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Title:

Medical Emergency Preparedness - Pediatrics

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Medical Emergency Preparedness - Pediatrics An Alaska Healthcare Facilities Partnership grant project Presented at AAP Alaska Pediatric Grand Rounds 4.1.08 – PowerPoint PPT presentation

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Title: Medical Emergency Preparedness - Pediatrics


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

2
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

Local epidemic
Bus Crash
Flood, Wildfire
Pandemic Flu, Major Earthquake
9
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
MEP-P Resources site a2p2.com/resources.php
  • Sally Abbott, ANP DHSS Hospital Preparedness
    Coordinator
  • sally.abbott_at_alaska.gov
  • Aaron Case MEP-P Project Coordinator
  • aaron.case_at_providence.org
  • Dick Mandsager, MD TCHAP Executive Director
  • richard.mandsager_at_providence.org
  • Jayson Smart MOA DHHS Deputy Director
  • smartjs_at_muni.org
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