Emergency Planning for CYSHCN

When children or youth with special health care needs (CYSHCN) require emergency care, parents may not always be there to provide important medical information. That’s why it’s critical for families to plan for emergency situations and have important information available for emergency responders. Follow the steps below to plan for emergency situations involving pediatric patients with special needs. For more information, please contact Erica Kane.

Steps for parents

  1. Complete the ACEP and AAP Emergency Information Form for your child.
  2. Keep a copy in the home in a visible spot, such as on the refrigerator.
  3. Keep a copy with your child at all times.
  4. Give copies to places where your child spends time, like day care or school.
  5. Visit the Wisconsin EMS website to identify local emergency responders. Share your Emergency Information Form with emergency responders in your area.
  6. If you feel comfortable, invite your local emergency responders to your home to meet your child and become familiar with their equipment and condition.
  7. Update your child’s Emergency Information Form each year, and/or after any health care changes.

Steps for EMS providers

  1. Get to know CYSHCN in your community. Invite families to the fire house or ambulance service for a tour.
  2. When a family shares an Emergency Information Form or other medical information for their child, alert dispatch or use your computer systems to flag the address.

Contact Our Staff

 Erica Kane
Program Leader
(414) 337-4572

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Emergency Medical Services for Children is funded by the Wisconsin Department of Health Services, Division of Public Health, through the National Emergency Medical Services for Children program, administered by the Health Resources and Services Administration’s Maternal and Child Health Bureau. The Emergency Planning for Children and Youth with Special Health Care Needs project is supported by American Family Children’s Hospital and HSHS St. Vincent Hospital. 

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