The PEPP Course represents over a decade of collaboration between physicians, nurses, and prehospital professionals. PEPP began in 1990 as a part of a State of California initiative, and has since expanded both domestically and internationally. In 1995 the first PEPP course was conducted, and in 1998 the AAP reorganized and expanded the course. The revised 3rd edition materials are now available through Jones and Bartlett or the AAP.