February 21, 2026 · Annals of emergency medicine · DOI: 10.1016/j.annemergmed.2026.01.013

The National Pediatric Prehospital Readiness Project: First Comprehensive Assessment of United States Emergency Medical Services Agencies

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The study aimed to assess the pediatric readiness of emergency medical services (EMS) agencies across the United States to optimize out-of-hospital pediatric care. Findings revealed a median Prehospital Pediatric Readiness Score of 65.5, with notable strengths in equipment and policies but weaknesses in family-centered care and quality improvement. The presence of a pediatric emergency care coordinator was linked to higher readiness scores, highlighting the need to address barriers to pediatric readiness and its impact on patient outcomes.

Kathleen M Adelgais, Katherine E Remick, Hilary A Hewes, Rachel Crady, Rachael Alter, Marianne Gausche-Hill, Patricia Schmuhl, Andrea L Genovesi, Manish I Shah

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