Hear Our Voice: Every Child, Every Day; Pediatric Emergency Care Services in the United States

More than 80% of pediatric patients who seek emergency care in the United States are seen in general emergency departments. Yet, emergency care systems evolved to address time-sensitive adult-focused conditions such as trauma, stroke, and myocardial infarction, not pediatric-specific needs. Yet, children with emergency conditions also experience significant morbidity and mortality when not managed safely and effectively. This article details the development of emergency care systems and the impact of advocacy efforts on pediatric emergency care, including authorization of the Emergency Medical Services for Children Program. Although significant strides have been made to ensure every emergency department has the infrastructure and competency to care for pediatric patients, high-quality pediatric emergency care depends on the advocacy efforts of clinicians, researchers, educators, and families.