In this episode, we take on one of the most challenging questions in prehospital care: how do we know when a child is truly critically ill? Pediatric patients don’t always present as we expect, and in the field, we often make high-stakes decisions with limited information and infrequent experience.

This month’s journal club explores a qualitative study that brings together perspectives from paramedics and physicians to better understand how pediatric critical illness is recognized across settings. From vital signs and interventions to clinical intuition and system limitations, this conversation uncovers the gaps between how we think we assess kids and how it actually happens in practice.

Join us as we unpack the realities of pediatric assessment, the limitations of current tools, and what it might take to build a better, more consistent approach to recognizing sick kids in EMS.

Article: Prehospital and Emergency Care Perspectives to Define Pediatric Critical Illness and Injury. https://pmc.ncbi.nlm.nih.gov/articles/PMC12815507/

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