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It is prepared by the California Emergency Medical Services Authority and associated leadership, coordinators, and technical committees, including EMS for Children roles. The content describes principles for pre-hospital pediatric care, emphasizing properly trained and equipped providers, medical direction through pediatric protocols or direct physician/nurse communication, and the need for continuous quality improvement.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/pediatric-equipment-for-ambulance-and-first-responders-emsa-188-revised-2008/362726/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/pediatric-equipment-for-ambulance-and-first-responders-emsa-188-revised-2008/362726.png","ImageObject",300,407,{"name":92,"@type":93},"anakgang17","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-27","2026-09-23",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What is EMSA #188 about?","Question",{"text":113,"@type":114},"EMSA #188 standardizes pediatric equipment and supplies for ambulances and first responders. It supports prehospital delivery of pediatric emergency care across settings.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What improves pediatric survival in pre-hospital emergencies?",{"text":118,"@type":114},"On-scene initial assessment and management by properly trained and equipped prehospital providers significantly improve overall survival.",{"name":120,"@type":111,"acceptedAnswer":121},"How is medical direction for prehospital pediatric care provided?",{"text":122,"@type":114},"Medical direction is provided either through preexisting pediatric protocols (indirect medical direction) or through physician/nurse communication by voice and/or video (direct medical direction).","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},362726,1790622976,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":46},962090883568,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","EMERGENCY MEDICAL SERVICES AUTHORITY  \n1930 9th STREET  \nSACRAMENTO, CA 95811-7043  \n(916) 322-4336 FAX (916) 324-2875  \n| Pediatric Equipment for Ambulance and\u003Cbr>First Responders |  |\n| --- | --- |\n| | EMSA \\#188 Original 1994 Revised 2008 |\n\nPediatric Equipment for Ambulance and First Responders  \nPrepared by:  \nThe California Emergency Medical Services Authority  \nBonnie Sinz, RN  \nEMS Systems Division Chief  \nCalifornia EMS Authority  \n~  \nDonna Westlake  \nEMS for Children Coordinator  \nCalifornia EMS Authority  \n~  \nDaniel R. Smiley  \nInterim Director  \nCalifornia EMS Authority  \nKim Belshé  \nSecretary  \nCalifornia Health and Human Services Agency  \nArnold Schwarzenegger  \nGovernor  \nAcknowledgements  \nEMS for Children Technical Advisory Committee  \n\n| Captain Art Andres, EMT-P Paramedic Ontario Fire Department | Judith Brill, MD Co-Chair\u003Cbr>Director of Pediatric Intensive Care Unit Mattel Childrens Hospital UCLA Medical Center | Patrice Christensen, PHN Injury Prevention Program Coordinator\u003Cbr>San Mateo County EMS Agency |\n| --- | --- | --- |\n| Bernard Dannenberg, MD Director Pediatric Emergency Medicine Stanford Lucile Packard Children's Hospital | Ron Dieckmann, MD Director\u003Cbr>Pediatric Emergency Medicine San Francisco General Hospital | Robert Dimand, MD Pediatric Critical Care Unit Children's Hospital Central California |\n| Erin Dorsey, RN School Nurse\u003Cbr>Long Beach Unified School District | Jan Fredrickson, MSN, PNP California State Emergency Nurses Association | Les Gardina, RNEMSC/Trauma System Coordinator\u003Cbr>San Diego County EMS Agency |\n| Marianne Gausche-Hill, MD Director EMS and Pediatric Emergency Medical Fellowships Harbor-UCLA Medical Center | Jim Harley, MD Emergency Medicine Children's Specialists of San Diego | Deborah P. Henderson, PhD, RN Adjunct Assistant Professor Department of Pediatrics David Geffen School of Medicine at UCLA Harbor-UCLA Medical Center |\n| Donna Heppner EMSC Representative State of CA Office of Traffic Safety | Ramon Johnson, MD Co-Chair\u003Cbr>Director\u003Cbr>Pediatric Emergency Medicine Mission Viejo Emergency Medicine Associates | Nancy McGrath, PNP Pediatric Liaison Nurse Harbor UCLA Medical Center |\n| Maureen McNeil Public Member | Allen Morini, DO\u003Cbr>Representative Emergency Medical Directors Association of California | Michael Osur Deputy Director of Public Health\u003Cbr>Riverside County |\n| Barbara Pletz, RNEMS Administrator San Mateo County EMS | Debby Rogers, MSN\u003Cbr>Vice President Quality & Emergency Services California Hospital Association | Nicholas Saenz, MD Pediatric Surgeon Rady Children's Hospital |\n| Debbie Smades-Henes Family Representative | Daniel R. Smiley Interim Director State of California EMS Authority | Scott Vahradian, EMT-PEMS Integration Authority Santa Cruz Co. Fire Department |\n| Richard Watson Public Member |  |  |\n\nEMS for Children Coordinators  \n\n| Louis Bruhnke, NREMT-PEMS Coordinator North Coast EMS Agency | Wendy Chapman Training Coordinator North Coast EMS Agency | Joanne Chapman, RNEMSC/Regional Trauma Coordinator\u003Cbr>Coastal Valleys EMS Agency |\n| --- | --- | --- |\n| Patrice Christensen, PHN Injury Prevention Program Coordinator San Mateo County EMS Agency | Linda Diaz, RN Quality Improvement & EMSC/Trauma System Coordinator Merced County EMS Agency | Roberta Faford, PHNEMSC/Trauma & Clinical Programs Manager Santa Clara County EMS Agency |\n| Cynthia Frankel, MSN Prehospital Care Coordinator Alameda County EMS Agency | Pat Frost, MSN, PNP Quality Improvement Coordinator\u003Cbr>Contra Costa EMS Agency | Les Gardina, RNEMSC/Trauma System Coordinator\u003Cbr>San Diego County EMS Agency |\n| Anne Marcotte, MSN Quality Management Coordinator\u003Cbr>Santa Clara County EMS Agency | Beverly Nighswonger, RNEMS Facilities Coordinator Orange County EMS Agency | Karen Rodgers, RN Pediatric Programs Coordinator\u003Cbr>Los Angeles County EMS Agency |\n\nEMS Authority Staff  \n\n| Bonnie Sinz, RN Chief, EMS Systems Division\u003Cbr>State of California EMS Authority | Donna Westlake EMSC Program ","cbCainphfADn1qn2","https://ap.wps.com/l/cbCainphfADn1qn2","pdf",241232,"English","# Pediatric Equipment for Ambulance and First Responders\n## Principles of Pre-hospital Care\n## Emergency pediatric care principles and quality improvement","[{\"question\":\"What is EMSA #188 about?\",\"answer\":\"EMSA #188 standardizes pediatric equipment and supplies for ambulances and first responders. It supports prehospital delivery of pediatric emergency care across settings.\"},{\"question\":\"What improves pediatric survival in pre-hospital emergencies?\",\"answer\":\"On-scene initial assessment and management by properly trained and equipped prehospital providers significantly improve overall survival.\"},{\"question\":\"How is medical direction for prehospital pediatric care provided?\",\"answer\":\"Medical direction is provided either through preexisting pediatric protocols (indirect medical direction) or through physician/nurse communication by voice and/or video (direct medical direction).\"}]","Pediatric Equipment for Ambulance and First Responders - EMSA #188 - Revised 2008 | PDF",1790148906]