency Medical Services for

Children (EMSC) program received

supplemental funding to create a

video based on the pediatric triage

system known as JumpSTART. This

system was developed by Lou Romig,

MD, medical director of the South

Florida Regional Disaster Medical

Assistance Team. Listed here are some

commonly asked questions and

answers regarding the new program. 

Highly Anticipated JumpSTART Video Released

Offers Triage Guidelines for Children

Involved in MCIs

4 EMSC News NOV/DEC 2000

Should JumpSTART Be Used in

Conjunction with the START

System?

Yes. Anyone familiar with START

should easily be able to integrate the

pediatric modifications proposed in

JumpSTART, thereby requiring minimal additional training time and permitting simultaneous refresher training. However, it can be used as a

stand-alone training tool.

Who Should Use JumpSTART?

The program is targeted to all prehospital professionals, including firefighters, police officers, lifeguards,

forestry personnel, and ambulance

attendants. Industrial or school safety

personnel and other medical professionals should also use JumpSTART.

Will It Be Widely Distributed?

Yes. Thanks to the enthusiastic

support of the Virginia Office of Emergency Medical Services (OEMS),

JumpSTART was aired via closed circuit satellite on August 16, 2000. Virginia’s OEMS operates the Emergency

Medical Services Satellite Training

(EMSAT), a monthly, one-hour interactive training and information program available to anyone in the U.S.

and abroad with the capability to

downlink satellite feed. 

The Virginia EMSC program will

distribute the JumpSTART video to all

licensed EMS agencies in Virginia and

to every EMSC project coordinator. The JumpSTART camera crew shot this scene depictiing a

multi-casualty incident involving approximately 10 children 

and three adults who were thrown from the back of a trailer

hitched to a tractor.

Participants of JumpSTART video receive direction

befor taping taping starts.
EMSC News NOV/DEC 2000 5

T

he U.S. Department of Health

and Human Services (HHS),

Office of Civil Rights (OCR)

recently issued written policy guidelines to assist health and social services providers in ensuring that persons with limited English proficiency

(LEP) or skills can effectively access

critical health and social services.

Title VI Prohibition Against National

Origin Discrimination as it Affects

Persons with Limited English Proficiency applies to all state-administered as well as private and non-profit

facilities, including prehospital and

emergency care services that receive

Medicare and Medicaid payments or

other HHS assistance.

The guidelines are very important given the increasing diversity of

children requiring emergency medical

services. “Effective communication is

the key to meaningful access,

whether it is a hospital, a clinic, or a

benefits program,” said OCR Director

Thomas Perez. “Failure to communicate effectively can have serious consequences for millions of Americans.”

Some states were already addressing the issue prior to the release of

these guidelines. For example, Massachusetts recently passed the Emergency Room Interpreter Services Bill,

which requires competent interpreter

services be available to every non-English speaker who is a patient or who

seeks appropriate emergency care or

treatment. 

The new guidelines were designed

to address several problem practices

identified by OCR. These include providing services to LEP persons that are

more limited in scope or lower in

quality than those provided to other

persons; subjecting LEP persons to

unreasonable delays; limiting an LEP

person’s participation in a program or

activity on the basis of English proficiency; providing services to LEP persons that are not as effective as those

provided to persons proficient in English; and failing to inform LEP persons

of the right to receive free interpreter

services or requiring them to provide

their own interpreter. 

To provide satisfactory service to

children and families with limited

English skills, the guidelines recommend: 

• Having polices and procedures in

place for identifying and assessing

the language needs of the individual

provider and its client population; 

• Notice to LEP persons of the right

to free language assistance; 

• Staff training and program monitoring; 

• A range of oral language assistance options, appropriate to each

facility’s circumstances; and

• A plan for providing written materials in languages other than English when a significant number or

percentage of the affected population requires services or information in another language to communicate effectively. 

Options for providing oral language assistance range from hiring

bilingual staff or on-staff interpreters

to contracting for interpreter services

as needed, engaging community volunteers, or contracting with a telephone interpreter service. 

For more information or to download a free copy of the new guidelines

go to www.hhs.gov/ocr.

Facilities Accepting Medicare, Medicaid Get New Guidelines for Helping Persons with Limited English Skills

Additional copies will be available in

2001 by contacting the EMSC Clearinghouse at (703) 902-1203 or via 

e-mail at emsc@circsol.com.

For more information about

JumpSTART, contact Dr. Romig at

louromig@aol.com or Petra Menzel,

MPH, Virginia EMSC program coordinator, at pmenzel@hsc.vcu.edu. To

locate additional information about

START, access the Newport Beach Fire

and Marine Department’s web site at

www.start-triage.com.

More than 25 people participated in the taping of JumpSTART, including: several child actors and actresses,

parents, Dr. Romig, Petra Menzel, and providers from the Powhatan Volunteer Rescue Squad and the 

Manchester Volunteer Rescue Squad
6 EMSC News NOV/DEC 2000

T

he month of December kicks off

a busy travel season as families

across America take to the road

for the holidays. Unfortunately, it is

one of the most dangerous times on

the nation’s roadways. Last year,

nearly 16,000 people lost their lives

due to impaired driving. This translates to one fatality every 33 minutes,

one injury every two minutes, and one

arrest every 47 seconds. The numbers

are staggering, and no one is immune. 

Just as surprising is the fact that

the majority of children who die in

alcohol-related vehicle crashes are not

killed by an impaired driver who hits

them, but by the impaired driver who

is transporting them. According to a

study reported in the May 2000 issue

of the Journal of the American 

Medical Association, nearly two out 

of three children who are killed in 

alcohol-related crashes are passengers 

driving with an impaired driver. In

the majority of these cases, the drinking adult did not have the presence 

of mind to buckle the children into

their seats. 

This December marks National

Drunk and Drugged Driving Prevention Month. Within this 30-day celebration, December 15-17 has been set

aside in observance of National Holiday Lifesavers Weekend. During this

three-day period, law enforcement

agencies will stage a 72-hour mobilization to combat impaired drivers

through the use of sobriety checkpoints and saturation patrols. 

The weekend kicks off with

“Lights on for Life” Day, which

encourages drivers and law enforcement officers to drive with their headlights on throughout the day to recognize those who have been killed or

injured by drunk drivers. The event

also serves as a reminder that law

enforcement is using the observance

to focus on impaired driving. 

In addition to driving with vehicle

headlights on, there are other ways to

show support for the weekend’s events:

1. Encourage employers, community

groups, and schools to make “Lights

on for Life” Day an annual holiday

observance.

Take Part in National Effort to Prevent Drunk Drivers 2. Work with local media organizations

to raise awareness about the deadly

consequences of impaired driving.

3. Work with local school bus, public

bus, and taxicab companies to stage a

public transportation “Lights on for

Life” event. Ask each company to display banners or placards supporting

the effort. 

4. Turn on porch lights, holiday lights,

and floodlights to send messages

throughout neighborhoods against

impaired driving. Display holiday trees

with white and red lights, indicating

impaired driving fatality tolls. 

5. Post informational posters and

brochures in your office.

There is never enough help, and

never too many voices. By working

together, we can reduce the impact of

impaired driving on our communities.

For more information or to receive

posters, brochures, and campaign kits,

visit the National Highway Traffic Safety Administration’s web site at

dot.gov/people/outreach/safesobr/ydydyl or contact Laurie Flaherty at lflaherty@nhtsa.dot.gov.

STATISTICInappropriate Use of Out-of-hospital Intervention by EMS Personnel on Children with

Respiratory Illnesses.

Statistic of Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

Intervention % Inappropriate If Inappropriate

% underutilized % Overutilized

Oxygen 16 85 15

Assiste ventilation 2 100 0

Medication use 9 70 30

Vascular access 11 30 70

Phlebotomy 9 32 68

Cardiac monitor 18 26 74

Source: Scribano, Philp, DO, MS. “Use of Out-of hospital Interventions for the Pediatric Patient in an Urban Emergency Medical Services System.” Academic Emergency Medicine, 7:7 (July 2000).
EMSC News NOV/DEC 2000 7

••••••••• ••••••••• •••••••••PUBLIC POLICY NETWORK•••••••••• •••••••••• ••••••••••

T

he Association of State and Territorial Health Officials (ASTHO)

publishes Primary Care Network

News, a bi-weekly electronic news

exchange for state health officials,

state primary care policy professionals, and ASTHO national association

and government partners. Excerpts from

a recent newsletter are highlighted

below. Previous issues are available at

www.astho.org/access/newsletters.htm

Policy Assistance for Children

with Special Health Care Needs

To promote comprehensive, family-centered systems of care for children with special health care needs,

Johns Hopkins University, Health Systems Research, and Family Voices created the National Policy Center for

Children with Special Health Care

Needs. This center, funded under a

cooperative agreement with the Maternal and Child Health Bureau, produces

information relevant to the operational needs of managed care organizations and state agencies, professional and family program administrators,

federal and state officials, and families.

Some of the Center’s resources

include documents on defining medical necessity, measurements of

quality for children with special

health care needs, data uses to

enhance quality of care for children

with special health care needs, and

new opportunities to serve children

with special needs under the State

Children’s Health Insurance Program

(SCHIP). For more information

about the Center or to receive

copies of documents, call

(410) 614-5553 or send an e-mail

to jlambert@jhsph.edu.

Health Systems Miss Most

Mentally Ill Children and

Adolescents

More than 7 out of 10 American

adolescents with mental health problems are not getting care, according to

data released at the Surgeon General’s

Conference on Children’s Mental

Health. Studies from both the RAND

Corporation/University of California at

Los Angeles (UCLA) and the Behavioral Sciences Institute at Puerto Rico

University found:

• a lack of mental health need identification by systems that serve

children and adolescents;

• worsening problems among minority children and among those who

lack health insurance as a result of

language barriers; and 

• a strong cultural stigma associated

with mental illness that inhibits

them from seeking care.

The studies also cited inconsistent

delivery of mental health care services

to these populations. For example,

nearly 60% of adolescents identified by

their primary care doctors as needing

mental health services never receive

PUBLIC POLICY NETWORK

care. Conference participants were

asked to identify barriers to mental

health services for children and adolescents and to make recommendations for action that utilized collaborations between primary health care services and school systems to identify

more children with mental health

problems and obtain treatment for

them if needed. A summary of conference activities will be available in the

coming months from the Surgeon

General’s office. Copies of Mental

Health: A Report of the Surgeon General, as well as an executive summary,

resource directory, and other related

materials, are available at www.surgeongeneral.gov.

New Brief Examines State

Partnerships Between MCH

Programs and SCHIP

The Association of Maternal and

Child Health Programs (AMCHP) has

released an issue brief, which provides

examples of some of the roles state

Title V MCH Block Grant programs

played in outreach and enrollment

related to SCHIP and Medicaid. The

brief, “Building Healthier Kids

Through Successful Partnerships:

SCHIP/Medicaid Outreach and Enrollment” is available by contacting AMCHP at (202) 775-

0436.

For more information

about these or other Emergency Medical Services for

Children (EMSC)-related

public policy activities,

please contact Crissy Rivers,

public policy associate for

the EMSC National Resource

Center, at (202) 884-4927 or 

crivers@emscnrc.com.
8 EMSC News NOV/DEC 2000

EMSC SYSTEMS SCOOP

••••••••• ••••••••• •••••••••EMSC SYSTEMS SCOOP ••••••••• ••••••••• •••••••••

more training, skill maintenance, and

local medical direction. 

“No one has questioned the critical nature of anaphylaxis and the need

to properly treat the symptoms,” said

Bob Waddell, EMS system development director for the EMSC National

Resource Center. “What is at the heart

of this life-threatening malady is

assuring proper recognition and treatment of afflicted patients.”

According to Waddell, until

national or state guidelines are available, personal preparedness and

responsibility may be the best solution. Families and caregivers should

have the knowledge and skills needed

to properly assist the child during a

true life-threatening emergency,

including how and when to administer

epinephrine. In the meantime, local

response agencies should work with

primary care physicians and the EMS

medical director to develop a plan for

addressing this complex issue.

Whether that includes a change in

scope of practice or a change in

patient preparedness is not important.

What is important is the systems’ preparedness, which includes family

involvement.

“Each year, approximately 30,000

patients with allergic reactions present

to the emergency department,” states

Melissa Smith of the Food Allergy Network (FAN). “Of these, approximately

200 to 300 die from anaphylactic reactions, many of them children.”

Recently, staff from the Emergency Medical Services for Children

(EMSC) National Resource Center and

FAN met to discuss food anaphylaxis

and its impact on emergency medical

services (EMS). The problem is that in

many communities throughout the

U.S., EMT-Basics are not allowed to

administer epinephrine, the initial

drug of choice for treating bronchoconstriction and hypotension

resulting from anaphylaxis. Why?

Complexities exist that prevent EMTBasics from administering this life-saving medication.

In the mid-1990s when the

National Highway Traffic Safety

Administration (NHTSA) revised the

EMT-Basic National Standard Curriculum, the issue of increasing the scope

of practice to include administration of

epinephrine was positively received by

the EMS industry. However, to increase

scope of practice, an increase in training time was required. When this was

communicated to the EMS community, NHTSA received an overwhelming

amount of negative comment.

Increasing the length of training was

not an option the industry was willing

to accept.

Experts agree that without additional training, EMT-Basics may not

be prepared to identify and properly

treat the complexities of anaphylaxis.

They may lack necessary preparation

regarding indications, methods, contraindications, and complications of

administering epinephrine for noncardiac arrest situations.

Training is not the only barrier.

An active medical director and medical direction oversight program is

needed, as well as adequate quality

improvement and quality assurance

programs to evaluate the impact of a

scope of practice change.

In the absence of national guidelines, should states begin identifying

local solutions? Yes. Washington and

New York, for example, have passed

legislation allowing EMT-Basics to

administer epinephrine via the

EpiPen® for anaphylactic reactions.

The language in both bills calls for

Roving Reporter

North Carolina’s EMSC project is busy conducting course coordinator rollouts for the American Academy of Pediatrics’ recently released

Pediatric Education for Prehospital Professionals (PEPP) Training Program. The program is designed to help prehospital professionals better

assess and manage ill or injured children. Pictured here are paramedics

from several western North Carolina county services who participated

in the second rollout course held on August 9-10, 2000, in Haywood

County, NC. For more information about North Carolina’s courses, 

contact Sue Hohehaus at Sue Hohehaus@ncmail.net.
EMSC News NOV/DEC 2000 99

19 Organizations Collaborate in Effort to Increase Medical 

Professionals’ Preparedness For Pediatric Emergencies 

I

n a significant move to help ensure

medical professionals have the

resources they need to provide

“state-of-the-art” pediatric emergency

care, representatives from more than

19 government, national, and professional organizations released a comprehensive Resource Kit designed to

help evaluate and bring

organization(s), communities, and

states into compliance with accepted

standards for pediatric emergency care.

The

announcement took

place on

October 23,

2000, at a

trade press

event held in

conjunction with

the American

College of Emergency Physicians’

Annual Scientific Assembly in

Philadelphia, PA.

The Resource Kit, available in CDROM format, contains more than

2,000 pages of critical information on

pediatric injury and illness prevention,

treatment, and rehabilitation. It

includes: 

• A collection of protocols, training courses, guidelines, and procedures

that address illness and injury prevention, patient care training and safety,

equipment guidelines, medical direction, and public policy. 

• A reference guide of additional

available resources and where to

obtain them.

• Contact information on organizations in the emergency medical services for children (EMSC) community

that are committed to strategic partnership building. 

The Kit will be distributed to

more than 5,000 emergency care

decision-makers throughout the

nation. In addition, the entire kit is

available free of charge at 

www.ems-c.org. 

During the press conference, Jane

Ball, DrPH, RN, director for the EMSC

National Resource Center, stated that

“This Resource

Kit is a powerful

tool to help

streamline and

improve the

care we offer

children system wide and

to ensure

our EMS

systems are

prepared

to provide

children

the right care when it

counts. We are pleased to have had

the opportunity to collaborate on this

important effort with so many leaders

in the medical community.”

“The Resource Kit is not only a

landmark practice manual, but a living one,” said David Heppel, MD,

director for the Health Resources and

Services Administration (HRSA),

Maternal and Child Health Bureau’s

Division of Child, Adolescent, and

Family Health. “We are dedicated to

keeping it current by continually

updating it with the latest and best

practice information.” Ongoing

updates will be posted to the EMSC

web site.

In addition to HRSA and EMSC,

17 other organizations participated in

the development of the kit. They

include: the National Highway Traffic

Safety Administration, the American

College of Emergency Physicians

(ACEP), the American Academy of

Pediatrics, the Emergency Nurses

Association, the Ambulatory Pediatrics

Association, the American Association

of Poison Control Centers, the National Association of State Head Injury

Administrators, the Brain Injury Association, the American Pediatric Surgical Association, the American Psychological Association, the American

Trauma Society, the National Association of Children’s Hospitals and Related Institutions, the National Association of EMS Physicians, the National

Association of Emergency Medical

Technicians, the National Association

of School Nurses, the National Association of Social Workers, and the

National Association of State EMS

Directors. 

“The American College of Emergency Physicians is delighted to join

HRSA and EMSC in launching this

new resource for emergency care

providers,” said Robert Schafermeyer,

MD, president for ACEP. “Emergency

physicians are advocates for quality

emergency care, and this CD will be a

valuable tool in assisting them and

others in the EMS community to provide the best possible emergency care,

as well as in preventing childhood

emergencies.”

The Resource Kit was produced as

part of a three-year national educational campaign to help reduce pediatric disability and death from injury

and illness. The next phase of the

campaign will focus on outreach to

parents, caregivers, and children.

Emphasis will be provided on prevention methods and preparation for

pediatric medical emergencies, such

as identifying illness warning signs,

choosing the best hospitals for pediatric emergencies, and guidelines for

treating ill or injured children. 
I

Dr. Bernardo Receives

Prestigious Award

Congratulations to Lisa Bernardo,

PhD, RN, MPH, Emergency Medical

Services for Children (EMSC) Steering

Committee member, on receiving the

Emergency Nurses Association’s Lifetime Achievement Award for her significant contributions in the areas of

nursing practice, education, research,

and professionalism. Dr. Bernardo

received the award on September 26,

2000, during ENA’s Annual Scientific

Assembly in Chicago, IL.

Dr. Bernardo is an assistant professor in the School of Nursing, Health

and Community Systems at the University of Pittsburgh. She is also a staff

nurse for the Casual Emergency

Department and Primary Care Center

at the Children’s Hospital of Pittsburgh.

j

Ci

Alaska

The Alaska Emergency Medical

Services for Children (EMSC) program

is sponsoring an Emergency Trauma

Technician (ETT) course in three

rural high schools. The course

encompasses 40 hours and is delivered

over a semester, often in conjunction

with a health class. Upon completion

of the course, students are eligible to

take the state ETT exam. Those who

pass are registered as an ETT in the

state of Alaska. According to Doreen

Risley, state EMSC project coordinator, students who enroll in this course

often get involved in their local emergency medical services (EMS) agency

or pursue a medical career. For more

information, contact Risley at (907)

465-8633 or via e-mail at doreen_risley@health.state.ak.us.

Delaware

We failed to mention in the

July/August issue of EMSC News that

Trauma Symposium 2000 was sponsored by Christana Care Hospital.

Linda Jones, trauma coordinator,

served as the conference manager. We

apologize for this oversight.

10 EMSC News NOV/DEC 2000

North Dakota

The South Dakota EMSC project

is partnering with local agencies to

provide additional train-the-trainer

classes for the Pediatric Education for

Prehospital Professionals (PEPP)

course. All EMS instructors responsible for continuing education training

for prehospital providers will be targeted. South Dakota is also working

with its state chapter of the American

Academy of Pediatrics to provide

Advanced Pediatric Life Support: The

Pediatric Emergency Medicine Course

to 50 pediatricians and family practice

physicians in the next year. For additional information, contact Dave Boer

via e-mail at dboer@usd.edu.

Illinois

Illinois EMSC has

developed an online,

menu-driven electronic data system

that queries five

statewide databases—

death certificate, prehospital report, trauma

registry, traffic crash

report, and hospital discharge—and provides healthrelated descriptive information at

the state, EMS region, and county levels. To access the EMS Data Reporting

System go to

www.idph.state.il.us/emsrpt. For more

information, contact Evelyn Lyons at

(708) 327-2556. 

North Carolina

North Carolina EMSC is busy

conducting staged pediatric emergencies to test emergency department

preparedness at hospitals and EMS

agencies throughout the state. To

date, EMSC staff have visited 35 hospitals. According to Sue Hohenhaus,

the state EMSC project coordinator,

feedback from the hospitals has been

overwhelmingly positive. Following

the mock event, a debriefing is conducted to review the equipment and

protocols used in responding to childhood emergencies. North Carolina is

also working with the Tennessee

EMSC project in implementing the

soon-to-be-released Pediatric Emergency Care Course: Advanced Life

Support. For more information, contact Sue Hohenhaus via e-mail at

Sue.Hohenhaus@ncmail.ne.

S

tate of the States

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Gr

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ntee Up ad oC et nr er

•

S

tate of the States

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EMSC News NOV/DEC 2000

? YOUR QUESTION COUNTS!

? ?

••••••••••• ••••••••••• •••••••••••YOUR OUR QUESTION UESTION UESTION COUNTS OUNTS!••••••••••• ••••••••••• •••••••••••

Q: Will the EMSC Program Be

Offering Any New Grant

Opportunities Next Year?

A:Yes. Three new grant prioritieswere recently published in the

Federal Register (see below). All three

coincide with new initiatives identified

in the soon-to-be-released EMSC Fiveyear Plan, 2001-2005, and are responsive to the Institute of Medicine

Report, To Err Is Human. Building A

Safer health System.

The issues addressed in these new

grants are responsive to national concerns for patient safety and the need

for national data about pediatric emergencies. For more information about

each grant, contact Cindy Doyle,

Emergency Medical Services for Children (EMSC) program director, at 

(301) 433-8888 or cdoyle@hrsa.gov.

National Injury Surveillance System

for Children Grant (CDFA # 93.127J)

The group receiving this grant will

be responsible for developing an infrastructure to collect and analyze information on pediatric injuries for the

purpose of developing effective prevention and treatment strategies.

Data collection sites included in the

sampling frame will be dispersed

throughout the U.S, providing a mechanism to generate national estimates

of childhood injury. Data elements

contained in the database will be or

applicable to elements in other national injury registries, allowing large databases to be easily consolidated. A

subset of the surveillance data points

will include both prehospital and

short-term functional status data collected at hospital discharge. Data will

?

be linked to vital statistics records,

extending the data collection window

and facilitating research questions

associated with the continuum of care

among injured children. 

Estimated funding for this project

is $500,000 for one three-year award.

The application will be available on

February 1, 2001, through the Health

Resources and Services Administration’s (HRSA) web site (www.hrsa.gov),

and must be submitted by April 2. The

projected award date is July 1, 2001.

Clinical Practice Guidelines for Emergency Care of Children (CDFA #

93.127I)

The purpose of this grant is to

develop a set of clinical practice guidelines applicable to all medical personnel who are responsible for treating

children’s emergency conditions (e.g.,

pediatricians, family practitioners,

nurse practitioners, emergency

department physicians, physician

associates, etc.). The goal of the

guidelines is to improve care for common problems of children who present

in emergency departments and doctors’ offices. The guidelines will be

based on an assessment of published

research and will permit compilation

of valid summary statistics. Estimated

funding for this project is $500,000 for

one three-year award. The application

will be available on April 2, through

HRSA’s web site (www.hrsa.gov), and

must be submitted by June 1. The

projected award date is September 1,

2001.

?

A Color-Coded System for Equipment

and Medication for Pediatric Resuscitation Grant (CFDA # 93.127H)

The purpose of this grant is to

demonstrate the effectiveness of a

color-coded system, which allows

access to accurate precalculated medication doses and equipment sizes,

and emergency treatments for critically ill and injured children. The effectiveness of implementing a colorcoded system in the clinical setting

will be appropriately evaluated using

scientifically based data collection and

analysis techniques. The estimated

funding for this project is $250,000 for

one three-year award. The application will be available March 1, through

HRSA’s web site (www.hrsa.gov), and

must be submitted by June 1. The

projected award date is September 1,

2001.

?

11
12 EMSC News NOV/DEC 2000

2001 National Heroes Award

Emergency Medical Services for Children

The EMSC National Heroes Award program was established in 1998 by the Maternal and Child Health Bureau,

Health Resources and Services Administration to recognize and reward outstanding achievement in emergency

medical services for children (EMSC) and to encourage continued excellence in the field. The award categories

provide an opportunity to honor individuals, state teams, and organizations dedicated to advancing the purposes

of the EMSC Program.

Year 2001 Award Categories

◆ EMSC Project Coordinator of Distinction Award

◆ EMSC State Achievement Award

◆ EMS Provider of the Year 

◆ EMSC Parent Volunteer of the Year 

◆ EMSC Community Partnership of Excellence Award

◆ Innovation in EMSC Product or Program Development 

Review Criteria

The following criteria will be used to evaluate nominations

for the EMSC National Heroes Awards:

EMSC Project Coordinator of Distinction Award.

The recipient of this award must:

◆ be currently active in the EMSC Program;

◆ have a minimum of three years direct coordinating

experience;

◆ have a comprehensive understanding of his or her state’s

EMSC-related issues;

◆ have successfully integrated EMSC into his or her state’s

EMS program(s) for the long term; and

◆ have successfully collaborated with other organizations to

overcome barriers to integrating the needs of children in

his or her state’s EMS system. 

EMSC State Achievement Award.

The state receiving this award must: 

◆ be a current grantee;

◆ have a minimum of four years of EMSC funding;

◆ have successfully created a dynamic and creative EMSC

team that addresses a wide range of EMSC-related issues;

◆ have established collaborative relationships with other

organizations and agencies in the state; and

◆ have had a significant statewide impact, plus a major

regional influence on the advancement of pediatric emergency care.

EMS Provider of the Year.

The recipient of this award must:

◆ be a pre-hospital professional with a minimum of two

years of experience;

◆ be dedicated to providing the highest level of pediatric

patient care;

◆ have an excellent understanding of pediatric emergency

medical services issues; and

◆ provide leadership in addressing priority EMSC issues,

such as training, injury prevention, children with special

health care needs, cultural competency, and family-centered care.

EMSC Parent Volunteer of the Year. 

The recipient of this award must:

◆ have been a volunteer for a minimum of two years; and

◆ have provided meritorious service that results in a significant impact on the emergency medical needs of the children in his or her community. (Improving family-centered

care and cultural competency are key goals for EMSC parent volunteers.)

EMSC Community Partnership of Excellence Award.

The recipient of this award must:

◆ be a business or organization that effectively promotes

activities that serve children and adolescents; and

◆ demonstrate an ability to work collaboratively with a state

EMSC program to address one or more pediatric emergency medical issues. 

Innovation in EMSC Product or Program Development.

To receive this award, the product, publication, 

or program must:

◆ be no more than two years old;

◆ be designed to educate or advance EMSC-related issues;

◆ be unique and cost-effective;

◆ be appropriate for use by other EMSC projects; and

◆ have a significant statewide impact, plus a major regional

influence on improving pediatric emergency care. 
EMSC News NOV/DEC 2000 13

Review Process

The EMSC National Resource Center (NRC) Steering Committee will review each nomination. The criteria will be

weighted equally, each receiving a separate numerical score.

The Committee reserves the right to award more than one

award in each category. 

Presentation of Awards

The fourth annual EMSC National Heroes Awards will be presented at a special luncheon during the 2001 Annual Grantee

Meeting to be held in June in Vienna, VA.

Application Process

To nominate an individual, organization, product, or program, please submit the following:

Nomination Form. Please complete the attached nomination form and indicate the award for which you are applying.

Additional forms can be downloaded from the EMSC web

site, www.ems-c.org, or call Leslie Green, NRC communications assistant, at (202) 884-6879.

Summary Statement. Prepare a summary statement no

longer than two double-spaced typed pages describing how

the nominee meets the award criteria. 

Supporting Materials. Supporting materials are limited to

five pages and can include articles, letters, and any additional information to support the candidate’s nomination. 

Please Note: If the nominee is selected to receive a National Heroes

Award, the nominator will be requested to submit a black and white

or color photograph of the recipient. 

To receive a confirmation of entry submission, please enclose

a self-addressed stamped postcard that includes the award

name and the words “National Heroes Award Nomination

Received.”

Deadline

All applications must be postmarked by February 15, 2001,

and sent to: EMSC National Resource Center, c/o National

Heroes Awards, 111 Michigan Avenue, NW, Washington, DC

20010-2970. Please do not send nominations by fax.

For More Information

For additional information, please contact Suzanne Sellman

at (202) 884-6843 or ssellman@emscnrc.com.

Nomination Form

Please complete this form and mail it with the summary

statement describing how the nominee meets the award

criteria and any additional materials (articles, letters, etc.)

to support his or her nomination.

Nominee’s Name: 

Organization (if applicable)

Address: 

Telephone: Fax: 

E-mail:

Nominator’s Name: 

Organization (if applicable):

Address:

Telephone: Fax: 

E-mail:

Award Category (check only one):

❑ EMSC Project Coordinator of Distinction Award

❑ EMSC State Achievement Award

❑ EMS Provider of the Year 

❑ EMSC Parent Volunteer of the Year 

❑ EMSC Community Partnership of Excellence Award

❑ Innovation in EMSC Product or Program Development

All applications must be postmarked by February 15, 2001, 

and sent to: EMSC National Resource Center

c/o National Heroes Awards

111 Michigan Avenue, NW

Washington, DC, 20010-2970
14 EMSC News NOV/DEC 2000

• Allen, Ken and Ball, Jane. “Consensus Recommendations for

Responding to Children’s Emergencies

in Disasters.” National Academies of

Practice Forum. 2, No. 4 (2000): 253-

257.

• Ball, Thomas M., CastroRodriguez, Jose A., Griffith, Kent A.,

Holberg, Catherine J., Martinez, Fernando D., and Wright, Annie L. “Siblings, Day-Care Attendence, And The

Risk Of Asthma And Wheezing During

Childhood.” The New England Journal of Medicine. 343 (2000): 538-43.

• Cetta, Michael G., Asplin, Brent

R., Fields, W. Wesley, and Yeh, Charlotte S. “Emergency Medicine and the

Debate Over the Uninsured: A Report

From the Task Force on Health Care

and the Uninsured.” Annals of Emergency Medicine. 36, No. 3 (2000):

243-46.

• Eckenrode, John, Ganzel, Barbara, Henderson, Charles R., Smith,

Elliot, Olds, David L., Powers, Jane,

Cole, Robert, Kitzman, Harriet, and

Sidora, Kimberly. “Preventing Child

Abuse and Neglect With a Program of

Nurse Home Visitation; The Limiting

Effects of Domestic Violence.” JAMA.

284, No. 11 (2000): 1385-91.

• Emond, Stephen D., Reed, Caitlin

R., Graff, Louis G., Clark, Sunday, and

Camargo, Carlos A. Jr. “Asthma Education in the Emergency Department.”

Annals of Emergency Medicine. 36,

No. 3 (2000): 204-11.

• High, Kevin and Yeatman,

Jeanne. “Transport considerations for

the pediatric trauma patient.” Journal

of Emergency Nursing. 26, No. 4

(2000): 346-51.

• Jurkovich, Gregory J, Pierce,

Becky, Pananen, Laura, and Rivara,

••••••••• ••••••••• •••••••••LATEST LIBRARY ADDITIONS DDITIONS DDITIONS••••••••• ••••••••• •••••••••

Frederick P. “Giving Bad News: The

Family Perspective.” The Journal of

Trauma: Injury, Infection, and Critical Care. 48, No. 5 (2000): 865-73.

• Kann, Laura, Kinchen, Steven A.,

Williams, Barbara I., Ross, James G.,

Lowry, Richard, Grunbaum, Jo Anne,

and Kolbe, Lloyd J. “Youth Risk

Behavior Surveillance - United States,

1999.” Journal of School Health. 70,

No. 7 (2000): 271-85.

• Kazdin, Alan E. “Developing a

Research Agenda for Child and Adolescent Psychotherapy.” Archives of

General Psychiatry. 57 (2000): 830-

35.

• McAbee, Gary N and Wark,

James E. “A Practical Approach to

Uncomplicated Seizures in Children.”

American Family Physician. 62

(2000): 1109-16.

• McPherson, Mona, Sachdeva,

Ramesh C., and Jefferson, Larry S.

“Development of a survey to measure

parent satisfaction in a pediatric

intensive care unit.” Critical Care

Medicine. 28, No. 8 (2000): 3009-13.

• Moon, Rachel Y. and Biliter,

Wendy M. “Infant Sleep Position in

Licensed Child Care Centers After

Back to Sleep Campaign.” Pediatrics.

106, No. 3 (2000): 576-80.

• Moon, Rachel Y., Patel, Kantilal

M., and McDermott Shaefer, Sarah J.

“Sudden Infant Death Syndrome in

Child Care Settings.” Pediatrics. 106,

No. 2 (2000): 295-300.

• Mulvey, Holly J., Ogle-Jewett,

Ethan A. B., Cheng, Tina L., and

Johnson, Robert L. “Pediatric Residency Education.” Pediatrics. 106 ,

No. 2 (2000): 323-29.

• Nedza, SM, Mulligan-Smith D,

and Harris, R. “Emergency DepartLATEST LIBRARY ADDITIONS

ments and Uninsured Children: An

Enrollment Opportunity.” Annals of

Emergency Medicine. 36, No. 3

(2000): 240-42.

• Pate, Russell R., Trost, Stewart

G., Levin, Sarah, and Dowda, Marsha.

“Sports Participation and HealthRelated Behaviors Among US Youth.”

Archives of Pediatric Adolescent

Medicine. 154 (2000): 904-11.

• Piehl, Mark D., Clemens, Conrad

J., and Joines, Jerry. “Narrowing the

Gap: Decreasing Emergency Department Use by Children Enrolled in the

Medicaid Program by Improving

Access to Primary Care.” Archives of

Pediatric Adolescent Medicine. 154

(2000): 791-95.

• Seidel, James S. and Knapp,

Jane F. “Pediatric Emergencies in the

Office, Hospital, and Community:

Organizing Systems of Care.” Pediatrics. 106, No. 2 (2000): 337-38.

• Sinclair, Douglas and AckroydStolarz, Stacy. “Home Care and

Emergency Medicine: A Pilot Project

to Discharge Patients Safely from the

Emergency Department.” Academic

Emergency Medicine. 7, No. 8

(2000): 951-54.

• Singer, Mark I. and Flannery,

Daniel J. “The Relationship Between

Children’s Threats of Violence and

Violent Behaviors.” Archives of Adolescent Medicine. 154 (2000): 785-

90.

If any interesting publication or

product (written or produced within

the last 18 months) has crossed your

desk which you would like to share,

please contact the EMSC National

Resource Center Medical Librarian

Kathryn Willis at (202) 884-6835 or

via e-mail at kwillis@emscnrc.com.
Need EMSC Promotional

Items for Your Next Event?

T

he Emergency Medical Services

for Children (EMSC) Program

now has novelty items available

online at www.ems-c.org! These items

range from wearables to giveaways and

can be individually customized to promote your organization or next event. 

This month’s featured products

include:

EMSC Embroidered Sweatshirt:

This heavyweight 100% cotton navy

sweatshirt allows you to spread the

EMSC message every time you wear it.

It’s perfect for exhibitors or staff participating in special events.

Hanes Silkscreened EMSC T-Shirt:

Too hot to wear a sweatshirt? We’ve

got you covered. Try one of our 100%

cotton t-shirts. Choose between two

colorful designs promoting one of two

messages: Put Emergency Numbers

Near Your Phone, and Safety Is the

Key to Staying Well ... So Always Wear

Your Protective Shell. Both t-shirts

where created by children.

EMSC Baseball Cap. 

Perfect for wearing around the community, these six-panel, brushed cotton caps feature an adjustable strap

with brass buckle. Each cap is navy

and off-white. This product cannot be

customized.

EMSC Enamel Pin.

Everybody loves to be recognized for a

job well done. EMSC’s blue, white, and

gold teddy bear pin is the perfect way

to tell your employees and volunteers

“Thank you.” Each pin features a military clutch. Buy a bunch today!

Bandage Dispenser. 

Everyone uses bandages, making

this the ideal giveaway at health fairs

and other community outreach events.

Each dispenser features the EMSC

bear insignia and includes five teddy

bear bandages.

Many more items are available by

accessing the EMSC web site at

www.ems-c.org. Once there, click on

Products and Resources.

EMSC News NOV/DEC 2000 15

Printed with permission from Steve Berry.

Studies Find SIDS Cases Often Occur in Bed Sharing

and Child Care

Astudy published in the September 2000 issue of Pediatricsfound that babies may be at risk

from sudden infant death syndrome

(SIDS) if they share a bed with another person or are put to sleep on a sofa,

chair, or adult bed. 

A study of 119 infant deaths in

the St. Louis area revealed that almost

half of the deaths happened when the

babies slept with their mothers,

fathers, siblings, or babysitters. In

more than 75% of the cases the baby

died on an unsafe sleep surface, such

as an adult bed, a sofa, or an easy

chair. In approximately 30% of the

cases the infant’s head or face was

covered by bedding.

A recent USA Today article quoted Bradley Thach, MD, an author of

the study and a professor of pediatrics

at the Washington University School

of Medicine in St. Louis, as saying, “In

seven of the 119 cases, it was documented that another individual had

their body, their leg, or their arm

pressed against an infant in a way that

would have led to suffocation. I think

in the other cases where the babies

were lying in adult beds, the babies

had scooted under pillows, blankets,

or quilts, and our conclusion is that

suffocation had contributed to their

deaths.”

In a separate, yet similar study

released in the August 2000 issue of

Pediatrics researchers found that a

significant number of crib deaths

(20%) occur in day care, where caretakers may be less likely to have heard

about the importance of putting babies

to sleep on their backs. 

Sixty percent of the day care

deaths occurred in home day care,

which tends to be unlicensed and run

by older women with less access to

pediatricians and others who promote

risk reduction efforts for SIDS. 

According to Rachel Moon, the

study’s lead author and a pediatrician

at Children’s National Medical Center

in Washington, DC, “SIDS deaths in

child care ranged from a high of 40%

of all SIDS deaths in Minnesota to a

low of 9% in Florida, with an average

of 20.4% in all 11 states participating

in the study.” The other states in the

study include Arizona, California, Colorado, Maryland, Massachusetts,

Michigan, Missouri, New Hampshire,

and New Jersey.
16

••••••••• IMPORTANT DATES TO REMEMBER ••••••••• ••••••••• IMPORTANT DATES TO REMEMBER ••••••••• ••••••••• IMPORTANT DATES TO REMEMBER •••••••••

EMSC National Resource Center

Children’s National Medical Center

111 Michigan Avenue, N.W.

Washington, DC 20010

BULK RATE

Postage and

Fees

Paid HRSA

Permit No. G-286

EMSCNEWS NOV/DEC 2000 

2000-2001

November 11-15

National Fire Protection Association

Fall Education Conference

Orlando, FL

Contact: (617) 770-0700

November 12-16

American Public Health Association

Annual Conference

Boston, MA

Contact: Edward Shipley at 

(202) 777-2478

November 16-18

National Perinatal Association 

Annual Clinical Conference and 

Exposition

Charlotte, NC

Contact: Sheila Sorkin at 

(888) 971-329

n

November 16-18

EMS Technology 2000

Austin, TX

Contact: (800) 926-2262

December

Safe Toys Month

Contact: American Red Cross at 

(703) 248-4343

December

Drunk and Drugged Driving 

Prevention Month

Contact: National Highway Traffic

Safety Administration at

(202)366-2679

December 1-3

Annual Health Policy Conference

Charlotte, NC

Contact: National Conference of State

Legislatures at (202) 624-5400

January 17-20

National Safe Kids Leadership 

Conference

Washington, DC

Contact: (202) 662-0600

January 18-20

National Association of EMS 

Physicians Annual Meeting

Fort Myers, FL

Contact: www.naemsp.org