Below are Presentation Summary Sheets that can be used when applying to the Emergency Nurses Association (ENA) to offer credit
for a PEPP ALS course. For complete information on applying to ENA for credit, contact ENA directly:
Emergency Nurses Association
915 Lee Street
Des Plaines, IL 60016-6569
Phone: 847/460-4000
Fax: 847/460-4001
Web address: www.ena.org
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EMERGENCY NURSES ASSOCIATION
CONTINUING EDUCATION ACTIVITY CONTENT OUTLINE FORM
FOR
PEDIATRIC EDUCATION FOR PREHOSPITAL PROFESSIONALS (PEPP)
Presentation Title: Pediatric Assessment Triangle Video
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Identify features of a child’s initial
appearance based on the Pediatric
Assessment Triangle (PAT).
1. What is the Pediatric Assessment Triangle
(PAT)
2. How PAT is used
3. How to assess a child’s appearance using PAT
4. How to assess a child’s work of breathing
using PAT
5. How to assess a child’s circulation to skin
suing PAT
6. Application of PAT to case studies
2
Time Frames
15 minutes
Speaker
Teaching
Method
Video
Presentation Title: Child Development: Applying the Triangle Lecture
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Time Frames

Describe key developmental
characteristics for different age
groups.
45 minutes

Apply the PAT to children of a
variety of ages.

Employ age-appropriate
assessment techniques.
Case studies involving the following:
1. Development and assessment of an infant
2. Development and assessment of a toddler
3. Development and assessment of a child
4. Development and assessment of an adolescent
Case studies involving the following:
1. Development and assessment of an infant
2. Development and assessment of a toddler
3. Development and assessment of a child
4. Development and assessment of an adolescent
Case studies involving the following:
1. Development and assessment of an infant
2. Development and assessment of a toddler
3. Development and assessment of a child
4. Development and assessment of an adolescent
3
Speaker
Teaching
Method
Lecture
Presentation Title: Skill Video
Speaker:
Participant Behavioral Objective
Date of Presentation:
Content Outline
Time Frames
Observe and recall the process for
performing the following skills:
30 minutes
Managing foreign body airway
obstruction in infants and children
1. How an airway obstruction may occur
2. Basic life support maneuvers to remove
obstruction
3. Use of Magill forceps
4. Assess patient after removal of object
Proper use of oral and nasopharyngeal
airways to maintain a patent airway
1.
2.
3.
4.
1.
2.
3.
4.
5.
6.
1.
2.
3.
4.
5.
6.
7.

Performing bag-valve –mask
ventilation

Placing an endotracheal tube and
confirming position
When it is appropriate to use NP or OP
Cautions
How to determine size
How to insert
When to be used
Equipment needed
Selecting the correct size
How to ventilate using the BVM
How to perform the 2 rescuer technique
How to assess effectiveness
When to use ETT
Why it is different in children
Possible complications
Equipment needed
Selecting the proper size equipment
How to insert
How to confirm placement
4
Speaker
Teaching
Method
Video

Suctioning and replacing an
obstructed tracheostomy tube
1.
2.
3.
4.
5.
Equipment needed
How to prepare equipment
How to insert a new tube
How to confirm proper placement
Potential complications
5
Presentation Title: Skill Station 1
Speaker:
Participant Behavioral Objective
Each student will practice each of the
following skills with faculty providing
feedback:
Sizing and placing oropharyngeal
airway
Sizing and placing a nasopharyngeal
airway
Bag-valve-mask ventilation
Endotracheal intubation
Confirmation of ETT placement
Date of Presentation:
Content Outline
Time Frames
75 minutes
1. Why an OP is used
2. Brief literature review
3. Practice sizing and inserting OP airways
1.
2.
3.
1.
2.
3.
1.
2.
3.
Why an NP is used
Brief literature review
Practice sizing and inserting NP airways
Why BVM is used
Brief literature review
Practice sizing and using a BVM on a manikin
Why endotracheal intubation is used
Brief literature review
Practice sizing and inserting endo tracheal
tubes on manikins
1. Why endotracheal intubation is difficult in
children
2. Brief literature review
3. Practice using the Carbon-dioxide detector
6
Speaker
Teaching
Method
Skill practice
Airway obstruction management and
removal of an airway foreign body
using Magill forceps
Tracheostomy management
1. Hazards of foreign body airway obstruction
2. Brief literature review
3. Practice removing foreign body airway
obstruction from a manikin.
1. Indications for a tracheostomy tube to be
replaced
2. Brief literature review
3. Practice replacing a tracheostomy tube on a
manikin.
7
Presentation Title: Skill video
Speaker:
Participant Behavioral Objective
Observe and recall the process for
performing the following skills:
Intravenous Access
Intraosseous Infusion
Spinal Immobilization
Date of Presentation:
Content Outline
Time Frames
15 minutes
1.
2.
3.
4.
5.
6.
7.
8.
1.
2.
3.
4.
1.
2.
3.
4.
5.
Why IV access is used
Potential complications
How to select the appropriate size catheter
Selecting the best site for inserting IV
Preparing equipment
Preparing the patient
Inserting IV
Confirming placement
Why an IO is used
How to prepare equipment
How to prepare patient
Inserting IO confirm placement
Indications for spinal immobilization
Equipment needed
Sizing equipment
Immobilizing the child
How to reassess child
8
Speaker
Teaching
Method
Video
Presentation Title: Skill Station 2
Speaker:
Participant Behavioral Objective
Date of Presentation:
Content Outline
Time Frames
Each student will practice each of the
following skills with faculty providing
feedback:

Intraosseous needle insertion

Use of the length-based
resuscitation tape to determine
weight, equipment sizes and drug
doses

Immobilization techniques
60 minutes
1.
2.
3.
4.
1.
2.
3.
4.
Indications for IO insertion
Brief literature review
Preparation of equipment
Practice inserting IO in chicken legs
Purpose of the length-based resuscitation tape
Brief literature review
Practice using length based tape on a manikin
Common errors in using a length-based tape
1. Indications for spine immobilization brief
literature review
2. Case study of child with potential spinal
injury
3. Practice spinal immobilization on a manikin
4. Transport issues
9
Speaker
Teaching
Method
Skill Station
Presentation Title: Respiratory Emergencies Lecture
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Differentiate between the categories of
respiratory dysfunction.
1. Categories of respiratory dysfunction:
a. Respiratory Distress
b. Respiratory failure
c. Respiratory arrest
Describe the assessment of a child
with respiratory compromise.
1. Case of 9-month-old infant with respiratory
distress
2. Case of 2-year-old toddler with abnormal
breathing
1. Case of 9-month-old infant with respiratory
distress
2. Case of 2-year-old toddler with abnormal
breathing
Determine the treatment priorities for
pediatric patients with respiratory
emergencies.
10
Time Frames
30 minutes
Speaker
Teaching
Method
Lecture
Presentation Title: Child Maltreatment Lecture
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Time Frames

Describe factors that may increase
the risk of child maltreatment in a
family.
1. Children of low-income families are at higher
risk
2. Drug or alcohol use in the home increases risk
30

List features in the history and
physical assessment that may
suggest child maltreatment or
neglect.
1.
2.
3.
4.

Describe the pre-hospital
professional’s legal responsibility
to document and report suspected
child maltreatment or neglect.
1. Recognize suspicious circumstances
2. Provide appropriate medical care and transport
3. Communicate with family and with other
health professionals
4. Document findings and report suspicion of
maltreatment or neglect.
Clues in the environment
Behavior of the Child or caregiver
History by the child and caregiver
Physical condition of the child
11
Speaker
Teaching
Method
Lecture
Presentation Title: Children with Special Health Care Needs
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Discuss important out-of-hospital
assessment techniques for CSHCN.
1. Case of 4 month old infant with
cardiopulmonary problems
2. Case of 10 year old girl with VP shunt
Describe complications and key
interventions for a blocked VP shunt,
dislodged gastrostomy tube, and for a
premature infant with respiratory
distress.
1 Case of 4 month old infant with
cardiopulmonary problems
2 Case of 10 year old girl with VP shunt
3. High tech gear:
a. VP shunt
b. tracheostomy
c. gastrostomy
d. central lines
12
Time Frames
30 minutes
Speaker
Teaching
Method
Lecture
Presentation Title: Child & Family Interaction Scenario
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Apply communication strategies to a
variety of pediatric cases
1. Case of a 3 month old apneic infant
2. Case of a unresponsive 10 month old boy with
a hostile parent
3. Case of a 16 year old with a drug overdose
13
Time Frames
45 minutes
Speaker
Teaching
Method
Scenario
Presentation Title: Children with Special Health Care Needs Scenario
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Apply assessment and treatment
techniques to a variety of cases
involving children with special health
care needs
1. Case of a 4 year old girl with an indwelling
central line
2. Case of a 12 year old boy with ventriculoperitoneal shunt malfunction
3. Case of a 3 year old child with sickle cell
disease.
14
Time Frames
45 minutes
Speaker
Teaching
Method
Scenario
Presentation Title: Medical Emergencies Lecture
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Time Frames
Describe seizure management.
1. Case of 3 year old child with seizure
a. treatment
b. transport
30
State the management of the post-ictal
child.
1. Managing the patient’s airway
2. Working with the caregivers
Discuss common causes of altered
level of consciousness (ALOC).
1. Common Causes of ALOC:
a. alcohol
b. epilepsy
c. insulin
d. opiates
e. uremia
f. trauma
g. infection
h. psychogenic
i. poison
j. shock
1. Definition of hypoglycemia
2. Cause of hypoglycemia
3. Signs and symptoms
4. Treatment
5. Follow-up after treatment
List signs and symptoms of
hypoglycemia, and outline
management.
15
Speaker
Teaching
Method
Lecture
Presentation Title: Trauma Lecture
Speaker:
Participant Behavioral Objective
Content Outline
Time Frames
Explain the unique anatomic features
of children that predispose to injuries.
1. Anatomic/physiologic differences
2. Clinical correlation
30 min
Order the initial assessment of the
injured child.
1. Case of a 5 year old boy who fell from a
window
a. assessment
b. management
c. transport
2. Case of 14 year old boy with gunshot wound
a. assessment
b. management
c. transport
1. Case of a 5 year old boy who fell from a
window
a. assessment
b. management
c. transport
2. Case of 14 year old boy with gunshot wound
a. assessment
b. management
c. transport
Integrate the essential trauma
interventions in the ABCDEs.
Date of Presentation:
16
Speaker
Teaching
Method
lecture
Presentation Title: Cardiovascular Emergencies Lecture
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Time Frames
Differentiate shock from hypotension.
1. Definition of Shock
2. Definition of hypotension
45 min
Distinguish early (compensated) shock
from late (decompensated) shock.
1. Case of a 15 month old child in
decompensated shock
a. assessment
b. treatment
2. Case of 9 month old infant with respiratory
failure and shock with symptomatic
bradycardia
a. assessment
b. treatment
1. Case of a 15 month old child in
decompensated shock
c. assessment
d. treatment
2. Case of 9 month old infant with respiratory
failure and shock with symptomatic
bradycardia
c. assessment
d. treatment
1. Case of a 12 month old infant with SVT
a. assessment
b. treatment
Outline appropriate shock
management.
Identify and manage pediatric
dysrhythmias
17
Speaker
Teaching
Method
lecture
Presentation Title: Emergency Delivery & Newborn Stabilization Lecture
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Time Frames
Discuss triage of the laboring patient.
30 min
Describe the steps for performing a
vaginal delivery and the steps
performed immediately post-delivery
for every newborn.
Describe the technique for assistance
of ventilation in a newborn.
1. Triage of the laboring patient:
a. First delivery?
b. Feel urge to push?
c. Head crowning?
1. Case of a 23 year old woman in labor
a. Triage of patient
b. Preparation for delivery
c. Assisting with delivery
d. Immediate management of newborn
e. care of mother
1. Case of an apneic newborn
a. assessment
b. use of BVM in newborns
c. chest compressions
d. meconium
e. transport
f. treatment of hypoglycemia
18
Speaker
Teaching
Method
Lecture
Presentation Title: Trauma Scenario
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Time Frames
Apply assessment and treatment
techniques to a variety of trauma
scenarios
1. Case of a 3-year-old child who was struck by a
car.
2. Case of a 2-year-old victim of a house fire.
3. Case of a motor vehicle collision involving
several victims.
45
19
Speaker
Teaching
Method
scenario
Presentation Title: Medical Emergencies Scenarios
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Time Frames
Apply assessment and treatment
techniques to a variety of scenarios
involving medical emergencies
1. Case of a 4 year old boy with a seizure
2. Case of a 12 year old boy with asthma
3. Case of 14 year old girl with toxic ingestion
45
20
Speaker
Teaching
Method
scenario
Presentation Title: Emergency Delivery & Newborn Stabilization Scenarios
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Time Frames
Apply assessment and treatment
techniques to a case of a normal
vaginal delivery
Case of a woman in labor
1. assess patient
2. Decide to transport or deliver on scene
3. steps for delivery
4. Assessing the newborn
5. Potential complications
1. Case of a well newborn
a. assessment
b. treatment
45
Apply assessment and treatment
techniques to a case of a well newborn
and an apneic newborn and an apneic
newborn with decrease heart rate
2. Case of an apneic newborn
a. assessment
b. treatment
3. Case of an apneic newborn with decrease heart
rate
a. assessment
b. treatment
21
Speaker
Teaching
Method
scenario
Presentation Title: Cardiovascular Emergencies Scenarios
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Time Frames
Apply assessment and treatment
techniques to a variety of cases
involving cardiovascular emergencies
1. Case of 5 month old infant with dehydration
2. Case of a 3 year old child discovered at the
bottom of a pool
3. Case of 15 year old in cardiac arrest
45
22
Speaker
Teaching
Method
scenario
Presentation Title: Written Test
Speaker:
Participant Behavioral Objective
Date of Presentation:
Content Outline
Time Frames
25-question multiple-choice test
30
23
Speaker
Teaching
Method
written test
Presentation Title: Course Coordinator Orientation
Speaker:
Date of Presentation:
Participant Behavioral Objective
Content Outline
Prepare to conduct a PEPP Course.
Preparing to teach a PEPP course:
1. Responsibilities of the PEPP Course
Coordinator
2. Role of the Medical Advisor
3. Difference between PEPP ALS and BLS
course
4. How to arrange for students to receive
continuing education credits for taking PEPP
5. How to register your course with the AAP
6. PEPP materials and how to order
7. How to prepare a course budget
Select and recruit faculty for a PEPP
course
Selecting PEPP Faculty
1. requirements
2. responsibilities
Conduct a PEPP course
Information from the PEPP Instructor Manual
Administrative Section:
1.
Review of PEPP course components:
-Lectures
-Skill Stations
-Scenarios
-Video
2. How to conduct a Course Coordinator
orientation
24
Time Frames
2 hours
Speaker
Teaching
Method
Lecture and
discussion
Submit appropriate PEPP paperwork
to the American Academy of
Pediatrics
PEPP Paperwork
1. How to administer the PEPP written tests
2. How to complete a PEPP course roster on
paper and on line
3. submitting evaluation forms the first time a
Course Coordinator coordinates a course.
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