In this month’s Educational Journal Club, we dive into a multi-state study examining EMS team performance during simulated pediatric emergencies. We will explore how well EMS clinicians handle high-stakes scenarios like respiratory arrest, cardiac arrest, and seizures in children—and whether having a Pediatric Emergency Care Coordinator (PECC) makes a difference. With insights into training gaps and simulation-based performance data, we’ll discuss what these findings mean for frontline care and how to better prepare EMS teams for rare but critical pediatric calls. Article: Quality of Care and Opportunities for Improvement in Prehospital Care of Critically Ill Pediatric Patients: An Observational, Simulation-Based Study