Effectiveness of an improved medical care system for children in a critical care medical center: is it possible to provide an equivalent level of trauma care for children as we do for adults?

In trauma care, most events that result in preventable trauma death tend to occur in the initial phase of treatment, and providing prompt and accurate care affects the outcomes of patients with severe trauma. Developing a system for administering prompt and accurate care and encouraging team coordination is essential for children as well as adults. However, differences in physical size and vital signs specific to children are potential obstacles to carrying out physical assessments, decision‐making, procedures, and treatments in pediatric patients. An improved medical care system for children was designed at the Osaka Prefectural Senshu Critical Care Medical Center. We evaluated the effectiveness of the new system.