Pediatric trauma is encountered less frequently than adult trauma in the prehospital environment, yet it remains one of the most anxiety-provoking and high-risk patient populations for EMS clinicians. Children not only compensate differently than adults, but their assessment, history gathering, treatment, and procedural management present unique challenges that require specialized knowledge and preparation. As a result, EMS clinicians must recognize the subtle differences in pediatric trauma presentation and management to deliver the highest quality care and prevent secondary injury. Beyond individual patient care, EMS leaders play a critical role in ensuring that education, training, equipment, and operational practices are optimized to support pediatric trauma management in the field. This interactive session will use pediatric trauma cases, current literature, and evidence-based best practices presented through the combined perspectives of a pediatric emergency medicine physician and a paramedic EMS educator. Attendees will explore key physiologic and anatomic differences in injured children, common pitfalls in recognition and treatment, and practical strategies to improve pediatric readiness at both the clinician and EMS system levels.   Kahn SA, Huff ML, Taylor J, O'Neill K, Hink AB, Mittal R, Bright A, Baliga P. Challenging Legacy Burn Resuscitation Paradigms with Fluid Restriction and Early Plasma. J Am Coll Surg. 2025 Apr 1;240(4):339-347. doi: 10.1097/XCS.0000000000001339. Epub 2025 Mar 17. PMID: 39902941.   Russell KW, Kahan AM, Eldredge RS, Swendiman RA, Kastenberg ZJ, Kay AB, Rampton JW, Huynh K, Wan HY, Morris DS, Iyer RR, Ravindra VM, Brockmeyer DL. An analysis of potential cervical spine clearance in children with computed tomography alone. J Trauma Acute Care Surg. 2025 Nov 1;99(5):740-746. doi: 10.1097/TA.0000000000004667. Epub 2025 Jun 10. PMID: 40492847.   Jarvis JL, Panchal AR, Lyng JW, Bosson N, Donofrio-Odmann JJ, Braude DA, Browne LR, Arinder M, Bolleter S, Gross T, Levy M, Lindbeck G, Maloney LM, Mattera CJ, Wang CT, Crowe RP, Gage CB, Lang ES, Sholl JM. Evidence-Based Guideline for Prehospital Airway Management. Prehosp Emerg Care. 2024;28(4):545-557. doi: 10.1080/10903127.2023.2281363. Epub 2023 Dec 22. PMID: 38133523.   Leonard JC, Harding M, Cook LJ, Leonard JR, Adelgais KM, Ahmad FA, Browne LR, Burger RK, Chaudhari PP, Corwin DJ, Glomb NW, Lee LK, Owusu-Ansah S, Riney LC, Rogers AJ, Rubalcava DM, Sapien RE, Szadkowski MA, Tzimenatos L, Ward CE, Yen K, Kuppermann N. PECARN prediction rule for cervical spine imaging of children presenting to the emergency department with blunt trauma: a multicentre prospective observational study. Lancet Child Adolesc Health. 2024 Jul;8(7):482-490. doi: 10.1016/S2352-4642(24)00104-4. Epub 2024 Jun 4. Erratum in: Lancet Child Adolesc Health. 2024 Dec;8(12):e17. doi: 10.1016/S2352-4642(24)00311-0. PMID: 38843852; PMCID: PMC11261431.