February 11, 2014 – 11:00 AM
Children’s Hospital Colorado – Snowmass Conference Room
Teleconference 712-432-3100 Code 271376 | Webinar http://join.me/emsccolorado
I. Introductions
II. November Meeting Recap (Mandt)
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No changes were submitted for the charter. Document now final and will be available on the EMS-C website under the Committees, CPPQC tab
III. Statewide Pediatric Data Update (Caffrey)
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Steve and State Health Department are making great progress in trying to clean up data received from EMS agencies. Reviewed 2013 frequency data including call type (transported and non-transported), procedure type, and medication administration
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Shirley announced an upcoming EMS Data Workshop sponsored by Mile High
RETAC, Foothills RETAC, and various EMS Data vendors (High Plains, Zoll,
ImageTrend). Anticipated to occur in June 2014.
IV. National / Research Updates (Adelgais) a. Evidenced Based Guidelines (EBG) Project

Three nationally developed EBGs involving pediatric care are now available on the EMS-C website under the Resources, Pediatric Clinical
Care Tab. Include Pediatric Prehospital Seizure Management,
Prehospital Analgesia in Trauma, and Air Medical Transportation of
Prehospital Trauma Patients b. NAEMSP Pediatric Committee
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Not reviewed c. Ongoing Research
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Broselow vs Handtevy Abstract was presented at NAEMSP annual meeting in January. Results: 2x more likely to make an error administering dextrose with Broselow when compared to the Handtevy system. Epinephrine administration was unchanged between the two systems

V. Pediatric Seizures Case & Discussion (Adelgais)

Pediatric seizure epidemiology, characteristics and treatment review
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Quality benchmarks for prehospital seizure management based upon established EBG: possible measures to track include use of Broselow tape, weight documentation, drug choice for seizure management, route of choice, glucose measurement

Dissemination of new guidelines and EBGs historically difficult. Can
CPPQC develop dissemination strategy?
VI. Group Discussion a. QI Projects Selection

Challenge EMS agencies to educate staff to always use Broselow to obtain a weight even if they do not think they will give a medication. b. Ongoing Data Needs
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Age Clarification: on Pediatric EMS landscape, <1 year number is underrepresented.

Inaccurate Intrafacility transport frequency: have large transport agencies share numbers to get a better estimate of these transports.
 High frequency of “N/A”, “no data entry” for call type in state EMS database: there are 5 different ways to capture this category

Pediatric seizure data: how often is IO used as 1 st route, drug type chosen, frequency of glucose check, frequency of parent-administrated medication prior to EMS arrival c. Pediatric Age Cutoffs Request
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Group discussion regarding definition of the pediatric patient age: trauma vs psych vs RSI age. Plan to assemble data and table to for next meeting.
VII. EMS for Children Updates - Caffrey a. Web Resources

Evidence based guideline and GRADE articles are on website under
Resources, Pediatric Clinical Care tab

CPPQC tab has been added under the Committees tab and will include the 2013 CPPQC charter, meeting agendas and minutes, and presentations/other materials b. Simulation Trailer
VIII. CU EMTS Grant – CARES Registry and Airway Reporting - Caffrey
Next Meeting: Tuesday May 13, 2014 – 11:00 AM
Children’s Hospital Colorado – Mt. Snowmass Room
Action items for next meeting:
-Pediatric Age Cutoffs Request
-Audrey Jennings from Grand County to present some pediatric trauma data from their system.