Emergency Care for children at all levels Lee Wallis.

Emergency Care for children at all levels

Lee Wallis

Objectives

• Understand what the topic is about

• How can Emergency Care system can set up to provide paediatric emergency care across the platform?

• What are speed humps and obstacles in the way of care?

Levels of care

• Home care• GP / Clinic / Day Hospital / EMS– EMS Transfer

• Emergency Centre– EMS Transfer

• Paediatric Emergency Medicine led EC– Transfer

• Paediatric ICU

• Home care

• Home care• GP / Clinic / Day Hospital / EMS

www.emssa.org.za

• PLS• PHPLS• FEC

• APLS

EMS personnel

• BAA• AEA• ECT• CCA• NDip• BTech

Standard EMS vehicle kit list

Paediatric Flying Squad

MOP MASK X 1 12 V HEAD

STRETCHERS x 2 PAEDIATRIC BAG BLACK CUPBOARD

OXYGEN REG.BULLNOSE RESERVOIR ADULT BAG

OXYGEN REG.PIN INDEX MASK X 1 RESERVOIR

OXYGEN FLOW METER 2 NEONATAL BAG MASK X 1

OXGEN CYL LARGE RESERVOIR PAEDIATRIC BAG

OXGEN CYL SMALL 2 LARGE MASK RESERVOIR

MEDIX INCUBATOR MEDIUM MASK MASK X 1

12 V CHARGER SMALL MASK PT CURCUIT HOSING

220 V CHARGER ADULT BP CUFF DRAGOR

EXT LEAD OBESE BP CUFF CHARGER FOR PRO PAC 220 V

HEAD BOX STETHOSCOPE CHILD BP CUFF NO 7

FIRE EXTINGUISHER SURGICAL CRICOID SET CHILD BP CUFF NO 8

TRAUMA BOARD 1 FORCEPS NEONATE BP CUFF NO 1

HEAD BLOCKS SIZE 5.5ET TUBE NEONATE BP CUFF NO 2

SPIDER HARNESS SURGICAL BLADE NEONATE BP CUFF NO 3

KED EXT DEVICE SYRAMED 6000 X 2 NEONATE BP CUFF NO 4

SCOOP STRETCHER 220 V LEAD NEONATE BP CUFF NO 5

SHORT SPINE BOARD CIGARETTE CHARGER LEAD 3 LEAD ECG CABLE

LONG SPLINTS NUM VOLUMED 7000 X 2(Infusion Pump)

ADULT O2 SENSOR

SHORT SPLINTS NUM 220 V LEAD NEONATAL O2 SENSOR

CHAIR STRETCHER CIGARETTE CHARGER LEAD O2 EXTENSION CABLE

TRACTION SPLINT BABY LOG VENTILATOR CAPNOGRAPH LEAD

ZIP STRETCHER PT CURCUIT HOSING LARYNGOSCOPE HANDLE

BABY CRIB DRAGOR BLADE MIL 0

BLANKETS CHARGER FOR PRO PAC 220 V BLADE MAC 2

ENTONOX REGULATOR WELLCH ALLYN DEFIB MONITOR BLADE MAC 3

ENTONOX CYL GEL BLADE MAC 4

NATO STRETCHER ELECTRODES

MEDICAL PACING PADS

SUCTION PACING CONNECTION

12 V HEAD SATS EXTENSION LEAD

BLACK CUPBOARD BATTERIES X2

ADULT BAG ADULT SATS PROBE

RESERVOIR NEONATAL SATS PROBE

MASK X 1 E.C.G.LEADS

PAEDIATRIC BAG PROPAQ


• Emergency Centre

Emergency Centre

• EM004 – equipment for emergency centres

• EM005 – recommended drugs for emergency centres

www.emssa.org.za

• Joint Policy Statement—Guidelines for Care of Children in the Emergency Department– American Academy of Pediatrics Committee on Pediatric Emergency

Medicine; American College of Emergency Physicians Pediatric Committee; Emergency Nurses Association Pediatric Committee (April 09)

• Services for Children in Emergency Departments – Report of the Intercollegiate Committee for Services for Children in Emergency

Departments (April 07)

Components

• Child friendly design• Play area• Triage– Dedicated area– Dedicated system

• Paediatric trained nurses• Paediatric emergency physician• Paediatric emergency training



• Paediatric Emergency Medicine led EC

• College of Emergency Medicine submission

• The Role of the Consultant Paediatrician with Subspecialty Training in Paediatric Emergency Medicine– Royal College of Paediatrics and Child Health August 2008




• Paediatric ICU

Emergency Care for children at all levels Lee Wallis.

Documents

Transcript of Emergency Care for children at all levels Lee Wallis.