Comprehensive children emergency receiving center (CCERC)
New Updated 4/2019
Definition:
Child or Children: Defined to be under the age of 15 y/o
Comprehensive Children's Emergency Receiving Center (CCERC): Emergency and referral center for children in Orange County
Pediatric Base Hospital: CCERC designated by OCEMS for on-line medical control
Pediatric Resource Center: Available for advisory children's issues over the phone to EMS personnel or Emergency Departments in Orange County
Transport Criteria:
1. A CCERC is the most appropriate, nearest emergency receiving center (ERC)
2. Child's parent or caretaker requests transport to a CCERC, and transport is reasonable
3. Child appears to be having an acute stroke or neurologic emergency
4. Child is an interfacilty transport from a health care facility or provider to a CCERC
CCERC Radio Contact Criteria:
CCERC contact is encouraged and appropriate at any time a paramedic determines there is a benefit to do so.
Respiratory Distress or labored breathing with:
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Intercostal retractions
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Nasal flaring with inspiration
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Respiratory less than approximately 12/min or more than approximately 50/min
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Cyanosis (lips and central face area)
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Complaint of difficulty breathing by child who can communicate
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Paramedic judgement
Circulatory compromise with:
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Poor skin color (pallor, cyanosis)
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Decreased capillary refill
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Altered mental status or confusion
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Mottling of skin
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Pale lips or finger beds
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Weak / thready pulse
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Paramedic judgement
Pediatric patients identified in Standing Orders as requiring field treatment by EMS
ALTE / BRUE:
Apparent Life-Threatening Event (ALTE)
Brief Resolved Unexplained Event (BRUE)
DEFINITION:
ALTE or BRUE are defined as an episode that occurs in a child 3 years old and younger that is frightening to the observer and is characterized by some combination of:
Children with any of the acute symptoms below:
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Apnea episode
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Color change (cyanosis, pallor, erythema) episode
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Choking or gagging spontaneous, unrelated to food or fluid intake
Radio Contact Process:
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When contacting OCC, the EMS personnel should request a CCERC for contact
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If there is a need to contacting the Base Hospital in an MCI with children involved, contact should be make to the normal Base Hospital per agency