National Prehospital Pediatric Readiness


The National Prehospital Pediatric Readiness Project (PPRP) is the leading joint initiative to improve prehospital care for acutely ill and injured children across the United States. The PPRP is led by the federal Emergency Medical Services for Children (EMSC) Program with support from more than 30 national organizations, federal partners, and experts. The PPRP empowers EMS and fire-rescue agencies to become “pediatric ready,” or prepared to provide high-quality care for children in accordance with national recommendations.

Why improve prehospital pediatric care?

Children have unique characteristics that require specific care, especially in emergencies. Pediatric incidents account for approximately 10% of all prehospital calls. The limited frequency of pediatric interactions results in clinicians being less familiar with – and often less confident in – providing pediatric care. Being “pediatric ready” can reduce anxiety and increase confidence for EMS clinicians. Related research suggests it may also improve patient outcomes.

Use this informal tool to quickly see if your EMS agency is ready to care for children as outlined in national recommendations. The checklist can be especially useful to help you prepare for the PPRP Assessment (open now!) and understand what will be asked. Then, use the corresponding PPRP Toolkit to address gaps identified by the checklist.

Complete the national assessment

Participate in the PPRP and receive a personalized gap report. Go to National Prehospital Pediatric Readiness Project – Home Page (

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