Surge in Pediatric Patients With Acute Respiratory Illness: Resources and Tools

The New England region, and much of the country, is experiencing an unprecedented number of cases of acute infectious respiratory illnesses in children and infants resulting in significant capacity challenges in many hospitals.  The Region 1 Disaster Health Response System (RDHRS) is providing access to resources and tools to assist hospitals, clinicians, public health departments and other health professionals in the response to the pediatric surge.

Please check this page often for updates and new additions, as the resources posted below are updated frequently.

PediTrAC (Pediatric Transfer Availability and Coordination) Tool:

PediTrAC update – December 2: PediTrAC is Active! Please see details below to register or request a transfer status report. (Please note that links will be activated on 12/2)

The Pediatric Transfer Availability and Coordination (PediTrAC) Tool was developed by the Region 1 Disaster Health Response System (RDHRS) and Region 1 Administration for Strategic Preparedness and Response (ASPR) as a resource to help address the current surge of cases of pediatric patients with acute respiratory illnesses and the resulting capacity challenges in the Region.   PediTrAC is designed as a simple resource that allows pediatric hospitals to qualitatively report their ability to receive general care and pediatric intensive care unit (PICU) transfers.  Select the appropriate link below for PediTrAC access.

Click here to request an email with the latest transfer availability PediTrAC report.  Users must have completed their initial registration to receive reports (see below)

Request Status Update

Click here to set up your one-time registration to receive access to the PediTrAC system if eligible.

Initial Registration for PediTrAC

Click here for a User Guide with tips on how to complete your Initial Registration


Please Note:

The PediTrAC Tool is NOT a real-time dashboard of beds.  Instead, it is intended to ease clinicians’ ability to identify the pediatric hospitals in New England who may be able to accept patients in transfer.

The color coded status of hospitals listed in PediTrAC relies on updates made by personnel of participating hospitals, and does not necessarily reflect the immediate current status of pediatric referral centers. Hospitals are encouraged to continue to use their traditional referral networks and patterns whenever possible.   PediTrAC is not intended for use for pediatric trauma patients.

Region 1 Educational Series:

Providing Care for Pediatric Patients with Acute Respiratory Illness:  The Region 1 RDHRS has established a weekly educational series comprised of six sessions to provide clinical teams from nursing, provider, and respiratory therapy disciplines with information and resources that can support their work to meet the healthcare needs of pediatric patients.

File name : Pediatric_Surge_Webinar_Announcement_.04.pdf

Session 1: Assessment and Management of the Pediatric Patient with Acute Respiratory Illness

November 17, 2022


Downloadable PDF: Assessment and Management of the Pediatric Patient with Acute Respiratory Illness

Session 2: High Flow Nasal Cannula Therapy for Bronchiolitis: Managing Pediatric HFNC Outside the ICU

November 23, 2022


Downloadable PDF: High Flow Nasal Cannula Therapy for Bronchiolitis: Managing Pediatric HFNC Outside the ICU


Downloadable PDF: Providing Non-Invasive Ventilation (NIV) for Pediatric Patients

Other Recommended Resources:

ASPR Tracie:

Resources identified or developed to help address the current response to the pediatric surge in viral respiratory illnesses including clinical guidance and surveillance data, general pediatric surge resources, and webinar and recordings.

Centers for Disease Control and Prevention (CDC):

The CDC provides access to background information, fact sheets, podcasts, and publications on RSV

RSV (Respiratory Syncytial Virus) | CDC


OPENPediatrics is an open access online community of healthcare professionals sharing best practices from all resource settings.  OPENPediatrics has distributed a series of peer-reviewed instructional videos for physicians and nurses on the recognition and management of respiratory distress/failure in the context of bronchiolitis

Mass General Brigham: Mass General for Children:

Provides Resources of Patients and Families including those specific to RSV

Respiratory Syncytial Virus (RSV): What You Need to Know

Tips to Prevent RSV

As well as resources for other common pediatric conditions including influenza/flu and COVID-19.

Pediatric Primary Care page > Patient Resources

Pediatric Disaster Care Centers of Excellence:

The two Pediatric Disaster Care Centers of Excellence work to enhance the nation’s preparedness for caring for children and families during times of disaster or increased patient care needs. Both sites are frequently updating tools and resources being developed across their collaborative networks.

Western Regional Alliance for Pediatric Emergency Management (WRAP-EM)

Region V for Kids