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Medical Emergency Preparedness - Pediatrics

Medical Emergency Preparedness - Pediatrics. An Alaska Healthcare Facilities Partnership grant project Presented at AAP Alaska Pediatric Grand Rounds 4.1.08. Flood: Bangladesh. Earthquake: Iran. Disaster!. Hurricane: New Orleans. Major Accident: USA. Pandemic: Anywhere. Wildfire: Alaska.

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Medical Emergency Preparedness - Pediatrics

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  1. Medical Emergency Preparedness - Pediatrics An Alaska Healthcare Facilities Partnership grant project Presented at AAP Alaska Pediatric Grand Rounds 4.1.08

  2. Flood: Bangladesh Earthquake: Iran Disaster! Hurricane: New Orleans

  3. Major Accident: USA Pandemic: Anywhere Wildfire: Alaska

  4. Pediatric Concerns in a Disaster • Pediatrics often overlooked in planning • Vulnerable population • Missing families or caregivers • Close quarters • Poor hygiene • Poor nutrition

  5. MEP-P Project Context • After Action Report from 2007 RSV response generated grant application • Healthcare Facility Partnership Grant: 1 of 11 awarded nationally • Focus on improving medical surge capacity in Anchorage health system • Rural Alaska impacts Anchorage • Outside assistance delayed and unlikely

  6. Grant Specifics • One year grant ends 8 August • Approximately $600,000 for partners • Goal: To increase Anchorage pediatric medical surge by 100% with normal standard of care and 200% with altered standards of care • Funds to be used for training, exercises, equipment/supplies

  7. MEP-P Members • Steering Committee: members of All Alaska Pediatric Partnership • Includes 4 Anchorage hospitals, Mat Su, Fairbanks, Central Peninsula, North Star • Muni HHS & OEM, State DHSS, Red Cross, ASD, ANHC, APCA, Alaska Nurse Alert System • Collaboration is a bonus benefit!

  8. MEP-P Basics • “All-hazards” broad spectrum approach • 3 main workgroups • Curriculum • Equipment • Exercise • 2 other focus areas • Ethics • Community Bus Crash Local epidemic Flood, Wildfire Pandemic Flu, Major Earthquake

  9. Pediatric Assessment Triangle work of Breathing Appearance Circulation to Skin MEP-P Curriculum • Based on PEPP course • Pediatric Education for Pre-Hospital Professionals • Training spectrum: ALS, BLS and JIT (Just In Time) • Developing hour long modules for online JIT training • Beginning with volunteers interested in improving their peds education www.PEPPsite.com www.jumpstarttriage.com

  10. MEP-P Equipment • Approximately $240,000 to augment specialized pediatric equipment and supplies for hospitals and community • Increasing Anchorage hospital stock of ventilators and other respiratory equipment • Adding diapers and formula to existing community stockpiles • Developing “Go Kits” to respond to rural emergencies

  11. MEP-P Community • Coordinating with Muni Emergency Operations Center • Encouraging shelter-in-place for families and children to mitigate surge at hospitals • Addressing concerns of tech dependent & special needs children • Discharge planning recommendations • Improve existing stockpiles with infant and pediatric supplies

  12. MEP-P Exercise • 2 Exercises planned: • June 26th Hillside Wildfire with entire city • Evaluate pediatric medical surge in Anchorage • Evaluate and test training needs • Evaluate use of pediatric equipment and supplies • End of Project: RSV Tabletop • Evaluate communication flow • Identify triggers for activation • Mobilize “Go Kit” • “Final Exam”

  13. MEP-P Ethics • Look at ventilators and allocation of other scarce resources for children • Starting with published protocols from other states • Making discussion as transparent as possible • Process will continue beyond this project

  14. Progress 2008 • Early notification of increased disease activity • DPH Epi investigation chart review of children transferred from Bethel • AK Regional: developing altered standards of care for pediatric pts (change ratio of nurse: pt), checklists, policies & protocols • AK Regional Hospital: 4 beds for non-vented pediatric pts • Elmendorf: held transfer of 2 RSV-dx children

  15. MEP-P Expected Products • Training modules • Equipment and Go Kit • Technical Medical Support Team for rural Alaska • Exercise reports • State DPH Emergency Operations Plan Annex for children • Public and professional resource website

  16. MEP-P Next Steps • Develop training modules • Purchase equipment • Exercises this summer • Plan for sustainability • Go Kit upkeep • Continuing Ethics discussion • Pediatric Emergency course at Public Health Summit December 2008

  17. Group Discussion Questions • What would you and your practice do in a disaster? • What do you expect from federal, state and local governments? • What will the community want from you and your practice? • How will you take care of your family so you can be available to help?

  18. Contact Information Sally Abbott, ANP – DHSS Hospital Preparedness Coordinator sally.abbott@alaska.gov Aaron Case – MEP-P Project Coordinator aaron.case@providence.org Dick Mandsager, MD – TCHAP Executive Director richard.mandsager@providence.org Jayson Smart – MOA DHHS Deputy Director smartjs@muni.org MEP-P Resources site: a2p2.com/resources.php

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