Abstract：
The concepts of pediatric surge in the United States continue to evolve from a theoretic framework to practical implementation. As disasters become more frequent, ranging from natural to human-caused, children remain a vulnerable population. The coronavirus disease 2019 pandemic and the 2022 to 2023 tripledemic respiratory surge revealed advances and continued challenges in our ability to care for a large influx of pediatric patients. Understanding pediatric surge through the framework of the 4 S\'s (space, staff, stuff, and systems/structures) can identify gaps at multiple levels.
摘要：
在美国，儿科激增的概念继续从理论框架发展到实际实施。随着灾害越来越频繁，从自然到人为，儿童仍然是弱势群体。2019年冠状病毒病的大流行和2022年至2023年的三重呼吸激增揭示了我们护理大量涌入的儿科患者的能力的进步和持续挑战。通过4S的框架理解儿科激增(空间，工作人员,东西，和系统/结构)可以识别多个级别的差距。
