%0 Journal Article %T Understanding Pediatric Surge in the United States. %A Lin A %A Chung S %J Pediatr Clin North Am %V 71 %N 3 %D 2024 Jun %M 38754932 %F 3.58 %R 10.1016/j.pcl.2024.01.013 %X 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.