AAP's official PEPP Newsletter • January 2002

Inside This Issue

PEPP Wins Federal EMSC Heroes Award

England Rolls-Out PEPP

AAP Hires Two New DLSP Staff

PEPP Web Site

Connecticut PEPP Course Coordinator numbers increase

PEPP Committee Members


Questions and Answers

Conference Update

States in the News


Poison control centers have the capability to follow up with continuing reassessment by telephone.

Never use ice, cold water, fans, or alcohol baths to cool a feverish child.

Volume resuscitation in pediatric trauma is controversial. Recent studies suggest that rapid administration of crystalloid fluids to adult patients with internal bleeding may worsen outcome after penetrating injury.

Question and Answer

Q: How long does it take receive the course completion cards in the mail after I submit the roster?

A: We have a 2-3 day turn around time to approve your roster and we mail cards every Thursday. Check the status of your roster online by logging onto www.PEPPsite.com to see when the cards were mailed. IMPORTANT: Make sure your roster is "submitted" and not just "saved". We cannot view and approve rosters you have saved for later editing. Only after you submit the roster can we see it in your file. If you have questions, please call us at 800/433-9016 ext 4795.

Q: I lost my password. What do I do?

A: If you call the Division of Life Support Programs at 800/433-9016 ext 4795 we can reset your password.

Conference Update

April 15 -17, 2002, Adam's Mark Hotel

The Congress will address the entire system of pediatric emergency care, including patient safety and quality improvement, prehospital and emergency department clinical care, injury and violence prevention, and disaster preparedness.

October 19-23, 2002, Marriott Copley Place

Visit www.aap.org for more information.


AAP and EMSC have combined forces to bring PEPP to NYS. During EMS Week 2002, two courses will be held: one in Albany, and one in western New York (possibly Buffalo). Call AAP at 800/433-9016 ext. 4795 for more information.

States in the News:

Nevada- training a large number of prehospital providers in PEPP to prepare for the Olympic games next year!

Texas- 14-year-old completed PEPP BLS course -PEPP Renewal course to roll-out at the 3rd National Congress on Childhood Emergencies

New York- AAP and NYS EMSC plan on two PEPP courses during EMS Week 2002

California- PEPP course in San Francisco held in conjunction with the AAP's National Conference and Exhibition 2001

Florida- Plans are developing between Florida EMSC and AAP to bring another PEPP course to the area

Wyoming- Utah EMSC travels to Wyoming to train a large group of PEPP Course Coordinators.

England- PEPP roll-outs in England. Read the complete article.




PEPP Wins Federal EMSC Heroes Award

Washington, DC

Linda Lipinsky

The US Department of Health and Human Services Emergency Medical Services for Children (EMSC) Program has announced Pediatric Education for Prehospital Professionals (PEPP) as the winner of the prestigious 2001 National Emergency Medical Services for Children Heroes Award for Innovation in EMSC Product/Program Development.

The American Academy of Pediatrics (AAP) and its PEPP Steering Committee are honored that the program has received this significant recognition. "We are still on cloud 9. This is a fantastic tribute to the cast of thousands who created and built this course", said Ronald Dieckmann, MD, MPH, FAAP, FACEP, chair of the PEPP Steering Committee and Director of Pediatric Emergency Medicine at San Francisco General Hospital. "Our goals with the PEPP Program are to teach prehospital professionals (paramedics and emergency medical technicians - EMTs) what is unique about children, discuss pediatrics illnesses and injuries, practice skills, and foster a sense of confidence in approaching children."

J. Dennis Hastert, the Speaker of the United States House of Representatives said in a congratulatory letter to the AAP, "With this program, EMTs and paramedics will know how to better treat and care for children, and therefore, be more likely to save their lives...I applaud you for your commitment to better medical care for our country's children. Because of your hard work and compassion, our nation will have healthier children and happier parents.

Released in March 2000, the first "Train the Trainer" PEPP course was offered in Baltimore, Maryland, in conjunction with the EMSC Second National Congress of Childhood Emergencies. Another seven cities across the country took part in the national rollout of the program. "The response we have had so far has been great," noted Linda Lipinsky, Director of the Division of Life Support Programs at the AAP. "From the eight national roll-out we held last year, there have already been over 700 local courses given throughout the country." A searchable database of all PEPP course coordinators and a list of upcoming PEPP courses are available at www.PEPPsite.com.


England Rolls-Out PEPP
Maidstone, UK

Jeff Hummel

Ever since PEPP "hit the streets" it has received an incredible amount of positive response. So positive, in fact, that the United Kingdom recently asked the AAP to bring the course to them. With the help of the UK office of Jones and Bartlett Publishers, PEPP hit their streets September 20-28, 2001 with 2 PEPP "Train-the-Trainer" roll-out courses in Maidstone and Stoke on Trent.

Various Chief Training Officers in England selected each participant through a competitive application process. A variety of specialties were represented such as Nurses, Paramedics, Fire Fighters, Doctors, and Resuscitation Officers.

The whirlwind 8-day trip included 2 stops on opposite sides of the country. The first stop was in Maidstone, which is near the southeast coast of England outside of London. Maidstone Hospital donated the meeting space and some equipment, as well as helping out with local faculty needs. Thirty participants from across the lower part of England participated in this course and are now PEPP Course Coordinators.

The second course was scheduled for Stoke on Trent, which is located in the northwest part of England not far from Manchester. Participants in this course traveled from the rural parts of the United Kingdom and as far away as Ireland.

PEPP creators and editors Ron Dieckmann, MD, Susan Fuchs, MD, and Dave Burchfield, MD were to be the primary faculty for both courses. However, due to the tragic events of September 11, only Susan Fuchs, MD was able to attend. The tremendous efforts of the UK faculty and the international office of Jones and Bartlett Publishers kept the course from complete cancellation. Lorna Downing of Jones and Bartlett's UK office scrambled her resources and coordinated a quick transatlantic phone training session for the local UK faculty. Dr. Dieckmann, PEPP Steering Committee Chairperson, was quite impressed with the UK coordinator, Victor Nebbiolo, RTO, and after talking with him on the phone was confident the roll-out would be a great success.

After completing both two-day sessions, Dr. Fuchs arrived home full of positive feedback. All of the attendees were of the highest caliber and eager to form their own PEPP courses. Course announcements soon followed and plans have been set in motion. November 20 & 21, 2001 saw a follow-up course in Stoke on Trent, and Maidstone Hospital held a course on December 15 & 16. Ireland has also moved full-speed ahead with its plans for PEPP. April 2002 will see a series of PEPP courses across the country spurred on primarily by the England PEPP roll-out participants.

The Academy is thrilled that PEPP is so widely regarded and that the course is in such great demand. The fact that this course practically promotes itself is a tremendous compliment to the cast of hundreds that helped create this dynamic and innovative program. We are confident that this is only the beginning, and PEPP's future is bright.

AAP Welcomes New DLSP Staff

Many of you have known Peggy Hecht, MS as the PEPP manager and Shelia Valadez as the Division Assistant since the inception of the program. We recently saw their departure from the PEPP program in July 2001; the Division of Life Support Programs found Jeff Hummel, the former EMSC Coordinator from Texas to take over the program. Jeff has spent the last 11 years working for various types of EMS agencies in both rural and urban settings and holds a degree in psychology from SUNY Geneseo. Jeff is currently nearing completion of his nursing degree."Welcome aboard Jeff!"

We are currently recruiting for a Life Support Staff Assistant to aid with the administrative duties of the PEPP program.

PEPP Web Site
Elk Grove Village, IL

Shelia Valadez

E-mail is the #1 way of communicating to our PEPP Course Coordinators. When you submit a roster, we will e-mail you so that you know we received it. Once it has been approved, we will e-mail you again. This way you will know that provider cards for your participants are in tomorrow's mail. So, be sure we have a correct e-mail address so that you don't miss out on important information.

Don't use e-mail? Did you know that many on-line services (i.e.: hotmail.com, yahoo.com, iwon.com, etc) offer free e-mail service? With many of the free e-mail service providers you can get your e-mail from any computer, anywhere, and at anytime. We at the AAP have no email provider preference, so feel free to use any e-mail service provider that you like. Just let us know when you pick one out so that we can update your file. Or better yet, do it yourself at http://www.peppsite.com! http://www.peppsite.com features a wealth of resources of PEPP providers. At http://www.peppsite.com, Course Coordinators can post upcoming courses online, and download a four color promotional sheet, to help promote upcoming courses. You can also go online at http://www.peppsite.com and enter the Course Coordinator database and update your own file.

Connecticut PEPP Course Coordinator numbers increase
Hartford, CT

Gary Wiemokley, EMT-P
Saint Francis Hospital and Medical Center

Saint Francis Hospital and Medical Center recently conducted a special PEPP program. Gary Wiemokly, EMT-P and Tom Russell, EMT-P, both Emergency Medical Service Coordinators in Connecticut, hosted an ALS level PEPP Course and Course Coordinator orientation for other EMS Coordinators in the state.

Tom Russell attended an AAP roll-out of PEPP in 2000, and I, Gary Wiemokly, have been a PEPP ALS Coordinator for a year. We are both in great demand around Connecticut. We understood that additional PEPP Coordinators were needed in our state, and since many of our peers wanted to become Course Coordinators the solution was a natural. This past August we offered an ALS PEPP Provider Course along with a Course Coordination orientation. After making the announcement, the course filled immediately.

Because the participant pool was full of experienced EMS professionals that coordinate, instruct, or design educational programs it was a formidable task to present the PEPP material in an interesting and lively format. The PEPP material needed to inspire and challenge this unique group of students. A combination of high quality videos, slides and a good dose of humor maintained their focus. We also turned the table on them [the other coordinators]. Tom and I had the students begin to teach the PEPP material to us when they least expected it. Tom adds, "The process not only helped the students to better grasp the information, but created a bond that will benefit PEPP Courses taught by this group". Cooperative planning for PEPP Courses is already occurring within the group and course offerings should soon increase in all areas of Connecticut.

For more information on PEPP in Connecticut, e-mail Gary Wiemokley at GWiemokly@stfranciscare.org.

Edited by Jeff Hummel

PEPP Committee Members



PEPP Chairperson
Ronald Dieckmann, MD
Director of Pediatric Emergency Medicine San Francisco General Hospital

PEPP Steering Committee Members
Bob Bailey
Representing the National Association of State EMS Directors
President, Bob Bailey & Associates

Pam Baker, RN, BSN, CEN, CCRN
Emergency Nurse
Sherman Hospital, Elgin, IL

Dena Brownstein, MD
Attending Physician, Emergency Services Children's Hospital & Medical Center

David Burchfield, MD
Representing the Neonatal Resuscitation Program
Chief of Pediatrics/Neonatology
University of Florida

Arthur Cooper, MD
Associate Professor and Chief
College of Physician and Surgeons of Columbia Hospital

Susan Fuchs, MD
Representing AAP's Section on Emergency Medicine
Northwestern University Medical School

Marianne Gausche-Hill, MD
Representing the American College of Emergency Physicians
Assistant Professor of Medicine
UCLA School of Medicine

Patricia Kunz-Howard, RN, MSN, CEN, CCRN
Representing the Emergency Nurses Association
EMS Coordinator
Lexington, KY


Deborah Mulligan-Smith, MD
Representing the National Association of EMS Physicians
Clinical Associate Professor Community Health and Family Medicine
University of Florida

Michael Panté, NREMT-P
Representing the National Association of EMS Educators
Clinical Instructor
University of Medicine and Dentistry of New Jersey

Gary Rainey
Representing the International Association of Fire Fighters
EMS Chairman
Florida Professional Fire Fighters

Battalion Chief Steve Strawderman
Representing the International Association of Fire Chiefs
Battalion Chief
Price William County Department of Fire and Rescue

Robert Wiebe, MD
Representing AAP's Committee on Pediatric Emergency Medicine
Chair, Professor University of Texas Southwestern Medical Center at Dallas

George Woodward, MD
Representing the AAP's Section on Transport Medicine
Assistant Professor of Pediatrics
University of Pennsylvania School of Medicine