Caring for children in the emergency department (ED) can be challenging due to a wide range of ages and disease states or injuries that differ from adults. The goal of Florida PEDReady is to enhance pediatric emergency care, “readiness” and preparation in Florida EDs.
This webpage will host FL PEDReady and EMS information, free resources and educational opportunities. Please let us know if there are pediatric resources or announcements you would like added by emailing Phyllis.email@example.com and Michelle.Bailey@flhealth.gov.
Enhancing the pediatric readiness of EDs to care for children is important to improve quality of care and outcomes for ill or injured children. To achieve this goal, the US Health Resources and Services Administration (HRSA) EMS for Children (EMSC) Program and the EMSC Innovation and Improvement Center (EIIC) partnered with the American Academy of Pediatrics, the American College of Emergency Physicians, and the Emergency Nurses Association to support a quality improvement collaborative.
At the state level, Florida EMSC named the collaborative Florida PEDReady. Florida EMSC is collaborating with EMLRC to host the Florida PEDReady website and to disseminate resources and educational opportunities. The Florida PEDReady program aims to collaborate with other pediatric, emergency, trauma, rural and hospital stakeholders.
Initially, Florida PEDReady will be ED-focused (versus prehospital) and will primarily center on nonchildren’s hospitals, especially in rural areas. Nationally, the majority (80-85%) of children and adolescents access emergency care in nonpediatric facilities and have different clinical presentations and needs compared to adults. A similar PEDReady prehospital program will also be developed with resources housed on this website.
Florida is unique as the 3rd most populous state in the US, including 20% of the population being children < 18 years of age. Our state has approximately 213 hospitals with EDs, 22+ free standing EDs and 17 children’s hospitals compared to other states that may only have 1-2 children’s hospitals. Access or transfer to pediatric care is usually easily accommodated by our children’s hospitals, burn and trauma centers, although certain areas of the state have a paucity of EDs and pediatric resources. According to FloridaHealthFinder.gov (AHCA), in 2016, there were 8,858,561 ED visits including 540,211 offsite/freestanding with children 0-17 years of age accounting for 1,995,712 or 22% of those visits! Unintentional injury followed by malignancy, homicide and suicide are the leading causes of death in Florida’s children over one year of age.
A Florida PEDReady needs assessment survey was conducted in collaboration with EMLRC. Summary findings include:
Pediatric equipment: most significant challenges include keeping the correct equipment or correct size stocked and knowing the most current pediatric equipment available on the market
Medications: most challenging pediatric medications are vasopressor drips and emergency airway medications
Educational Topics: top educational needs are neonatal emergencies, pediatric trauma and burns
Transport: most significant transport problems are delays in transport service arrival after acceptance
Toolkit materials: requested toolkit components focused on pediatric medication dosing, PALS or other educational courses and pediatric equipment
Please help spread the word regarding this initiative!
To join the FL PEDReady collaborative, please submit the names and contact information of two (2) pediatric ED champions (nurse or administrator + physician) and your facility name to Phyllis.firstname.lastname@example.org and Michelle.Bailey@flhealth.gov.
The responsibilities of the champions include voluntarily:
EDs participating in the FL PEDReady collaborative will receive a PEDReady Toolkit for their ED and have their name listed as a PEDReady Champion!
Head Injury PECARN Rules:
Illinois EMSC Head Injury Information:
Stay tuned for opportunities