CHOC1 Helicopter Marks 200th Flight

Marking the launch of a new era for emergency transport services at CHOC Children’s, the “CHOC1” helicopter landed for the first time atop the Bill Holmes Tower at CHOC Children’s Hospital in 2018.

In just ten months, CHOC1 has clocked 200 flights, traveling all over Southern California, even as far north as Bakersfield, to transport critically ill patients to CHOC. On a typical afternoon, CHOC1 can fly to CHOC Children’s at Mission Hospital in a mere seven minutes, as opposed to driving for one hour in bumper-to-bumper traffic on the freeways.

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The transport team is comprised of expert physicians, nurses and respiratory therapists.

The transport team is comprised of expert physicians, nurses and respiratory therapists. At the helm is Kevin Barber, lead pilot.

Throughout his 15-year career as a pilot, Kevin has flown many different types of aircraft on a variety of assignments, but he’s found the mission of flying children to be the most rewarding of his career. Prior to flying in the private sector, Kevin was a naval officer for seven years and holds a master’s degree in public administration.

“Aviation offers many different avenues but only being an emergency medical services pilot offers the ability to make a difference in your own community and help people on what is one of the worst days of their lives,” Kevin says. “Plus, the transport teams on our aircraft are top notch. There is a great amount of satisfaction flying with such professional physicians, nurses, respiratory therapists and paramedics.”

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CHOC1’s lead pilot Kevin Barber.

According to service partner Mercy Air, CHOC1 is the only helicopter in Southern California based out of a hospital, with four pilots and mechanics housed on site at CHOC, giving the transport team the ability to jump into action immediately.

State-of-the-art equipment on board

The helicopter is specially configured with high-tech equipment including neonatal isolettes and smart IV pumps that are loaded through the back of the aircraft and secured into a confined space.

One device in the helicopter is designed to cool critically ill newborn infants.

“To help reduce chances of neurological impairment in these sick newborn babies, cooling needs to be initiated within four to six hours of birth, or even earlier for better outcomes,” says Tari Dedick, manager of emergency transport services. “If we pick up a critically ill baby in the Inland Empire, we can begin cooling immediately at the bedside and continue the therapy in the helicopter on the way back to CHOC, saving precious time.”

Safety is the No. 1 priority for CHOC’s transport team.

Mercy Air maintains its Commission on Accreditation of Medical Transport Systems accreditation, which has stringent requirements about staff training, medical equipment and even what the CHOC transport team wears, including flight suits and helmets.

Among Kevin’s vast responsibilities as pilot is to closely track weight and balance restrictions. It’s often a tight squeeze in the helicopter, with every person and each device weighed prior to the flight to determine precise weight and balance.

Widening reach

CHOC’s transport team, using ground and air transportation, travels 100,000 miles each year to bring more than 4,000 patients to CHOC. Looking to the future, Tari says, the transport team anticipates eventually transporting trauma patients from all over Southern California to CHOC’s Level II pediatric trauma center.

“Without a doubt, CHOC1 is widening our outreach while bringing the Southern California community closer,” Tari says.

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Should I Take My Child to the Pediatrician, Urgent Care or Emergency Department?

By Dr. Sarah Kay Herrera, a CHOC Children’s pediatrician

At CHOC Children’s, we know that parents want to be confident they’re giving their child the best care. In order to do that, you need to know where to bring them when they’re sick, but the problem is there are so many options: Do I bring them to the pediatrician’s office? Urgent care? Emergency department? This can make you feel overwhelmed and confused – especially with cold and flu season just around the corner.

We believe parents should have peace of mind they are getting their child the best care. We know it can be scary, stressful and sad to have a sick child. That’s why our Primary Care Network has 16 convenient locations throughout Orange County and beyond. CHOC Children’s Hospital in Orange offers the only emergency department in Orange County that’s just for kids. At the Mission Hospital Emergency Department, in partnership with CHOC Children’s at Mission Hospital, kids and families have access to pediatric-trained nurses, physicians and specialists.

To help you make decisions about where to go for care, consult this guide:

1. Pediatrician

Your pediatrician’s office is not only a place for check-ups, but your primary resource for sick visits as well. Your child’s pediatrician is the doctor who already knows your child’s medical history.

  • You will need to set an appointment for a sick visit, which could include symptoms like fever, runny nose, cough, ear pain, headaches, sore throat, rashes or abdominal pain.
  • If your child is experiencing a chronic lingering issue such as abdominal pain or headaches, it is best to see your pediatrician as they can provide ongoing care and find a pattern in the symptoms, which is important for more complex illnesses.

Here’s a helpful guide of what to bring to the pediatrician’s office.

2. Urgent care

  • Urgent care offices are usually open after business hours, which is typically after 5 p.m. and weekends.
  • Most are walk-in clinics and do not take appointments. This means you can usually expect long wait times. This is the best place to go for acute illness such as fevers, ear pain, runny nose, cough, sore throat, vomiting, diarrhea, minor falls, and stitches.
  • Sometimes your pediatrician or an urgent care provider may decide your child is too ill to go home and they may send you to the emergency department for further treatment or testing.

Emergency department

  • In some cases, it’s best to go straight to the emergency department for apparent life-threatening events, which could include rapid and fast breathing, head trauma, trauma with loss of consciousness or vomiting, motor vehicle accidents, severe abdominal pain or dehydration.
  • An infant less than 28 days old with a fever of 100.4 degrees or higher is considered an emergency and should be taken directly to the ED.
  • Here’s a helpful checklist of what to bring to the emergency department.
  • Not all urgent care clinics and emergency rooms take care of children on a regular basis. It is best to go somewhere that specializes in children’s health. Pediatric-focused facilities have specialized training and equipment to offer the best care for your child.
  • Most pediatrician offices have a phone triage line to help parents decide which place may be best for their child.
Looking for a pediatrician? Find one near you.

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What Every Parent Should Know About Emergency Departments During Flu Season

This year, thousands of people are packing their local emergency department during flu season. As the region’s only pediatric-dedicated facility, the Julia and George Argyros Emergency Department at CHOC Children’s Hospital is seeing an extremely high number of patients, from infants to teens. Our physicians and staff understand how anxious and scared parents and children can get when faced with a trip to the emergency department. They offer the following information and tips for parents coming to the emergency department during the busy flu season:

  • Be prepared to see a full lobby, including people seated in chairs down hallways and in additional areas throughout the department. Typically, the department gets busier as the day progresses. CHOC has added staff to help manage wait times.
  • Leave siblings and other family members at home, if possible. This will help ease crowding, but more importantly, keeps well children from being exposed to sick ones. Also, parents’ attention should be focused on their ill or injured children.
  • Patients are seen based on how sick or injured they are, not on the order they arrived in the emergency department. Please keep in mind there are patients who arrive in ambulances – admitted in an area beyond your view. Our staff must treat the sickest first. If you’ve been waiting and are concerned your child’s condition is getting worse, please ask a nurse to reassess her.
  • Hold off on giving food or drink to your child until she’s been seen by the doctor. A full stomach can delay procedures and the use of sedatives.
  • There are nurses and emergency medical technicians (EMT) who work in the lobby and have different roles. Nurses, dressed in maroon scrubs, help screen and assess patients; some will assist with lab work or X-rays. EMTs, dressed in tan scrubs, can only take vitals and measure height and weight. EMTs will notify the nurses in the lobby of any changes they observe in patients’ conditions.
  • Don’t expect a prescription for antibiotics, which aren’t always the answer. Antibiotics can only treat infections caused by bacteria. Cold illness caused by viruses can’t be cured with an antibiotic.
  • Try to stay calm. Children can pick up on their parents’ fear and anxiety. Take deep breaths for your and your child’s sake.
Download a checklist of what to bring to the emergency department

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CHOC Emergency Department Honored for Exceptional Practice and Innovative Performance

The Julia and George Argyros Emergency Department at CHOC Children’s Hospital is one of only three emergency departments in California — and 22 in the country — to be named a 2017 Lantern Award recipient from the Emergency Nurses Association.

The honor recognizes emergency departments across the nation for demonstrating excellence and innovation in leadership, practice, education, advocacy and research.

Recipients of the award went through a rigorous application process, during which they had to provide outcome metrics, as well as descriptive examples that highlighted the following:

  • Practice – qualities that foster professional pride, confidence and a community of support for emergency nurses
  • Leadership – operational improvement initiatives, including new systems and processes that positively impact department operations
  • Education – quality and accessible education that instills knowledge and enhances competencies
  • Advocacy – efforts that enhance the emergency nursing profession and quality patient care
  • Research – quality improvement research and the evaluation of clinical outcomes

“Our team is dedicated to providing safe, quality care based on evidence-based practices.  We are honored to have our commitment recognized by the Emergency Nurses Association, and will continue to push ourselves to provide the best possible emergency medicine and trauma services to the children and families who depend on us,” says Frank Maas, RN, BSN, MBA, director of the CHOC ED.

The 22,000-square-foot, full-service CHOC ED is exclusively dedicated to the treatment of pediatric patients.  It features 31 treatment rooms, including several rapid evaluation and discharge rooms and three triage suites.

The department will be presented with its Lantern Award at the Emergency Nursing Conference 2017 in St. Louis, Missouri this month.

The Lantern Award honors the legacy of Florence Nightingale, referred to as the “Lady of the Lamp” for her actions during the Crimean War.  Working throughout the night, she would bring a lantern to help her see and tend to the wounded soldiers.  She is credited with changing nursing from an untrained job to a skilled, science-based profession.

Learn more about emergency services at CHOC Children's

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Meet Dr. Seth Brindis

In addition to providing high-quality medical care, physicians and staff at the Julia and George Argyros Emergency Department at CHOC Children’s Hospital strive to make the experience less stressful for children and families. One physician has a few tricks to ease his patients’ fear and anxiety. Dr. Seth Brindis, a board-certified pediatric emergency medicine specialist and medical director of informatics, performs magic for his patients.

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Physicians in the CHOC emergency department strive to make the experience less stressful for children. Dr. Seth Brindis often performs magic tricks for his patients.

“For me, magic makes my job easier, instantly transforming what can be a scary experience for children to something fun. I incorporate magic into my physical exam as it makes the exam easier and more reliable when patients are comfortable with me and distracted. I tend to use coin tricks because they appeal to a wider range of ages, with the added benefit that the coins can be disinfected between patient contacts.”

Luckily, it doesn’t have to be an emergency in order to see Dr. Brindis’ magic. With help from child life, he occasionally puts on impromptu magic shows in the CHOC theater for inpatients, their siblings and parents.

Dabbling in magic since childhood, Dr. Brindis’ interest in magic was revitalized while in residency at Harbor-UCLA Medical Center, where he realized that simple tricks with cards and coins could help make connections with patients and staff. Since then, he has continued to study magic, even taking courses tailored for magic in medicine. Seeing thousands of patients each year, Dr. Brindis gets ample time to try out new tricks and help patients and their families leave with positive experiences and smiles on their faces.

Exclusively dedicated to the treatment of pediatric patients, CHOC’s ED features 31 exam rooms, including two trauma bays, and three triage suites. The ED is staffed with doctors who are board-certified in emergency medicine and specially trained nurses who provide the very best patient- and family-centered care. Child life specialists work with patients to help them feel safe and secure, and make the process a lot less stressful for the entire family.

“The ED is often the gateway for many families who are coming to our organization for the first time. We’re working together to deliver the best care to those who need it most. My job is to understand what is distressing to a parent in the middle of the night and either educate and reassure the family or intervene when called for.”

As the only trauma center in Orange County dedicated exclusively for kids, CHOC is ready to treat injuries 24 hours a day. The trauma team is trained to care for children and their unique physiological, anatomical and emotional needs, and CHOC’s protocols and equipment are specially designed for pediatrics.

The ED saw over 49,000 patients in the first year it opened. This year, it’s on pace to see more than 85,000 patients – an incredible rate of growth, which Dr. Brindis credits to the coordination and cooperation between the ED physicians, EMSOC leadership, and nursing, as well as CHOC administration.

“I love being a part of this team. I feel like we provide exemplary care to every person who enters our doors. Often, I feel like the conductor of an orchestra of care. There is no way I could do my job without the incredible people I work with. It really is impressive to watch our team working in concert to stabilize a really sick child.”

Dr. Brindis received his medical degree from Vanderbilt University. He completed his pediatric residency and pediatric emergency medicine fellowship training at Harbor-UCLA Medical Center in Torrance. In addition to caring for patients in the ED, he is actively involved with the training and teaching of pediatric and emergency medicine residents as well as fellows.

In his spare time, Dr. Brindis enjoys spending time with his wife, son and daughter. He also enjoys cooking, painting and, of course, working on his magic.

Learn more about emergency services at CHOC Children's

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