Children entering the emergency department (ED) have unique needs, and it’s crucial that Ontario’s EDs are ready. Every child deserves optimal, high-quality ED care, regardless of their presenting health concern or where they live in the province. It is imperative that all EDs in Ontario are paediatric ready – a state achieved by having care coordinators, staff with paediatric competencies, sufficient resources, paediatric-specific policies and procedures, and appropriate equipment in place.