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State Initiatives - Region V

 
Michelle McKee, MD, MS, FAAP

Illinois has several on-line sources for disaster preparedness.  Please visit these web sites for more information on disaster preparedness resources and initiatives throughout the state.
​Current Training
Illinois EMSC’s Pediatric Preparedness Workgroup is developing a new online JumpSTART Triage Provider Course which would enable learners to have online access to this training.   The Illinois EMSC website​ has resources, guidelines, and pediatric educational offerings.

Current Volunteer Opportunities
  • The Illinois Medical Emergency Response Team (IMERT) is forming a volunteer Pediatric Care Medical Specialist Team, consisting of pediatric physicians and advanced practice nurses to provide remote subject matter expertise and guidance to healthcare professionals throughout the state in a disaster involving pediatric patients.  
  • Nationwide there are options to partner with your city or regional medical reserve corps.  Please visit their site for information on how to join.

 
Indiana
Gregory Faris, MD, FAAP
 
Specific disaster preparedness plans are still under consideration.
 
Michigan
Marie Lozon, MD, FAAP
 
In Michigan, pediatric preparedness efforts are carried out by regions within the state. Regional contacts serve as a liaison between their region, the state Office of Public Health Preparedness, and local hospital representatives as well as pre-hospital and emergency management agencies. For example, Region II South includes 2 of the state's large academic health systems, namely the University of Michigan Health System and the Detroit Medical Center. Both systems have pediatric hospitals, training programs, and specialist groups that serve as stakeholders in preparedness efforts as they pertain to the pediatric population.
 
Michigan AAP Chapter members have participated in several conferences over the past few years. Region II and Region V joined forces to present a multidisciplinary Pediatric Disaster Conference aimed at medical providers and pre-hospital and emergency management personnel. A follow-up conference is being organized, and the plan is to involve more regional partners to reach a larger audience, including more primary care clinicians. AAP members attended the Great Lakes Homeland Security Conference in Grand Rapids, where pediatric triage and decontamination practices were shared with pre-hospital and emergency providers. A state team also attended the AAP/CDC Enhancing Pediatric Partnerships to Promote Pandemic Preparedness Meeting in April 2011 and developed a Michigan State Action Plan.
 
Paula Fink Kocken, MD, FAAP

M​in​nesota has been working hard with the Minnesota Department of Health in integrating pediatric disaster preparedness with an All Hazards approach to preparedness. AAP Chapter members worked with a diverse group of experts to devise a set of informational cards to help hospitals and clinics in times of resource shortages.  These electronically stored guidelines can be used to prepare for as well as to aid decisions during a crisis.  This group also created a Pediatric priority guide which incorporated the Pediatric Assessment Triangle, Primary and Secondary interventions and reference information which included fluid management, normal vital signs and advise on when to transfer a patient to a higher level of care. This guide is ideal to reproduce as a poster and display in critical access hospitals who are the least at ease with ill and injured children.

Minnesota AAP Chapter members continue to participate in the Minnesota Emergency Medical Services for Children Advisory Committee. EMSC MN taught prehospital care providers by case simulations in pediatric stabilization aiding them in the response to traumatic, respiratory, and special needs emergencies during disasters.

A statewide volunteer Medical Reserve Corps has been trained and is available with pediatric health care providers included.  Due to the large percentage of non-English speaking immigrants in our state, we support and assist in the Emergency Community Health Outreach collaborative which supports an on-line resource for emergency messages.

Available resources include:

  
Deanna Dahl-Grove, MD, FAAP
 
The Ohio Chapter disaster preparedness and response efforts are well-established and robust. Efforts focus on mobilizing members to provide pediatric expertise on various preparedness committees/coalitions and supporting key members to connect to and lead national disaster preparedness and response efforts. A priority is to improve hospital preparedness for children in the event of an emergency. A hospital-based certification program to improve pediatric preparedness is in the process of being implemented by the Ohio Emergency Medical Services for Children (EMSC) program. A coalition or disaster response team has been put in place across all 6 children’s hospitals in the state. Ohio has 3 Disaster Medical Assistance Teams (DMATs) and chapter leaders work to ensure that all DMATs have the appropriate pediatric expertise or are “pediatric capable”. The Ohio EMSC program aims to connect the Ohio Department of Health, the Ohio Hospital Association, and the Ohio Children’s Hospital Association to determine collaborative disaster response strategies and improve pediatric surge capacity at a regional level across the state, as well as to coordinate education about pediatric topics.

Efforts are also being made to ensure that there is a coalition or network of pediatric primary care and specialty physicians identified and ready to respond in the event of a disaster. As an example, the Ohio Trauma Committee includes 10 subcommittees, and the chapter is making strides in identifying a pediatric expert to serve on each of the subcommittees. Future efforts include highlighting Ohio disaster preparedness and response initiatives as a model for other states and sharing information about national disaster preparedness and response activities and opportunities with chapter members.

Resource:
 
Joanne Selkurt, MD, FAAP
 
The Wisconsin Chapter is very active in disaster preparedness initiatives, and its committee on pediatric emergency medicine and disaster preparedness continues to be progressive, as well. The chapter is well-connected with state public health. Michael Kim, MD, FAAP, is involved in the implementation of the state Emergency Medical Services for Children program initiatives, and Joanne Selkurt, MD, FAAP, is involved in the Wisconsin Department of Health Services.
 
Current efforts are focused on the Patient at Risk Program, which features an online Emergency Information form repository for children with special health care needs to allow quick access to important patient information during emergencies or disasters. There are many aspects to this program, including monthly planning calls, surveys and evaluation, and kits for parents to encourage participation. The chapter has identified point people in several major children's and community hospitals and formed partnerships to include patients of these hospitals in the program. Current priorities include program marketing and implementation. The chapter expects the project to eventually expand to the statewide, regional, and, possibly, national level. The chapter is actively seeking funding, AAP members, and other pediatric professional volunteers to help expand and implement this initiative.
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