PECCs (Pediatric Champions)

What is a pediatric emergency care coordinator (PECC)?

Sometimes called a “pediatric champion,” this individual(s) is responsible for ensuring EMS agencies and emergency departments (EDs) follow national recommendations for pediatric emergency care. Responsibilities include familiarizing colleagues with pediatric-specific policies and protocols, promoting pediatric quality improvement efforts, and managing pediatric equipment and supplies.

Why is the PECC role important?

PECCs are a proven strategy for improving emergency care for children. Having PECCs in the ED is tied to double-digit increases in Pediatric Readiness scores (which are measured on a scale of 0-100). Since significant survival benefits exist at 88 points or above, a PECC is one of the strongest drivers of improved pediatric outcomes. While prehospital research is ongoing, it is expected that PECCs in EMS agencies have a similar impact.

Having a PECC is recommended by:

• American Academy of Pediatrics
• American College of Emergency Physicians
• American College of Surgeons
• Emergency Nurses Association
• Emergency Medical Services for Children Program
• National Academy of Sciences
• National Association of State EMS Officials
• National EMS Advisory Council
• And many more organizations.

What does the PECC role look like?

PECC roles can vary by setting, patient volume, and resources.

• In EDs, both a nurse and physician (or advanced practice provider) PECC are recommended. In EMS agencies, only one PECC is recommended.
• In settings with limited resources, a single PECC may serve multiple systems or responsibilities of the PECC may be shared by multiple individuals.
• Ideally, PECCs should have protected time, a specific job description, and recognition and support from their administration.
• The individual(s) do not need to be solely dedicated to the PECC role. The role can be part of existing duties.
• The individual(s) do not necessarily need pediatric-specific expertise or background.

How do I establish a PECC in my EMS agency or ED?

• Talk to your leadership
• Explore the resources below
• Contact the EMSC State Partnership Program Manager in your state for support