Federal Partnerships

To help carryout its mission, the Emergency Medical Services (EMS) for Children Program has established ongoing partnerships with four Federal agencies: the National Highway Traffic Safety Administration; the Centers for Disease Control and Prevention; the National Heart, Lung, and Blood Institute; and the Indian Health Services. In addition, the EMS for Children Program is involved in the mission of two federal collaboratives: the Interagency Committee on EMSC Research and the Federal Interagency Committee on EMS.

National Highway Traffic Safety
Administration (NHTSA)

The 20-year partnership between the EMS for Children Program and NHTSA grows stronger every year. Both agencies have enjoyed a successful history of cooperation and collaboration around EMS and injury prevention issues not only for children and adolescents, but for the overall EMS system.

The purpose of the NHTSA interagency agreement is to assure that pediatric considerations are integrated into all programs, policies, and projects within the Office of EMS at NHTSA. Focus areas include: patient safety, evidence-based guidelines, and support for the National Association of State EMS Officials.

Centers for Disease Control
and Prevention (CDC)

Beginning in 2001, the EMS for Children Program collaborated with the CDC’s National Center for Health Statistics to develop, test, and apply the Emergency Pediatric Services and Equipment Supplement (EPSES) to the National Hospital Ambulatory Medical Care Survey instrument. The purpose of the brief 30-minute supplement was to allow for a larger and more general sample than the previous National Electronic Injury Surveillance System studies.

Two papers based on the EPSES 2002-2003 data have been published:

In 2006, the CDC also continued to co-funded two additional pediatric studies: “A Clinical Decision Rule To Identify Children With Intra-Abdominal Injuries” and “A New Method for Assessing Risk of Persistent Post-traumatic Stress In Injured Children and Their Parents” (manuscript submitted).

National Heart, Lung, and Blood Institute (NHLBI)

The EMS for Children National Resource Center has produced a series of promotional materials on the Therapeutic Hypothermia after Pediatric Cardiac Arrest (THAPCA) trials developed with the support of the THAPCA resource team at the University of Utah and the National Heart, Lung, and Blood Institute (NHLBI). All materials are intended to raise awareness among providers and families about the THAPCA trials.

The THAPCA study is evaluating whether regulating the body temperature improves survival with good neurobehavioral outcomes in children after cardiac arrest. Separate study arms are being conducted for children who arrest in the hospital and children who arrest out of the hospital. Enrollment began in September 2009 and will continue through 2014. Currently the study is in 35 clinical sites across the United States. For more information about THAPCA, visit the THAPCA website.

Agency for Healthcare Research and Quality (AHRQ)

The purpose of the interagency agreement with AHRQ is to evaluate data from the Healthcare Cost Utilization Project (HCUP) to determine nationwide patterns of disposition and patient outcomes for moderate to severely injured children.

Indian Health Services (IHS)

Through an interagency agreement, the EMS for Children Program funds an IHS EMSC coordinator to help facilitate better coordination of state EMS for Children programs and tribal EMS needs. In 2006, the IHS EMS for Children coordinator helped to develop an EMSC/EMS assessment tool to determine available resources and needs of tribal EMS services. In addition, the coordinator helped to develop a guide to assist EMSC state grantees improve partnerships with tribal EMS and to address cultural needs of the tribes.

Interagency Committee on EMSC Research (ICER)

The EMS for Children Program coordinates ICER, a federal collaborative effort begun in the mid-1990s to improve the quality and quantity of EMSC research. In 2001, a core group of ICER members joined forces to develop the first multi-agency program announcement (PA) on research opportunities in EMS for Children. In 2005, and again in 2006 and 2008, a revised “Research on Emergency Medical Services for Children” was published in the NIH Guide to Grants and Contracts. This funding opportunity seated a special study section for EMSC research.

Federal Interagency Committee

The EMS for Children Program helps coordinate FICEMS's Data and Research Committee, which functions to improve the evidence base and outcomes for prehospital research and practice.

The committee's current projects include: (1) conducting two webcasts to educate Internal Review Boards (IRB) on the Exception from Informed Consent for Emergency Research; (2) planning the IRB Options for Emergency Care Research Conference in September 2011; (3) providing feedback for the ongoing National EMS Assessment funded by NHTSA; and (4) evaluating the National EMS Information System (NEMSIS) and Trauma Registry data and making recommendations for training public health staff. 

In 2010, the EMS for Children National Resource Center conducted a "Gap Analysis of EMS Related Research." This document presents a review of more than 270 clinical and non-clinical studies relevant to EMS and categorized into 10 distinct areas. An analysis of each category is presented with a comparison to existing research agendas and priorities to identify gaps in existing research.

This document may be used by federal agencies and researchers to understand the current status of EMS research.