Just-in-Time Basic Clinical Guidance for Pediatric Respiratory Illness - Version 2 January 2026

The authors created this guidance for receiving center emergency departments tasked with providing respiratory care for pediatric patients. Version 2 includes updated pediatric respiratory assessment and management algorithms, clinical guidance on oxygenation and ventilatory support (including high-flow nasal cannula use), medication considerations, and practical appendices such as severity scoring tools and pocket medication references. Content reflects current evidence and expert consensus from pediatric emergency medicine, critical care, pharmacy, and emergency management leaders across multiple states.