Updated June 2024
The Pediatric Reference Card & Pediatric Reference Poster contain essential information necessary to assess and treat a pediatric patient. The information includes Pediatric Normal Vitals Signs, Definition of Hypotension by Age and Systolic Blood Pressure, Pain Rating Scale, Rule of Nines, Pediatric Glasgow Coma Scale, Pediatric Assessment, Average Equipment Sizes and Important Numbers. To request the Pediatric Reference Card or Poster, please send an email to pepp@miemss.org identifying the item and quantity desired.

The Pediatric Education for Prehospital Professionals (PEPP) course, developed by the American Academy of Pediatrics, provides EMS clinicians with the knowledge and skills needed to effectively assess and manage pediatric patients in emergency situations. Designed for both BLS and ALS clinicians, the course combines evidence-based content with interactive case-based learning, hands-on skill stations, and practical scenarios tailored to the prehospital environment. PEPP is offered in both in-person and hybrid formats, and participants who successfully complete the course receive a two-year certification. This training ensures prehospital professionals are better equipped to deliver high-quality care to infants and children in the field.

Maryland EMS for Children has added additional scenarios and special equipment to correlate with EMS Scope of Practice in Maryland.

The Maryland EMSC program has developed enhanced modules and resource that provide faculty and students with all of the components of the PEPP Curriculum imbedded with Maryland specific protocols and additional pediatric equipment. Maryland Enhanced PEPP Courses have both pediatric medical director on site and experienced pediatric faculty from the major children’s hospitals in the region.

Maryland EMSC has sample agendas for the hybrid course, evaluation forms, and skill station handouts. AAP approved PEPP course coordinators may e-mail pepp@miemss.org to request these forms.

The Pediatric Tracheostomy Care Online Learning Module is available on the MIEMSS Online Training Center.  The module reviews special considerations and adaptations needed to perform patient assessments when working with a patient who has special healthcare needs.  The course explains the function and anatomy of a tracheostomy and discusses reasons why a patient may have a tracheostomy tube.  The course outlines when to perform trachestomy suctioning as well as when to perform a tracheostomy change.  Necessary equipment and steps for performing each skill are also included in this interactive, self-paced course. 

The course offers 1 hour of NCCP Individual credit for ALS clinicians and 1 hour of Medical credit for BLS clinicians.

For more information, please email pepp@miemss.org.

Additional Instructor materials are available from the EMSC program office. For more information, please contact the EMSC Education Office at pepp@miemss.org