When traumatic events strike, children are at greater risk than adults. Why? Because children vary in size and development, providers can be ill-equipped to serve them. For example, until our efforts, many ERs didn’t have oxygen masks that would fit children! CPR protocols are different for children, as is medicine dosing. Many health workers simply don’t see enough children to retain their skills.
In an effort to provide “real life” teaching moments to healthcare providers that do not care for critically ill and children on a routine basis; grant funding was obtained to purchase high fidelity pediatric manikins. Experienced pediatric nurses provide education utilizing the simulators at hospitals and EMS services throughout their region. Currently children do not receive appropriate pain medication for long bone fractures. These simulators will be used to teach evidence based pediatric pain management.
The 15th Annual Update in Acute and Emergency Pediatric Care conference was held in Franklin, TN. The conference was attended by nearly 200 healthcare providers. The conference focused on quality and service and the opening speaker, Paige Klingborg, MD, delivered a spectacular message, "Pediatric Shock-From First Contact to PICU: How Do We Manage Our Kids?" setting the tone for two days of engaging and interactive presentations from a range of experts. Resuscitation of a child is done by teams of providers. Leadership topics were added to agenda to enhance the team including “High Conflict Leadership: Managing Self and Others” by Steve Joiner, PhD.
Tennessee has had a disaster plan for a myriad of topics including pets but did not have one for children. A great success this year was the inclusion of pediatrics into Tennessee’s Emergency Support Function (ESF #8). This document provides the mechanism for coordinated assistance in response to a public health and medical disaster.
The Eighth annual EMS Star of Life was held in May 2016. It is designed to honor the accomplishments of EMS personnel from all regions of Tennessee who provide exemplary life-saving care to adult and pediatric patients. The ceremony included a presentation of the actual adult or pediatric patient scenarios and reunited the EMS providers with the individuals they treated. It is a very moving event and it is often the first time the EMS providers have been reunited with the patient whose life they saved.
1. To identify and obtain funding for pediatric dosing systems for EMS providers. Currently, an EMS provider must do multiple math calculations at the scene of a critically ill and injured child. Studies have indicated that pediatric patients experience adverse events related to medication errors at a rate of 3:1 compared to adults. It is our goal to purchase a system that is easy to use and will take the math out of giving a child life saving medication.
2. To diversify the board of directors. Currently, the board comprises health care providers and a parent. Gaining expertise in marketing, finance, legal, etc will assist us to create better solutions to our challenges.
3. To diversify funding streams to accelerate meeting the emergency medical needs of children.
As the president of the TN Emergency Medical Services for
Children (TN EMSC) Foundation, I am passionate about continuing to move forward TN EMSC’s mission of ensuring every child in
Tennessee receives the best pediatric emergency care in order to eliminate the
effects of severe illness and injury. We believe exceptional care should be
offered to every child, every time no matter where they are in the state.
The TN EMSC Foundation is a nonprofit dedicated to bettering the system of emergency care for our children. Our members include parents, teachers, hospital representatives, paramedics, nurses, doctors and more who want the best emergency care possible for children in Tennessee. Through this network of partners and advocates, we are fortunate to have access to a range of expertise that allows us to implement evidence-based care across the state.
I have spent 38 years in pediatric patient care, including 12 ½ years as a nurse in the PICU at Children’s Hospital at Erlanger. Children’s at Erlanger is one of the four Comprehensive Regional Pediatric Centers in Tennessee. CRPCs have the highest designation in the state to take care of children and serve as the foundation for an exceptional system of pediatric care. Now as a CRPC Coordinator, I help to train and support the emergency professionals and paramedics who are on the frontlines of pediatric emergency care. Along with the other CRPC Coordinators across the state, we ensure these providers have the resources and skills necessary to take care of our kids.
The Foundation is also focused on safety and accident prevention. Over the years this has included educating lawmakers about policies to keep children safe including a comprehensive seat belt law and a ban on texting while driving. We collaborate with the Tennessee Department of Health to make sure that our emergency departments are prepared to take care of the special needs that our children have when they are sick or injured. This includes assisting emergency departments with education, securing resources to get the pediatric equipment they need to care for children and reviewing what is needed per our state rules to maintain outstanding pediatric care.
I am honored to serve as the president of this wonderful organization. I invite you to take a look around the site and join us as we lead the way to a healthier and safer tomorrow for our children!
TN EMSC Foundation President
My goal as the Executive Director is to lead a diverse group of volunteer stakeholders to make a difference in the lives of critically ill and injured children and the clinicians who care for them. Our desire is to have a positive impact on the lives of children and their families throughout Tennessee by ensuring clinicians have the training and tools to deliver effective and efficient treatment.
At TN EMSC our mission is to significantly improve the survival rate of children with acute, life-threatening illness or injury every single day through:
Our innovative collaborations and relationships directly influence a child’s outcome and provide hope to their family
Our dedication to the healthcare professionals who provide care when it is most critical and
Our significant capabilities to address the needs of children through public policy
The goal of the Tennessee Emergency Medical Services for Children Foundation is to advocate for the highest quality of care for the ill and injured children who come into our hands, whether you are a physician, nurse, nurse’s aid, paramedic, EMT, social worker, hospital administrator, educator, or parent.
The Foundation works behind the scenes to coordinate communication among facilities, to seek opportunities to promote injury prevention, to formulate and implement a state plan for disaster management that addresses the specific needs of children, and to encourage an exchange of knowledge and experience between healthcare professionals, families, school systems, and government.
The purpose of the Star of Life is to reinforce best practice for emergency medical services providers (EMT, EMT-P). The patient scenario is read to the audience with specific best practices highlighted. The Star of Life program provides the opportunity to highlight best practice scenarios to the EMS professionals in attendance.
One of the eight examples was a two year old toddler that had fallen into a septic tank. The child required CPR and the use of a special measuring tape to determine the size of equipment needed for this child and the dosage for the medications. The best practice of care was delivered to this child including a special IV that had to be placed so that getting the right medicines and dosage, could be possible. The utilization of this tape measure and the subsequent care provided was highlighted at the event.
The majority of care delivered by emergency departments and ambulances are to adults. Medical care for children requires special training and equipment. Emergency care providers need to be aware of and trained on these differences.
At a rural hospital facility the emergency department staff did not know what to do with the child manikin. Once a room was found, the emergency equipment cart was brought to the room but did not have a heart monitor. The only heart monitor in the emergency department was being used on another patient. Following this mock code visit, the emergency department developed a contingency plan and purchased another heart monitor.
When mock codes first began in non children’s hospital emergency departments across the state, the child manikin was taken from the parent into an examination room and the parent was left in the waiting room. Parents are now viewed as a partner in the health care team and kept informed about the condition of the child.
Initial state legislation did not include trauma funding for the comprehensive regional pediatric centers in Tennessee. TN EMSC worked to include language in the legislation that secured trauma funding for the children’s hospitals.
TN EMSC was a key partner with AAA of Tennessee is working to ban text messaging while driving. This legislation successfully passed on its first attempt in the TN legislature in 2009.
2016 was an exciting year for TN EMSC. TN EMSC is respected as a national leader in developing a program that meets the needs of critically ill and injured children. We continue to build upon this exciting momentum and recognition. Our executive director is a coach for the National EMSC Innovation & Improvement Center to assist other states to replicate facility recognition program. A facility recognition program ensures every hospital is equipped to meet the emergency needs of children.
Recently, five high fidelity pediatric simulators at a cost of $37,000 each were obtained. These will be used to teach evidence based pediatric emergency care to healthcare providers. When TN EMSC began, hospitals and ambulances were not required to have the most basic equipment for children. When a child was injured, the hospital or ambulance may not have an oxygen mask that fit a child’s face and the IV needles were too big. Through legislation this was remedied. However, the percentage of 911 calls for children is about 10% with only a few percent being critically ill or injured. EMS and emergency room health care providers have even less opportunity to be proficient in difficult skills that are not used often. Therefore, the purchase of better equipment and the delivery of education to EMS crews, nurses, and physicians in the care of children is an ongoing need due to the lower incidence of critically ill and injured children than adults and the amount of staff turnover that occur.
The organization’s staff of two is often stretched thin with responsibilities in a variety of areas. They utilize social capital within supporters, members, and friends of the EMSC Foundation to assist in delegating tasks and disseminating messaging. Staff regularly participates in events through other local organizations in order to strengthen reach and community engagement. Additionally, staff attends training to fine tune skills in areas of public relations, social media, budgeting, and fundraising.
Indirect Public Support HelpIndirect public support represents revenue received through solicitation campaigns. This includes funding United Way and other federated fundraising organizations, but does not include donor designated contributions.
Earned Revenue HelpEarned revenue represents income generated in direct exchange for a product or service.Earned income includes income from government contracts.
The dramatic achievements of public health in the 20th century have improved our quality of life in a myriad of ways, including an increase in life expectancy, worldwide reduction of infant and child mortality rates, and the elimination or reduction of many communicable diseases. In Middle Tennessee, improvements in preventive medicine and advanced medical technology have resulted in increased life expectancy and improved health for many residents. However, significant health disparities exist in our region, resulting in poor health status often related to economic status, race, and/or gender.
If you can read this, you can fill out an application, write a check, shop for groceries, read to a child, and understand the bus schedule. What if you couldn’t? On top of that, what would happen if you couldn’t speak English? Renting an apartment and going to the doctor would be come terrifying and overwhelming. 44 million adults in the United States are unable to even read a simple story to a child, and 1 out of 5 Nashville adults is functionally illiterate.
Copyright © 2014 The Community Foundation of Middle Tennessee
3833 Cleghorn Avenue, Nashville, TN 37215