This training aims to raise awareness on pediatric issues related to emergency preparedness in the Maine response community. Lecture topics will include pediatric tracking, pre-hospital care, triage of pediatric patients, psychosocial needs of children during disasters, roles and responsibilities of schools in disaster preparedness and care of pediatric patients during disasters.

Target audience for the training includes emergency department physicians, registered nurses, community based physicians, school nurses, hospital emergency managers and planners, public health managers, EMTs and paramedics.

The training will be held on Monday, May 18, 2009 from 8:00 AM - 4:00 PM at the Augusta Civic Center, located at 76 Community Drive, Augusta, ME 04330

For more information or questions, please contact Jessica Preston at jpreston@hsph.harvard.edu

Resources from "Survey of Pediatric Emergency Preparedness Issues" by Tara A. McCarthy MD, MPH

• (Tara McCarthy presentation)
• Agency for Healthcare Research and Quality, Specific section on pediatrics. (The Agency for Healthcare Research and Quality's (AHRQ) mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. Information from AHRQ's research helps people make more informed decisions and improve the quality of health care services). http://www.ahrq.gov/prep/
• American Academy of Pediatrics (AAP). http://www.aap.org/
• PREPARE, online preparedness training module, with the American Red Cross. Prepare.org is a website brought to you by the American Red Cross and other community-based organizations to help you and your family prepare for natural and human-caused disasters. http://www.prepare.org/
• Decontamination of Children: Preparedness and Response for Hospital Emergency Departments (video) http://www.ahrq.gov/research/decontam.htm
• Emergency Information Form for Children with Special Needs. http://www.aap.org/advocacy/blankform.pdf
• Family Readiness Kit (35 pp.). http://www.aap.org/family/frk/frkit.htm
• Four Steps to Prepare Your Family for Disasters (2 pages of Readiness Kit). http://www.aap.org/family/frk/FOurstepsFRK.pdf
  • Spanish version (13 pp.). http://www.aap.org/family/frk/FRK-Spanish.pdf
• School-based Emergency Preparedness. http://www.ahrq.gov/prep/schoolprep/
• Pediatric Hospital Surge Capacity in Public Health Emergencies http://www.ahrq.gov/prep/pedhospital/
• Pediatric Terrorism and Disaster Preparedness: A Resource for Pediatricians http://www.ahrq.gov/research/pedprep/resource.htm
• Public Health Emergencies: Strategies and tools for meeting the needs of children, web conference. http://www.ahrq.gov/news/ulp/btpediatric  

Resources from "Pediatric Disaster Triage:  Doing The Most Good For the Most Patients in the Least Time". By:  Mark Cicero MD, FAAP

• (Mark Cicero presentation)
• Guidelines for Field Triage of Injured Patients Recommendations of the National Expert Panel on Field Triage, CDC MMWR Recommendations and Reports January 23, 2009 / 58(RR01);1-35 http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5801a1.htm?s_cid=rr5801a1_e
• JumpSTART, Pediatric MCI Triage Tool. JumpSTART is the world's first objective tooldeveloped specifically for the triage of children in the multi-casualty/disaster setting. JumpSTART was developed in 1995 to parallel the structure ofthe START system, the adult MCI triage toolmost commonly usedin the United States and adopted in many countries around the world. http://www.jumpstarttriage.com/JumpSTART_and_MCI_Triage.php
• Simple Triage and Rapid treatment procedures (START). The START system, developed by Hoag Hospital and the Newport Beach Fire Department (Newport Beach, CA), helps prepare emergency personnel to quickly organize their resources to handle multi-casualty emergencies. http://www.citmt.org/start/background.htm

Resources from "Emergency Preparedness for Pediatrics" by: Dan Hale, MD, FAAP

• (Dan Hale presentation)
• How to Survive a Disaster, Amanda Ripley, Time, 09 June 2008 http://www.time.com/time/magazine/article/0,9171,1810315,00.html
• Pediatric Preparedness for Disasters and Terrorism, A National Consensus Conference, National Center For Disaster Preparedness, Executive Summary 2003 http://www.bt.cdc.gov/children/pdf/working/execsumm03.pdf
• Pilot's life prepared him for 'miracle' flight, The Associated Press, 16 Jan 2009 http://www.msnbc.msn.com/id/28683246/
• Centers for Disease Control and Prevention (CDC). The purpose of the CDC website is to provide users with credible, reliable health information on: Data and Statistics, Diseases and Conditions, Emergencies and Disasters, Environmental Health, Healthy Living, Injury, Violence and Safety, Life Stages and Populations, Travelers' Health, Workplace Safety and Health and more. www.cdc.gov
• CDC, Emergency and Disaster Preparedness. This portion of the CDC site is intended to increase the nation's ability to prepare for and respond to public health emergencies. http://emergency.cdc.gov/ Department of Homeland Security (DHS), READY. READY was launched in February 2003 and is a national public service advertising campaign designed to educate and empower Americans to prepare for and respond to emergencies including natural disasters and potential terrorist attacks. The goal of the campaign is to get the public involved and ultimately to increase the level of basic preparedness across the nation.www.ready.gov
• Federal Emergency Management Agency (FEMA), Emergency Management Institute (EMI) Training courses. www.training.fema.gov
• National Fire Protection Association (NFPA). The mission of the international nonprofit NFPA, established in 1896, is to reduce the worldwide burden of fire and other hazards on the quality of life by providing and advocating consensus codes and standards, research, training, and education). http://www.nfpa.org/

Resources from "Reunification of Families after a Disaster" by: Sarita Chung MD, FAAP

• (Sarita Chung presentation)
• Prehospital Preparedness for Pediatric Mass-Casualty Events. Steve Shirm, Rebecca Liggin, Rhonda Dick and James Graham. DOI: 10.1542/peds.2006-2856 Pediatrics 2007;120;e756-e761 http://pediatrics.aappublications.org/cgi/reprint/120/4/e756.pdf
• Reuniting Fractured Families After a Disaster: The Role of the National Center for Missing & Exploited Children. Broughton DD et al. Pediatrics, May 2006; 117: S442 - S445. http://pediatrics.aappublications.org/cgi/reprint/117/5/S2/S442.pdf
• American Academy of Pediatrics (AAP).  AAP is an organization of 60,000 pediatricians committed to the attainment of optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults. The AAP website contains information regarding the Academy's many programs and activities, our policies and guidelines, our publications and other child health resources and much, much more.  http://www.aap.org/disasters/index.cfm
• Centers for Disease Control and Prevention (CDC), National Advisory Committee on Children and Terrorism (NACCT).  NACCT's objective is to assess and provide recommendations for Health and Human Services regarding:  The preparedness of the health care system to respond to bioterrorism as it relates to children; Needed changes to the health care and emergency medical service systems and emergency medical services protocols to meet the special needs of children; Changes, if necessary, to the National Strategic Stockpile under section 121 of the Public Health Security and Bioterrorism Preparedness and Response Act of 2002 to meet the emergency health security of children. www.bt.cdc.gov/children
• A Disaster Preparedness Plan for Pediatricians. www.aap.org/terrorism/topics/DisasterPrepPlanforPeds.pdf
• Family Readiness Kit: Preparing to Handle Disasters.  http://www.aap.org/family/frk/frkit.htm
• National Emergency Family Registry and Locator System (NEFR-LS).  NEFR is designed for use when individuals or families are displaced due to a major disaster. https://asd.fema.gov/inter/nefrls/home.htm
• Operation SAFE CHILD.  SAFE CHILD was created in July 2005 to raise awareness about child safety. Through an historic partnership with the New York State Police, New York City Police Department, New York State Sheriffs' Association and the New York State Association of Chiefs of Police, the Division of Criminal Justice Services and its Missing and Exploited Children Clearinghouse have expanded Operation SAFE CHILD into a multi-pronged campaign teaching parents and guardians tools to keep children safe in today's world).  http://criminaljustice.state.ny.us/pio/safechild.htm
• Program for Pediatric Preparedness, National Center for Disaster Preparedness.  www.pediatricpreparednesss.org
• World Health Organization (WHO). http://www.who.int/en/

Resources from: "Prehospital Care of Pediatric Patients in a Disaster". By: Matthew Sholl, MD, FACEP, MPH  

• (Matt Scholl Presentation) 
• Comparison of a new screw-tipped intraosseous needle versus a standard bone marrow aspiration needle for infusion. References and further reading may be available for this article. To view references and further reading you must purchase this article.
• Hyewon Jun MD^*, Atsuko Z. Haruyama MD^*, Kimberly S. G. Chang MD^* and Loren G. Yamamoto MD, MPH, MBA. 1999.
• Pediatric Education and Training of Prehospital Providers: A Critical Analysis. Pavan P. Zaveri MD, Dewesh Agrawal MD. 2006.
• Emergency Pediatric Care (EPC). EPC is an education program from the National Association of Emergency Medical Technicians (NAEMT). This program is for prehospital practitioners committed to providing quality care for pediatric patients. http://www.naemt.org/education/epc_a.aspx
• JumpSTART, Pediatric MCI Triage Tool. JumpSTART is the world's first objective tooldeveloped specifically for the triage of children in the multi-casualty/disaster setting. JumpSTART was developed in 1995 to parallel the structure ofthe START system, the adult MCI triage toolmost commonly usedin the United States and adopted in many countries around the world. http://www.jumpstarttriage.com/JumpSTART_and_MCI_Triage.php
• Simple Triage and Rapid treatment procedures (START). The START system, developed by Hoag Hospital and the Newport Beach Fire Department (Newport Beach, CA), helps prepare emergency personnel to quickly organize their resources to handle multi-casualty emergencies. http://www.citmt.org/start/background.htm
• Teaching Resource for instructors in Prehospital Pediatrics, Paramedic TRIPP. A natural and logical sequel to the national award-winning Teaching Resource for Instructors in Prehospital Pediatrics (TRIPP), the paramedic version expands the scope of prehospital practice from basic to advanced life support procedures for children. http://cpem.med.nyu.edu/files/cpem/u3/trippals.pdf
• Teaching Resource for instructors in Prehospital Pediatrics, TRIPP BLS. The Teaching Resource for Instructors in Prehospital Pediatrics (TRIPP) is a significant educational adjunct that empowers instructors of ambulance personnel to provide comprehensive training in the assessment and treatment of critically ill and injured children. http://cpem.med.nyu.edu/files/cpem/u3/trippbls.pdf
• Pediatric Disaster Preparedness: A Resource for Planning, Management and Provision of Out-of-Hospital Emergency Care. http://cpem.med.nyu.edu/files/cpem/u3/pediatric_disaster_preparedness.pdf
• Pediatric Education for Prehospital Professionals (PEPP). This is the web site to accompany PEPP, or Pediatric Education for Prehospital Professionals. Developed by the American Academy of Pediatrics, PEPP is an exciting curriculum designed specifically to teach prehospital professionals how to better access and manage ill or injured children. http://www.peppsite.com/
• Pediatric and Obstetrical Emergency Preparedness Tool Kit.  Created by University of Massachusetts school of Medicine.
• Prehospital Trauma Life Support (PHTLS). PHTLS is recognized around the world as the leading continuing education program for prehospital emergency trauma care. PHTLS promotes excellence in trauma patient management through global education of all providers involved in the delivery of prehospital care. PHTLS is developed by the National Association of Emergency Medical Technicians in cooperation with the American College of Surgeons Committee on Trauma. http://www.naemt.org/education/PHTLS/phtls_a.aspx

  Resource from: "Role of Schools in Disaster Preparedness" by Linda M. Grant, MD, MPH  

• (Linda Grant Presentation)
• American Academy of Pediatrics (AAP): Children & Disasters. The American Academy of Pediatrics offers materials for pediatricians who wish to become better prepared for a disaster or are interested in getting involved in pediatric disaster medicine. http://www.aap.org/disasters/index.cfm
• American Academy of Pediatrics (AAP) Policy: Disaster Planning for Schools. This statement is intended to stimulate awareness of the disaster-preparedness process in schools as a part of a global, community-wide preparedness plan. Pediatricians, other health care professionals, first responders, public health officials, the media, school nurses, school staff, and parents all need to be unified in their efforts to support schools in the prevention of, preparedness for, response to, and recovery from a disaster. http://aappolicy.aappublications.org/cgi/reprint/pediatrics%3B122/4/895.pdf
• American Academy of Pediatrics (AAP). Emergency Information Form For Children with Special Needs. http://www.aap.org/advocacy/emergprep.htm
• Agency for Healthcare Research and Quality (AHRQ), School-Based Emergency Preparedness, A National Analysis and Recommended Protocol. This publication describes to readers a practical approach to creating a school-based all-hazards emergency response plan from the national literature in combination with "lessons learned" in the field. http://www.ahrq.gov/prep/schoolprep/
• Boston Public Schools. http://www.bostonpublicschools.org/
• Federal Emergency Management Agency (FEMA), Independent Study Program (ISP). http://training.fema.gov/IS/crslist.asp
• Illinois Emergency Medical Services for Children, Guidelines for the Nurse in the School Setting. http://www.luhs.org/depts/emsc/Schl_Man.pdf
• Maine Center for Disease Control and Prevention. The mission of the Maine Center for Disease Control and Prevention is to develop and deliver services to preserve, protect and promote the health and well-being of the citizens of Maine. http://www.maine.gov/dhhs/boh/index.shtml
• National Youth Violence Prevention Resource Center (NYVPEC). NYVPRC is a Federal resource for communities working to prevent violence committed by and against young people. The mission of the NYVPRC is to provide key leaders in communities-local government leaders and community leaders-with dynamic resources to help support their efforts to plan, develop, implement, and evaluate effective youth violence prevention efforts. http://www.safeyouth.org/scripts/index.asp
• PandemicFlu.gov. PandemicFlu.gov provides comprehensive government-wide information on pandemic influenza and avian influenza for the general public, health and emergency preparedness professionals, policy makers, government and business leaders, school systems, and local communities. http://www.pandemicflu.gov/index.html
• U.S. Department of Education, The Office of Safe and Drug-Free Schools (OSDFS). The OSDFS administers, coordinates, and recommends policy for improving quality and excellence of programs and activities that are designed to: provide financial assistance for drug and violence prevention activities and activities; promote the health and well being of students; formulation and development of ED program policy and legislative proposals and policies related to violence and drug prevention; drafting program regulations; participate with other Federal agencies in the development of a national research agenda for drug and violence prevention; Administer the Department's programs relating to character and civics education. http://www.ed.gov/about/offices/list/osdfs/index.html
• U.S. Department of Education. This page provides information that can help school leaders plan for any emergency, including natural disasters, violent incidents and terrorist acts. http://www.ed.gov/admins/lead/safety/emergencyplan/index.html

Resources from "The Psychosocial Effects of Disasters on Children" by:  Rebecca Hoffmann Frances

• Children who witness the sexual assaults of their mothers. Pynoos RS; Nader K, 1988,
• Factors that mediate treatment outcome of sexually abused preschool children. Cohen JA; Mannarino AP, 1996.  Solomon and Heide J Interpers Violence.2005; 20: 51-60 http://jiv.sagepub.com/cgi/content/abstract/20/1/51
• The Impact of Trauma on Child Development, F. Putnam, http://www.nctsnet.org/nctsn_assets/pdfs/edu_materials/Winter%2006_Putnam.pdf
• Katrina's Kid Project. Katrina's Kids Project is a volunteer organization in which volunteers worked tirelessly providing emotional support for the children during their stay in the Reliant/Astrodome shelters. They provide emotional support through art and eventually raised money by selling the children's art work. http://www1.katrinaskidsproject.org/
• Katrina, Through The Eyes of Children. Through the eyes of Children is an organization works with displaced children. This organization displays art by children that were displaced by hurricane Katrina and raises money for them as well. http://www.katrinaexhibit.org/
• Human Rights Watch (HRW). HRW is one of the world's leading independent organizations dedicated to defending and protecting human rights. http://www.hrw.org/en/home