The goal of the Virginia EMSC program is to improve the emergency care of pediatric patients throughout the Commonwealth of Virginia. To be able to accomplish this task, it is imperative that we work closely with the EMS agencies. The designation of a pediatric contact person for each agency is a very important link in this process. This will enable exchange of information, educational opportunities, etc. It was my understand that the new regulations were to call for establishment of such a "pediatric contact person" at each agency. I can certainly understand the concerns that no agency has funding for a new position, however, that would not be required, simply the designation of someone already working for the agency to be the contact person. No additional expenditure of money and very little time would be required, but the benefit would be far reaching. I am very disappointed that this item has been removed from the regulations and feel this issue should be revisited.

Secondly, as an Emergency Department Physician, I feel very strongly that documentation by the EMS provider to the ED staff should be provided immediately and not "within 24 hours". Crucial information regarding the care that the patient received in the field could be missed having a very significant impact on patient care in the ED and perhaps ultimate outcome.

Thank you, Theresa Guins, MD