Contra Costa EMSC Pediatric Emergency Training Program Comparison

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1 Training Comparison ENPC Nurse Course Directed to Room Nurses. Initial Presents core level Nurses knowledge to and 16 hours Association psychomoter skills with 8 in associated with nursing hour cooperatio care for children in the renewal n with AHA department.. and AAP. Incorporates AHA Has Internation standards but no instructor ally longer has PALS approved renewal option compone curriculum nt from the ENA Content includes: The Patient Initial Assessment and Triage Respiratory Distress and Failure Cardiovascular Emergencies Medical Emergencies Child Maltreatment Toxicologic Emergencies Trauma Crisis Intervention The Neonate Stabilization and Transport Considerations: Respiratory Interventions, Vascular Access, Pain Management and Medication Administration and Positioning and Immobilization Techniques Multiple Trauma Resuscitation Evaluation Methods Successful completion the includes scoring a minimum 80% on the 50 item multiple choice examination and demonstrating all critical steps and 70% the total points in the evaluated skill stations. Participants have the ability to repeat the written examination or a psychomotor skill station if needed. ENPC Verification Verification will be issued from ENA with successful completion the. Verification remains current for four years. ENPC approved director, faculty per ENPC Administrative Guidelines. s must complete instructor and be monitored (much like AHA program faculty)

2 Training Comparison PEPP Education for the Prehospital Pressional Directed at EMT Intermediate and EMT-P providers. Any health pressional who is responsible for the emergent care children may find this beneficial National Standard for prehospital pediatrics Initial 2 s ALS or 1 BLS class Renewal 1 s & EMSC Mutidisciplinary organizatio ns Goal to enhance knowledge & skills prehospital providers caring for ill and injured children. Incorporates AHA standards and has PALS renewal option covers Respiratory, Special needs, child family interaction, Medical emergencies, trauma, child maltreatment, CV emergencies, Delivery and Newborn stabilization BLS Skills: Airway Immobilization ALS Skills: Airway adjuncts, BVM, Trach, ETT IO, Spinal Immobilization Scenario content includes neutropenic child, special needs, sickle cell, newborn. Specific disease states. Attendance Written exam Skills stations Scenario testing PEPP Course coordinator, Medical advisor and PEPP Faculty. to student ratio 1:6

3 Training Comparison PEARS Assessment, Recognition and Stabilization Directed at all prehosptial pediatric care providers, all health care providers who are not trained in pediatrics. Prerequisite be pricient in CPR and read and study the PEARS provider manual and student CD Initial 1 AHA and s. Focus is on the rapid assessment and early intervention the prearrest state to effectively PREVENT pediatric arrest. New national standard for pediatric assessment and recognition training. Takes PALS Assess, Categorize, Decide & Act Model with PAT ( Assessment Triangle as component Assess). Uses Primary Assessment, Secondary Assessment and Tertiatry Assessment approach to care Categorize illness by type and severity (Recognition) and the implementation appropriate interventions Skills: assessment, respiratory skills station, circulatory agency, resuscitation team concept, Assessment and recognition key skills taught Before : review text and PEARS student CD activities. During actively participate practice, & complete all skills stations and learning stations. Pass skills tests in child 1 rescuer and infant 1 & 2 rescuer CPR/AED. Pass a video-based written test with a minimum score 84% PALS s PALS Regional Faculty on site Appropriate pediatric specialists BLS Student Ratio 1:8

4 Training Comparison PALS Advanced Life Support Current BLS health care provider. Directed for pediatric health care providers (pediatricians, pediatric MD specialists, pediatric interns residents, nurses) and personnel who treat pediatric patients including prehospital providers. Content can be prioritized to meet a particular target audience by director. Initial 2 s Renewal 1 Lectures delivered via video format to assure all content delivered AHA and s Focus is on ALL aspects pediatric resuscitation. National standard for pediatric resuscitation training. Covers Overview PALS science. CPR/AED, Assessment Triangle, Management Respiratory Emergencies, Rhythm disturbances, Cardiac Arrest, Shock and Respiratory Case simulations Skills: High quality CPR, Systematic Approach to the patient. Respiratory skills, Rhythm disturbances/el ectrical Therapy, Vascular access, resuscitation core simulations Focus is comprehensive recognition and management the child with more emphasis on resuscitation and less emphasis on recognition and assessment than in years past. Strong hospital based emphasis. Before : PALS self assessment CD. Participation in. Pass skills child/infant CPR and AED. Written exam pass 84%. Pass 2 PALS core case tests as team leader (pedi codes) AHA Faculty Course Director, MD PALS instructor, Lead PALS instructor, Other PALS instructors, BLS instructor optional; Specialty Faculty Student Ratio max 1:8 Must be affiliated with AHA training center.

5 Training Comparison APLS Advanced Life Support Directed to ED Physicians who see pediatric patients. ED residents and interns physician assistants or nurses. Any physician who treats pediatric patients Any physician who provides medical services to special populations Any physician who is interested in becoming an APLS Course Director or Faculty member. 2 initial but has a 1 option with online self study APLS College Physicians and s Concentration on the initial management specific illnesses and injuries that if left untreated could lead to life-threatening pediatric conditions requiring resuscitation. Consistent with AHA standards and has PALS renewal option. Airway procedures skills CV procedures skills Content robust focus in pediatric medicine and can be adapted with different focuses by director 1 Pedi assessment Pedi airway in health and disease Group discussions CNS, Medical emergencies and CV disease Pedi Trauma 2 includes Nontraumatic surgical emergencies special care needs metabolic disease toxicology, child maltreatment, other options per director 1 APLS Faculty to 8 students max. At least one boardcertified pediatrician and one boardcertified physician. A pedi ED physician can fill both roles. Subboarded MDs in pedi medicine and/or dually certified in pediatrics and medicine. If optional Advanced Trauma Skill Station done then Faculty must have experience performing the procedures, and at least one pediatric surgeon should be included as Faculty.

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