Missouri - New TPOPP/POLST Advanced Direct for EMS (Pediatric Focus)-Missouri TPOPP/POLST Form (Pediatric Focus)

Video Transcription

Video Summary

The video discusses recent developments in handling pediatric out-of-hospital Do Not Resuscitate (DNR) orders and advanced directives in Missouri. Missouri previously lacked suitable methods for pediatric out-of-hospital DNRs, posing challenges for families. Through efforts led by Trish Casey and others, legislation now enables clear orders specific to pediatric cases, such as the purple form effective since August 2023, and TPOP and PULST forms effective December 2024. These forms now safeguard EMS professionals legally when they honor advanced directives. Highlighted by Dr. Steve Laffey and Dr. Joe Finney, the importance of communication with families is emphasized, especially since pediatric cases differ from adult cases, often involving complex emotions and decisions. Continuous communication is crucial for ensuring medical actions align with family wishes, which can ease both in-home and hospital transitions for end-of-life care in children. Support and training for EMS are available to better handle these sensitive situations.

Keywords

pediatric DNR

Missouri legislation

advanced directives

purple form

EMS training

family communication