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Analysis reveals regional differences in pediatric emergency protocols, suggesting need for standardization.
Japan's prehospital pediatric acuity determination shows substantial regional variability, reflected in the identification of multiple distinct protocols and limited real-world adherence to FDMA-based criteria. Nationwide standardization and implementation of FDMA-based criteria should be prioritized before developing new systems, followed by validation in real-world practice to ensure feasibility, equity, and clinical effectiveness.
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Minami et al. (2026) studied this question.
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