The Children’s Hospital of the King’s Daughters in Norfolk obtained conditional Level 1 Pediatric Trauma Center designation by the Virginia Department of Health. In anticipation of this approval following a successful site visit in late July, the council’s Trauma Triage and OMD Committees revised and approved revisions to the Tidewater EMS Prehospital and Inter-Hospital Regional Trauma Triage Plan. The change is primarily the addition of CHKD to page 13 of the plan as a Level 1 Pediatric Trauma Center. For purposes of the regional plan, pediatric patients are those less than 15 years of age. The services include burn treatment as well. CHKD announced they will initiate the Level 1 Pediatric Trauma Center services on October 2, 2017. EMS providers should immediately utilize CHKD as a destination for pediatric patients who meet criteria defined in the regional trauma triage plan (see pages 5-8). Facilities should utilize CHKD for transfers for pediatric patients with a trauma score less than or equal to 6 (see pages 9 and 10).