Prehospital Pediatric Readiness Toolkit

The Prehospital Pediatric Readiness EMS Agency Checklist is is based on the 2020 joint policy statement “Pediatric Readiness in Emergency Medical Services Systems”, co-authored by the Academy of Pediatrics (AAP), American College of Emergency Physicians (ACEP), Emergency Nurses Association (ENA), National Association of EMS Physicians (NAEMSP), and National Association of EMTs (NAEMT). Additional details can be found in the AAP Technical Report “Pediatric Readiness in Emergency Medical Services Systems”.

Use this tool to check if your EMS agency is ready to care for children as recommended in the Policy Statement. Consider using resources compiled by the Health & Human Resources EMS for Children program when implementing the recommendations noted here, to include the 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 Disaster Triage (video game, focuses on prehospital triage of pediatric and adult disaster victims)


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

Child Maltreatment



Medical Direction

Pain Management

Special Health Care Needs


General Resources

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