WRAP-EM (Western Regional Alliance for Pediatric Emergency Management)
WRAP-EM (Western Regional Alliance for Pediatric Emergency Management) is very happy to announce that the Kids in Crisis webpage is now accessible!  On this webpage you will find the report from the provider Listening Session, presentations from the speakers and their biographies, and all the resources discussed during the webinar. It is the hope that these resources will help you address, even in a small part, the ongoing youth mental health crisis which impacts emergency departments across the country. WRAP-EM is extremely appreciative of the expertise and passion of the speakers that contributed to this initiative -and-grateful for all those who are working to serve youth in their communities. Please continue to join WRAP-EM as partners to help improve the mental health outcomes of youth in both day-to-day emergencies and disasters.

Pediatric Champion Office Hours
March 26, 2024
Mark it on your calendars!
The March Pediatric Office Hours will offer two 1-hour sessions, from 2:00-4:00 p.m. on March 26, 2024, on maternal emergencies and how to reduce mortalities. Presentations will be by Dr. Melissa Bauer an Associate Professor of Anesthesiology at Duke University. She is dual board certified in Critical Care and Anesthesiology. Dr Jody Jones is board certified in Obstetrics and Gynecology. She works for the Trinity Health System in the IHA Obstetrics and Gynecology program at Cherry Hill Village in Canton, Michigan.
Please join us for these dynamic and informational presentations.

February office hours will be the usual, one hour session, on February 27, 2024. More details on this session will be forthcoming in a future Monday Update.

Pediatric Hospital Office Hours
​January 30, 2024
​Dr. Samantha Mishra will be presenting on Pediatric Readiness Across the Continuum. Please join us as she delves into the importance of Pediatric Readiness in both the pre-hospital and hospital emergency departments, available resources and the role of the Pediatric Champion (also known as Pediatric Emergency Care Coordinator (PECC)). See the attached flyer for more information.
2024.01.30_MIshra Peds Readi Across the Continuum.pdf (govdelivery.com)

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Region V for Kid Pediatric Study
Region V for Kids is funding a study on Hospital Emergency Preparedness in Rural and Critical Access Hospitals. The Primary Investigator is Dr. Steven Krug from Lurie Children’s Hospital in Chicago. The study is looking for 2-3 hospitals in Michigan to participate. Corewell Health and Michigan Medicine have partnered to recruit rural hospital participation from within their own healthcare systems. There are no asks from the Coalitions.
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This is just for your information so if you receive any questions, you are aware of the study. If you have any questions, please contact Lauren Korte ([email protected]).
Region V for Kids Flyer

American Academy of Pediatrics (AAP) Provides new Guidance on Collaborative Care of Hospitalized Children
The AAP will be offering guidance for pediatric health care teams on how best to work together to ensure the highest quality of care for children with surgical problems. According to research, the number of pediatric hospital medicine programs involved in caring for surgical patients increased from 44% to 90% between 1997 and 2020, and about 40% of pediatric surgery and 60% of pediatric orthopedic programs use co-management for patient care. 
Read the full press release from AAP.

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From WRAP-EM (Western Regional Alliance for Pediatric Emergency Management)
From WRAP-EM (Western Regional Alliance for Pediatric Emergency Management) a Pediatric Disaster Handbook. WRAP-EM develops excellent resources so please share with your HCC hospitals and Pediatric Champions.
Pediatric Disaster Handbook

Pediatric Hospital Office Hours
January 30, 2024​
Dr. Samantha Mishra will be presenting on Pediatric Readiness Across the Continuum. Please join us as she delves into the importance of Pediatric Readiness in both the pre-hospital and hospital emergency departments, available resources and the role of the Pediatric Champion (also known as Pediatric Emergency Care Coordinator (PECC)). See the attached flyer for more information.


Pediatric Medical Surge Executive Summary
​Pediatric Medical Surge Executive Summary has been finalized and is posted to the MIHAN. It can be found in the document library under Regional Network > Resource Sharing > Operational Guidelines/Plans/Regions >.


From the National Pediatric Disaster Coalition: FEMA National Preparedness Report 2023
Several actionable opportunities stand out from this report.  #1 The need to improve personal preparedness. Only 45% of surveyed adults stated they were prepared for a disaster. Children rely on their caregivers to prepare for disaster.  #2 State, Local, Tribal, and Territories (SLTT) are expected to conduct FEMA's Integrating the Needs of Children Workshops in their communities. The training program developed by FEMA in 2021, is basically a local emergency manager-led community training promoting integration of children’s needs during emergencies. Check with your local or district emergency manager to see if they are hosting a workshop and if you can participate. It may be a great opportunity to learn of community needs you are not aware of.
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FEMA National Preparedness Report 2023
Integrating the Needs of Children Workshop Materials

Western Regional Alliance for Pediatric Emergency Management (WRAP-EM) Multi-Health Care Coalition (HCC) Chemical or Pediatric Surge Virtual Tabletop Exercise
WRAP-EM is considering conducting a series of multi-HCC chemical or pediatric surge virtual tabletop exercises to validate annexes/plans as was hosted by WRAP-EM in 2022-23. The exercises would be held in the February-April 2024 timeframe. In addition to fulfilling Hospital Preparedness Program (HPP) requirements, there are potential benefits for HCCs to share and learn from each other by participating jointly in a virtual tabletop exercise. Click the image below for more information or use the QR code to complete the interest form.
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content.govdelivery.com/attachments/MIDHHS/2023/12/12/file_attachments/2714723/7d7828e3-d9d5-4548-8009-89bff5e2e95b.pdf

WRAP-EM (Western Regional Alliance for Pediatric Emergency Management) Pediatric Surge Playbook
The playbook is sectioned out into 3 domains: 1) Hospitals or hospital systems; 2) Healthcare Coalitions; 3) Pediatric Medical Operations Coordination Centers (PMOCCs). The playbook is NOT intended for rapid pediatric surge responses such as a mass casualty incident (MCI). Take a look at the Playbook and see if there is anything to strengthen Pediatric Medical Surge Plan.

Pediatric Surge Playbook


Checklist of Essential Pediatric Domains for Hospitals​
One of the most significant gaps in hospital readiness for children is the lack of hospital policies that address children under every day and disaster conditions. Is your community hospital in that situation and needs help including children in preparedness policies? This resource will help! The Checklist of Essential Pediatric Domains and Considerations for Every Hospital’s Disaster Preparedness Policies is a tool to help hospital administrators and leadership incorporate essential pediatric considerations into existing hospital disaster policies. Click to download (PDF) and view the following video that explains the checklist from colleagues at the American Academy of Pediatrics Disaster Council.
Checklist of Essential Ped Domain Video



​Pediatric Medical Surge Plan Posted to MIHAN
Hospital Preparedness Program (HPP) staff have been working diligently to get documents completed and posted to the MIHAN. Most recently, the Pediatric Medical Surge Plan was completed and posted. 
To find this document and many other new documents, log into MIHAN and go to: Documents – Resource Sharing – Operational Guidelines/Plans/Document.

NOTE: If you don’t have access to the MIHAN and would like a copy of the Pediatric Medical Surge Plan, please contact Lauren Korte at [email protected].
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December's Pediatric Champion Office Hours Reminder
​December’s Pediatric Champion Office Hours are cancelled due to the Holidays. Have a safe and wonderful Holiday Season. Office Hours will resume on January 30, 2024.
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Pediatric Disaster Response and Emergency Preparedness (MGT-439)
September 25-26, 2024
The Region 8 Healthcare Coalition is pleased to offer Pediatric Disaster Response and Emergency Preparedness. The course addresses pediatric emergency planning and medical response considerations through a combination of lectures, small group exercises, and a table-top exercise. It prepares students to effectively, appropriately, and safely plan for and respond to a disaster incident involving children, addressing the specific needs of pediatric patients in the event of a community based-incident. Pediatric specific planning considerations include mass sheltering, pediatric-triage, reunification planning and pediatric decontamination considerations. This is not a hands-on technical course, but instead a management resource course for stakeholders like pediatric physicians, emergency managers, emergency planners, and members of public emergency departments like EMS, Fire, Police, Public Health, and Hospitals in field of disaster response and preparedness work.

For more information and to register for this course visit MI-TRAIN, course number 1055362. 

MI-TRAIN Registration Instructions

 
Strategies to Include Maternal and Child Health in Emergency Planning
This blog post from the Association of State and territorial Health Officials (ASTHO), in partnership with CDC’s National Center on Birth Defects and Developmental Disabilities (NCBDDD) discusses inclusion of maternal and child health (MCH) in infectious disease emergency preparedness and response in states and territories. Those interviewed  described experiences in different jurisdictions and emergency responses.  It is worth noting that there were common factors across various types of jurisdictions including the need for sustainable funding to support collaboration, intentional inclusion of MCH programs and staff in emergency response, improved data quality and surveillance systems, and open communication with partners and the public.

To Read the Full Article

Hear the strategies for addressing pediatric surge from national experts in this ASPR TRACIE recording for the "Roundtable on Lessons Learned from the Pediatric Tripledemic: Systems, Staff, Space, and Supplies" held on October 17, 2023.
The title page of the PowerPoint presentation includes a link to the webinar recording. You will be asked to enter your name and email address prior to accessing the recording. 
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View PowerPoint Presentation

To listen to the webinar

October 31st, 2023 
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Dr. Eryn Hart will be presenting, and this session will address a review of OB emergencies. This will include the hypertensive disorders of pregnancy, review the importance of recognizing peripartum cardiomyopathy and discuss the H’s and T’s most likely to cause maternal arrest. This will involve both a didactic component and filmed simulation.  

EMS credits are available for this session. 

Course number: 23-ICE-08365                                       Registration closes at 2:00 pm on 10/31  

Connect to the October 31 session on Teams, Here 
Hospital ED Pediatric Champions Office Hours Flyer  ​

November 8, 2023 

WRAP-EM WEBINAR: Kids in Crisis – Mental Health & Emergency Departments 

Time: 8:00 a.m. start and 5:00 p.m. end, with 1 hour lunch (noon-1:00 p.m.) 

The Western Regional Alliance for Pediatric Emergency Management (WRAP-EM) is conducting an initiative to address the ongoing crisis of youth mental health surge within hospital emergency departments (ED). This initiative is focused on providing support to hospital EDs (and associated partners) in their mitigation and management of the significant mental health surge from pediatric populations. These would include, but are not limited to, topics of mental health boarders who have a broad category of issues leading to mental health crises, including acute trauma, suicidal ideation and attempts, neurological or developmental disorders, significant disruptive and aggressive behaviors, and the kids with “nowhere else to go". 

The second webinar in the series is a solution-focused webinar featuring subject matter experts across the country to address specific challenges, provide tools and resources, and answer questions from attendees. This will take a broad perspective, to include the continuum of care leading up to referral to the hospital ED, the ED experience, and ED disposition - in addition to addressing this challenge via insights and tools from policy, strategic/systems, and clinical lenses. 

Audiences: Hospitals and healthcare, ED and Primary Care. Primary care pediatricians and family practice physicians, 988 lines and administrating organizations (likely state orgs in this list), local/state mental health departments, mental health coalitions and associations, healthcare coalitions (HCCs), local/state public health departments, Developmental Disabilities Administration, Child Protective Services, Department of Social and Human Services. 

Registration Link for Webinar ​

November 9, 2023 

This virtual symposium offers a wide variety of timely topics that staff in Emergency Departments face today. Please see the two (2) attachments; the first contains the agenda and registration information. The second contains instructions to create an account for nursing and physician CEs through Children’s Hospital of Minnesota.  

Intended audience: Emergency Department Staff, PECCs. 

Registration here for PECC Symposium 
Register for CEs and Physician CMEs ​