EMS for Children

What is the Maine EMS for Children (EMS-C) Program?

In 1984, Congress signed into law the federal Emergency Medical Services for Children (EMS-C) Program. The goal of EMS-C is to reduce pediatric mortality and morbidity across the nation by ensuring appropriate and effective pediatric emergency care. The EMS-C Program is administered by the Health Resources and Services Administration (HRSA) within the U.S. Department of Health and Human Services (HHS).It is the only federal program focused on the emergency care needs of America’s children. Whether in times of a disaster or an everyday emergency, the HRSA EMS-C Program supports every state, U.S. territory and freely associated state to provide the right care, in the right place, at the right time for every child. Since its inception, all 50 states, the District of Columbia, five U.S. territories, and three freely associated states have received funding from the Federal Program.

The Maine EMS-C program focuses collaboratively with Maine EMS services, providers emergency departments and hospital personnel to encourage preparation, education and care for those 18 and under.  We work within a federally defined set of performance measures that strike a balance between EMS, hospital and long term resourcing of the State for pediatric response, care and transport.

  1. EMS-C Performance Measures Summary (PDF)
  2. EMS for Children Program Performance Measures Manual (PDF)
  3. Maine EMS-C Overview (PPT) and Maine EMS-C Overview (PDF)
  4. EMS-C Advisory Committee Overview (PDF)

Pediatric Emergency Care Coordination (PECC) +

Pediatric EMS Equipment Usage +

Safe Transport of Children By EMS +

The Maine EMS for Children program regularly surveys Maine EMS agencies on their individual efforts around pediatric education.  This is reflected through a national survey conducted at the same time, giving perspective on Maine's efforts compared to national metrics.  Survey results are found below:

2021 EMSC EMS Survey +

  • The Maine EMS for Children program continued surveying EMS agencies in Maine in 2021.  This survey was sent to every EMS agency in Maine, as well as over 15,000 EMS services nationally.  The focus of this survey was on pediatric 911 call volume, as well as pediatric training conducted by individual EMS agencies. With nearly 92% of Maine EMS agencies completing the survey, we are extremely grateful for the time service leaders took in filling out the information.

    2021 Maine EMSC EMS Survey Results Report & Recommendations (PDF) (June 24, 2021)

    2021 Maine EMSC EMS survey results (PDF) (June 24, 2021)

    2021 National EMSC EMS survey results (PDF) (June 24, 2021)

2019 EMSC EMS Survey +

  • The Maine EMS for Children program conducted a statewide survey of all EMS agencies regarding two critical concepts.  These concepts are part of the EMS-C performance measures and federal requirements.

    • Does your service have a Pediatric Emergency Care Coordinator (PECC) to help with equipment, education and pediatric specific QI?
    • Do you conduct annual pediatric skills evaluation of your clinicians?

    Maine EMS-C and NEDARC (our EMS-C national partner in data collection and analysis) reached out to all services and service leaders with a multitude of emails, statewide meeting reminders and hundreds of phone calls over a period of 3 months.  118 out of 259 (45.6%) EMS services responded to the survey and provided the following information. (14 licensed services were not included as they do not respond to 911 calls)

    2019 Maine EMSC EMS survey results (PDF)

    2019 National EMSC EMS survey results (PDF)

The Maine EMS for Children program regularly surveys Maine Hospital Emergency Departments on their individual efforts around pediatric readiness.  This is done through the National Pediatric Readiness Project (NPRP).  This is conducted through a national survey supported by national stakeholder groups, including the Emergency Nurses Association (ENA), American College of Emergency Physicians (ACEP), the American Academy of Pediatrics (AAP), and the EMS for Children program. The information obtained is shared in aggregate form to help in giving perspective on Maine's efforts, compared to national metrics.  Survey results are found below:

2021 National NPRP Survey is currently in progress

2018 National NPRP Survey Results (PDF)

2018 Maine NPRP Survey Results (PDF)

2014 National NPRP Survey Results (Web Link)

2014 Maine NRPP Survey Results (PDF) *Note - Maine did not have an EMSC program in 2014

The NPRP has a number of resources related to ED readiness, QI in the ED, and other toolkits for use.  Visit the NPRP website for more information.

Other Maine Pediatric Resources

  1. Map of Hospitals in Maine with Birthing Capabilities (PDF) 
  2. Child Abuse & Mandated Reporters in Maine
    1. Mandatory Reporter Education
    2. Mandatory Reporting Presentation 
  3. Maine State Infant Safe Haven Law (PDF)
  4. Multisystem Inflammatory Syndrome in Children during COVID (MIS-C)
    1. Youtube video of May 29, 2020 presentation from Massachusetts General Hospital for Children
    2. Maine Medical Center/Barbara Bush MIS-C Clinical Guidelines (PDF)

Resources for Families and Caregivers

State & Local Partners

Federal Partners

Reference Resources

Maine EMS makes no recommendations on any particular products or procedures.

Clinical Resources

Disaster Resources

If you would like a manual or resource added, please email marc.a.minkler@maine.gov