Summer Surge: Preparing for Pediatric Trauma When It Peaks

Jul 23, 2025 |

As temperatures rise and schools are out for the summer, emergency departments and EMS agencies across the country brace for a familiar seasonal surge—a sharp uptick in pediatric trauma. Summer is the peak season for accidents involving children, from bicycle collisions and playground injuries to drowning events and motor vehicle crashes. While many incidents result in minor injuries, others can lead to life-threatening hemorrhage and shock, requiring swift, decisive intervention1.

Pediatric Trauma Doesn’t Wait

Trauma is the leading cause of death in children in the United States2, and the summer months consistently see the highest rates of pediatric injury-related ED visits3. Yet access to specialized pediatric trauma care remains uneven. According to JAMA Pediatrics, only 65% of children in the U.S. live within 60 minutes of a pediatric trauma center4. That means millions of children rely on adult trauma centers for emergency care.

A recent study, Pediatric Readiness and Trauma Center Access for Children, emphasized that improving pediatric readiness at adult centers is not just important—it’s lifesaving. Key readiness components include pediatric-specific equipment, trained staff, and resuscitation protocols tailored to children4. This is where LifeFlow can play a critical role.

Pediatric Shock Is Unique—and Unforgiving

Children can maintain normal vital signs even in the early stages of significant blood loss, masking shock until later—and more dangerous—stages5. When hypotension finally appears, it’s often a pre-terminal sign. In these moments, early recognition and rapid intervention are essential to survival.

Pediatric resuscitation faces two major barriers:

  • Difficulty with IV access, particularly in younger or hemodynamically unstable children6
  • Limitations of traditional blood and fluid delivery methods, which are often incompatible with small-gauge catheters or delay care due to setup complexity7

 

Small IVs, small patients, and big stakes. The pediatric care gap isn’t just about geography—it’s about readiness.

 

How LifeFlow Supports Pediatric Readiness

Whether in the field or at the bedside, LifeFlow is designed for speed, control, and simplicity—key elements when treating pediatric patients.

  • Fast Setup and Delivery  LifeFlow can be set up in under one minute and delivers 500 mL of blood or fluid in under two minutes—even through small-gauge IVs.
  • Compatible with Small Catheters  Unlike many traditional rapid infusers, LifeFlow delivers effective flow rates through 22–24g pediatric IVs, allowing clinicians to begin resuscitation without central access or cumbersome techniques like push-pull.
  • Ideal for Prehospital and Rural Settings  With no electricity required, LifeFlow is portable and self-contained—making it a practical solution for EMS crews, critical access hospitals, and adult trauma Integrating LifeFlow into your pediatric trauma protocols can empower your team to deliver life-saving care quickly and effectively, bridging the gap between need and readiness.

 

Real Cases. Real Impact.

7-Year-Old with Multisystem Trauma After MVC
A 7-year-old boy was ejected during a rollover crash and presented with multiple injuries, hypotension, and altered mentation. The trauma team used LifeFlow to rapidly administer blood and plasma, stabilizing him for surgical intervention. Early, effective resuscitation helped minimize the risk of secondary brain injury—an essential factor in pediatric trauma care.

14-Year-Old Soccer Player with Severe Dehydration
A healthy teen athlete collapsed after extended outdoor activity in high heat and presented with confusion, tachycardia, and hypotension with a systolic blood pressure of 70mm/Hg. Despite initial IV fluids, the patient remained unstable. Using LifeFlow, the EMS team rapidly administered a liter of fluid that led to a prompt rise in blood pressure to 132/81 and improved mental status. The patient was transferred to the hospital with an increased blood pressure of 132/81 and a decreased heart rate.  She was discharged in good condition.

 

Want to learn how LifeFlow can support pediatric trauma care in your facility or EMS system?  Schedule a demo or contact our clinical team today.

Because when the unthinkable happens, being ready is everything.

References
  1. Centers for Disease Control and Prevention. WISQARS Leading Causes of Death Reports, 2021. https://www.cdc.gov/injury/wisqars/
  2. American College of Surgeons Committee on Trauma. Resources for Optimal Care of the Injured Patient, 2022.
  3. Burton R, et al. Seasonal variation in pediatric trauma: A national trauma data bank study. J Pediatr Surg. 2020;55(12):2553–2558.
  4. Kahn JM, et al. Pediatric Readiness and Trauma Center Access for Children. JAMA Pediatr. 2024;178(5):472–480.
  5. Kissoon N, et al. Recognition and management of pediatric shock in the emergency department. Pediatr Emerg Care. 2013;29(3):315–322.
  6. Lillis KA, Jaffe DM. Intravenous access in pediatric patients with dehydration and difficulty obtaining access. Pediatr Emerg Care. 2000;16(3):173–177.
  7. Spaite DW, et al. Rapid fluid resuscitation for pediatric shock: The importance of delivery method. Ann Emerg Med. 2020;76(5):591–600.

 

Additional resources on pediatric trauma:

EMSC National Pediatric Readiness Project

EMSC Prehospital Pediatric Readiness Project

Circulation First! Resuscitation in Pediatric Trauma

Expanding Access to Pediatric Trauma Care:  Insights from JAMA Pediatrics

Managing Critically Ill Pediatric Patients in Resource Constrained Environments