1. Pediatric Preparedness April, 2013 Minnesota Department of Health - OEP

2. FEMA – George Armstrong

3. Agenda Introductions – 15 minutes Introductions – 15 minutes Scenario discussion – 40 minutes Scenario discussion – 40 minutes Key differences in the care of children – 1h Key differences in the care of children – 1h Introduction to preparedness materials – 45 min Introduction to preparedness materials – 45 min Table discussion – issues and opportunities – including report-out – 45 minutes Table discussion – issues and opportunities – including report-out – 45 minutes

4. Workgroup – Thank you! Donna Blomquist Donna Blomquist Christine Chell Christine Chell Chuck Hartsfield Chuck Hartsfield Kayla Keigly Kayla Keigly Paula Kocken Paula Kocken Kristin Kim Kristin Kim Don Sheldrew John Hick Kristi Moline Kjelsey Kluge Tom Schrupp Julie Johnson

5. Process and Timeline Identified outcomes: early 2012 Identified outcomes: early 2012 Facility pediatric annex template Facility pediatric annex template Resource manual for pediatric preparedness Resource manual for pediatric preparedness Regional planning and education Regional planning and education Workgroup meetings – 2012-2013 Workgroup meetings – 2012-2013 Literature review / review of available resources - 2012 Literature review / review of available resources - 2012 Write, review, revise! – 2012 Write, review, revise! – 2012 Regional roll-out – April, 2013 Regional roll-out – April, 2013

6. Snowy Hills Hospital

8. Unfortunately, NOT

9. FEMA – Michael Rieger

10. Issue identification Blizzard impact on hospital operations? Blizzard impact on hospital operations? Staff? Staff? Supplies? Supplies? Patient care? Patient care? Environment of care? Environment of care? Special considerations? Special considerations?

12. Issues – Bus Crash Transportation Transportation Pre-hospital treatment Pre-hospital treatment Safety Safety Environment Environment

13. FEMA – Michael Rieger

15. Alerting / Command Activation / notification process? Activation / notification process? Who reports? Who reports? What resources can you get? What resources can you get? What outside resources do you have? What outside resources do you have?

18. Bus Crash Victims Truck driver is DRT Truck driver is DRT 3 critical 3 critical 5 year old, unresponsive, head injuries 5 year old, unresponsive, head injuries 8 year old, severe shortness of breath 8 year old, severe shortness of breath 6 year old, unresponsive, hypotensive 6 year old, unresponsive, hypotensive 6 serious – including open fractures, lacerations 6 serious – including open fractures, lacerations 10 minor – small lacerations, bumps, sprains, strains 10 minor – small lacerations, bumps, sprains, strains 8 no injuries 8 no injuries

19. Treatment Space issues? Space issues? Treatment – who gets a bed? Where do you put the greens? Treatment – who gets a bed? Where do you put the greens? Pediatric Safe area Pediatric Safe area Supplies? Supplies? Staff? Staff? Special considerations? Special considerations?

22. FEMA – Liz Roll

23. Transportation

24. Transportation How? How? When? When? Where? Where? Other measures? Other measures?

25. Other scenarios School related School related Structural Structural HAZMAT HAZMAT Mass violence Mass violence Infectious Infectious HAZMAT – Hg, CO, Chlorine, household chemicals, agricultural HAZMAT – Hg, CO, Chlorine, household chemicals, agricultural Transportation Transportation

26. Big issues for small kids? Preparedness Space Supplies Staff Special