Ohio EMSC & PECCs
Pediatric Clinical Save Awards Program
2026 Ohio EMSC Pediatric Clinical Save Awards Nomination Form

2026 Ohio EMSC Pediatric Clinical Save Awards Nomination Form

Your information

Name

Email*

Phone

Nominee information

Type of Nominee*

Name of prehospital EMS agency or Emergency Department*

Encounter information

Date of encounter*

Incident information

Reason for nomination(s)*

Please describe the encounter and why you feel your nominee(s) deserve a Pediatric Clinical Save Award. Do not include patient identifying information (unless you are the patient/guardian).

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What care setting do you primarily work in?

EMS or fire-rescue agency

Emergency department

Trauma center

Other clinical setting

I do not work in a clinical setting

Which EMS agency or hospital do you currently work for? (May select up to three)

If your agency or hospital is not listed above, please specify

Please make sure you have searched for your agency or department's full, official name above before adding it.

City/town of your primary ED, EMS agency, or fire department.

State

Form version*

Requested resource

User action*

Uuid*

Ohio EMSC & PECCs

Welcome to the Ohio EMS for Children Pediatric Emergency Care Coordinators (PECCs - also known as Pediatric Champions) webpage! This website offers multiple benefits for Ohio Emergency Departments and EMS (prehospital) agencies that have registered a PECC. Training resources, upcoming events, and contact information for other PECCs are a part of the information available when you register and log in!

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This resource is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) Maternal and Child Health Bureau Emergency Medical Services for Children grant number H33MC48997 with 0% financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.