Prehospital Pediatric Readiness Toolkit

The National Prehospital Pediatric Readiness Toolkit content is organized by the seven domains of prehospital pediatric readiness as outlined in the Checklist. The tools and resources align with the Joint Policy Statement and will assist prehospital emergency care providers to better understand and achieve the components of pediatric readiness in the prehospital environment. The resources in this toolkit have been curated by a comprehensive team of stakeholders and will be usefull to all dedicated to delivering high-quality pediatric prehospital care.

This section has resources to assist in ongoing education, along with tools to help demonstrate competencies.


  • Disaster Debrief Script
  • Disaster Simulation Curriculum (5 documents)
  • Pediatric Disaster Triage Training (JumpSTART)
  • 60 Seconds to Survival - Pediatric Disaster Triage Video Game


  • Improve your ED's Readiness to Care for Children

This section has documents created by pediatric emergency experts and provide guidance on creating and incorporating pediatric needs into policies, procedures, and protocols


  • ENA Topic Brief: Pediatric Fever
  • Pediatric Febrile Seizure

Pain Management

  • Clinical Practice Guideline: Needle-Related or Minor Procedural Pain in Pediatric Patients
  • EMSC Pediatric Pain Management Toolkit

Special Health Care Needs

  • NAEMSP Review Guide for Emergency Medical Services Clinical Practice and Systems Oversight, Second Edition 2018 Edition
  • The Prehospital Care of Children With Special Health Care Needs (Brent D.Kaziny MD, MA. Clinical Pediatric Emergency Medicine. Volume 15, Issue 1, March 2014, Pages 89-95)
  • Pediatric Special Health Care Needs Protocols: Children’s National Medical Center for Prehospital Pediatrics, Division of Emergency Medicine and Trauma Services, Washington, D.C., November 2002. 9. New Your State’s EMS-C: Children with Special Health Care Needs


  • Emergency Medical Dispatch for Children Where Are We And Where Do We Go?
  • How well do General EMS 911 dispatch protocols predict ED resource utilization for pediatric patients? (Am J Emerg Med. 2014 Mar;32(3):199-202. doi: 10.1016/ j.ajem.2013.09.018. Epub 2013 Oct 1)

Medical Direction

  • National Standards for EMD with Specific Pediatric Considerations (NHTSA)
  • The International QA Guide: Medical Priority Dispatch Cardset (PDF 2000-2015)
  • NAEMSP Position Statement: Physician Oversight of Pediatric Care in Emergency Medical Services. Prehospital Emergency Care. DOI: 10.1080/10903127.2016.1229826. (Published online 06 Oct 2016)
  • SCEP: Out-of-Hospital Medical Direction
  • NAEMSP Review Guide for Emergency Medical Services, Clinical Practice and Systems Oversight, 2018 Edition


  • NAEMSP Review Guide for Emergency Medical Services Clinical Practice and Systems Oversight, Second Edition 2018 Edition
  • Policy statement spinal Motion restriction in trauma patient
  • Prehospital Guidelines Consortium Evidence-Based Guidelines EBGs

Child Maltreatment

  • NAEMSP Review Guide for Emergency Medical Services Clinical Practice and Systems Oversight, Second Edition 2018 Edition ): Section on child maltreatment
  • NASEMSO National Model EMS Clinical Guidelines, Version 2.2: Abuse and Maltreatment (page 49)
  • 2012 SAMPLE Child Maltreatment Policy Template (Note- this is ED only) * currently under revision


  • Clinical Practice Guideline: Intranasal Medication
  • ENA topic brief: Early Recognition of Sepsis in the Pediatric Patient
  • NASEMSO National Model EMS Clinical Guidelines, Version 2.2 (pediatrics addressed throughout)
  • Pediatric Protocol Resource Tool Kit
  • Presentation: Integrating Evidence- Based Pediatric Prehospital Protocols into Practice, by Manish I. Shah, MD Assistant Professor of Pediatrics Program Director, EMS for Children State Partnership Texas

Emergency Medicine

  • Quality Measures for Pediatric Prehospital Evidence-Based Guidelines
  • Quality Improvement for Pre Hospital Providers


  • Institute of Medicine QI Channel
  • Institute for Healthcare Improvement: Improvement Project Roadmap
  • QI Essentials Toolkit

Equipment for Ground Ambulances

Equipment for Ground Ambulances

This section has tools to reduce medication errors and safe transport


  • Weighing All Patients in Kilograms
  • Volumetric Dosing: Is it the Ultimate Solution? Presentation
  • Pediatric Dosing Chart
  • Pediatric Dosing Guide

Medication Safety/Adverse Events

  • Ambulance Personnel Perceptions of Near Misses and Adverse Events in Pediatric Patients
  • Medication dosing safety for pediatric patients recognizing gaps,safety threats and best practices in the EMS setting (NAEMSP position statement)


  • Interim Guidance for Safe Transport of Children

This section will provide education and resources to incorporate patient and family centered principles into policies and procedures


  • Family Survey Tool
  • Patient- and Family-Centered Care for Children in the Emergency Department: A Self-Assessment Tool

Families as Advisors

  • Family Centered Prehospital Care: partnering with Families to Improve Care
  • Working With Patient and Families as Advisors
  • Promoting Patient and Family- Centered Care in the Prehospital Setting: A Toolkit for Medical Directors


  • Guidelines for Family-Centered Prehospital Care
  • Communicating With Children and Families: From Everyday Interactions to Skill in Conveying Distressing Information
  • Communication Cards to use as an Aid for Communicating with LEP/Non-verbal Patients
  • Patient- and Family-Centered Care of Children in the Emergency Department

This section with provide resources to collaborate with organizations and systems to care for pediatric patients across the continuum


  • Planning for Children in Disasters
  • Family Reunification Following Disasters: A Planning Tool for Health Care Facilities

Mental Health

  • Compassionate Options for Pediatric EMS (COPE)

Child Maltreatment

  • First Responders and Child Maltreatment, A Resource Guide


  • Handoffs: Transitions of Care for Children in the Emergency Department