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Appendix C: Federal Response to 2006 IOM Recommendations
Pages 101-116

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From page 101...
... (Handrigan) and trauma care for the financial losses incurred by providing those services.
From page 102...
... Illinois and California designate with multidisciplinary expertise emergency departments approved for to develop an evidence-based pediatrics; Oklahoma and Tennessee categorization system for emergency give pediatric medical recognition. This medical services, emergency may signify the presence of a pediatric departments, and trauma centers emergency coordinator, for example.
From page 103...
... However, there is now a bill promote coordinated, regionalized, in Congress that would help stabilize and accountable emergency care the trauma system. In addition, in May systems throughout the country, and 2009 the ECCC, in conjunction with appropriate $88 million over 5 years FICEMS and other federal partners, held to this program.
From page 104...
... The lead agency organization, but this is the federal should be housed in HHS, and answer to the IOM recommendation. should have primary programmatic The primary mission of the ECCC is responsibility for the full continuum to support the USG's coordination of of emergency medical services in-hospital emergency medical care and emergency and trauma care activities and to promote programs and for adults and children, including resources that improve the delivery of medical 9-1-1 and emergency medical our nation's daily emergency medical dispatch, prehospital emergency care and emergency behavioral health medical services (both ground and care.
From page 105...
... a common scope of practice for Model was completed several years ago. emergency medical services personnel, It now serves as the basis for the National with state licensing reciprocity.
From page 106...
... As of May 2008, licensure and local credentialing of 45 states use NREMT certification for emergency medical services providers. licensure of at least one level of EMS provider.
From page 107...
... 5.2 Hospitals, trauma centers, emergency DOT has completed the Next (EMS) medical services agencies, public Generation 9-1-1 (NG-9-1-1)
From page 108...
... the development of medication dosage development of medication dosage guidelines, formulations, labeling, guidelines, formulations, labeling and and administration techniques administration techniques for the for the emergency care setting to emergency care setting, and federal maximize effectiveness and safety for agencies and private industry are infants, children, and adolescents. funding research on pediatric style Emergency medical services agencies technologies and equipment used by and hospitals should incorporate emergency care and trauma personnel.
From page 109...
... should fund research on pediatric- for Research Resources at NIH held specific technologies and equipment a meeting on pediatric drug and used by emergency and trauma care medical device development. The personnel.
From page 110...
... Other federal activities and capacity • Development of strategies to include the Integrated Medical Public improve the level of pediatric Health Preparedness and Response expertise on disaster medical Training Summit; AHRQ's "Pediatric assistance teams and other Hospital Surge Capacity and Public organized disaster response teams. Health Emergencies" report; the • Development of disaster plans that FEMA Crisis Counseling and address pediatric surge capacity Training and Assistance Program; the for both injured and non-injured EMS-C National Resource Center's children.
From page 111...
... certification programs for all the These have also been synchronized with relevant professional categories of NIMS through the national emergency EMS personnel should incorporate responder credentialing process. So the disaster preparedness into their entire EMS Education Agenda for the curricula and require the maintenance Future and NIMS are linked together.
From page 112...
... 7.1 Federal agencies that fund research PECARN is developing research (EMS) and trauma care research should partnerships with two EMS agencies.
From page 113...
... strengthening and sustaining trauma care systems; enhancing emergency department, trauma center, and inpatient surge capacity; improving emergency medical services' response to explosives; designing evidence based training programs; enhancing the availability of decontamination showers, standby intensive care unit capacity, negative pressure rooms, and appropriate personal protective equipment; and conducting international collaborative research on the civilian consequences of conventional weapons of terrorism. continued
From page 114...
... support emergency and trauma federal partners. care research by providing research time and adequate facilities for promising emergency care and trauma investigators, and by strongly considering the establishment of autonomous departments of emergency medicine.
From page 115...
... 2009. Emergency Medical Services at a Crossroads Implementation Update.


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