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The Advanced Pedi-Bag Program: A hospital-EMS partnership to implement prehospital training, equipment, and protocols

PECKINPAUGH, KAREN RN, CEN, EMT-B; IZSAK, EUGENE MD; LINDSTROM, DAVID MD; ORLOW, GARY JD, NREMT-A, EMD; COUTURE, SR, TOM NREMT-P; RICE, MANDA

Original Articles

Objective: The Advanced Pedi-Bag Program is a partnership between a trauma center and a county-wide EMS agency (LCEMS) with three major goals: 1) train all LCEMS paramedics in the American Heart Association’s Pediatric Advanced Life Support (PALS), 2) stock each Life Squad with a specific bag containing the equipment necessary to treat both basic and advanced pediatric emergencies, and 3) develop treatment protocols for pediatric patients.

Design: Descriptive study

Setting: LCEMS serves a population of 450,000. Pediatric runs account for 800 to 1200 LCEMS runs per year.

Results: The LCEMS Medical Director established and facilitated mandatory PALS training of 180 paramedics. A committee of emergency/pediatric/trauma professionals developed and distributed 40 bags with a comprehensive inventory of basic and advanced pediatric supplies and equipment to all LCEMS Life Squads upon completion of PALS training. Protocols were developed that integrate the use of the bag’s contents.

Conclusion: This partnership between a trauma center and an EMS agency resulted in improved training of county paramedics, Life Squads that have an Advanced Pedi-Bag with specific equipment and supplies to manage pediatric emergencies, and pediatric protocols that support the use of this equipment. Paramedics benefit from advanced training opportunities and patients benefit from improved prehospital care.

From The Toledo Hospital, Toledo, Ohio (K. Peckinpaugh, E. Izsak, D. Lindstrom), Lucas County EMS, Toledo, Ohio (D. Lindstrom, G. Orlow, T. Couture, Sr), and Toledo Children’s Hospital, Toledo, Ohio (E. Izsak, M. Rice).

Address for reprints: Manda Rice, Pediatric Trauma Study Coordinator, Trauma Services, Toledo Children’s Hospital, 2142 North Cove Boulevard, Toledo, OH 43606; email: manda.rice@promedica.org

The authors wish to acknowledge Dennis Shermeta, MD, former Director of Trauma Services at The Toledo Hospital; Good Bears, Inc, for the donation of the teddy bears; and Jim McGowan, President of Rhino Products, Lawrence, MI, for designing and producing the bags.

© 2000 Lippincott Williams & Wilkins, Inc.