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State Highway Safety Showcase

EMSC Rural Pediatric Simulation Project

Oregon Transportation Safety Division

The Oregon DOT's Transportation Safety Division is working in collaboration with the Oregon Health Authority, EMS and Trauma Systems Program – the lead agency for EMSC (EMS for Children) – and with Oregon Health Sciences University/Emergency Medicine, the Oregon Office of Rural Health and the Life Flight Network and other regional EMS provider training agencies to improve the education and training of pre-hospital and hospital personnel in the care of seriously ill and injured pediatric trauma victims due to motor vehicle crashes. The EMSC Rural Pediatric Simulation Project focuses on improving the system of care children receive from the scene of an emergency to the hospital emergency room by conducting full system mutli-casualty multi-motor vehicle crash simulations.

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Astoria EMSC Rural Pediatric Simulation Project, Sept. 1, 2011.

The project gives pre-hospital opportunities to practice on-scene stabilization, extrication, and transport while increasing the confidence of providers including emergency department staff in areas such as rapid assessment of pediatric trauma/medical patients, airway management, critical care transfers, and other skills that support the training needs of providers.

The trainings incorporate wireless simulation pediatric mannequins in a realistic environment that enhances learning, skills and confidence. The lifelike high fidelity wireless simulators are tetherless, with communication controlled using a wireless tablet PC to quickly generate life threatening situations. Simulators respond and the PC tracks the actions given by care providers. They are also fully responsive during transport.

The goal of the project is to improve the skills of providers and the system of care for pediatric patients and to improve skills transferable in providing care to adult patients injured in motor vehicle crashes. It also aims to evaluate and improve the broad system of care through multi-disciplinary simulation training involving the continuity of care from the roadside to definitive transport of traumatically injured pediatric patients.

Trauma remains the leading cause of death and serious injury among children living in Oregon and nationally. Rural motor vehicle crashes often cause serious trauma because they tend to involve higher rates of speed. Pediatric trauma patients are of particular concern for rural counties where motor vehicle crash patients can require a higher level of care than what the rural hospital or trauma facility can provide. Faster response times, stabilization and long-distance transport of these patients to facilities that can provide the appropriate level of care are critical to survival and reducing the health and financial impact of these injuries.

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