biostudies-literatureAlghaith AKing Saud bin Abdulaziz University for Health Sciencee002672https://www.ebi.ac.uk/biostudies/studies/S-EPMC11261697biostudies-literatureUnknown8(1)<h4>Introduction</h4>In pre-hospital settings, identifying a deteriorating child can be challenging, especially considering that the proportion of paediatric patients with acute illnesses is lower compared with adults. This challenge is exacerbated in pre-hospital settings, where information might be scarce. Physiological alterations indicating changes in a patient's condition can be detected hours preceding a cardiac arrest. Therefore, maintaining continuous monitoring of the patient's clinical condition is crucial to detecting any physiological changes promptly, facilitating early identification of critical illness. This scoping review aims to assess the extent, range and nature of published research related to recognising paediatric out-of-hospital clinical deterioration by pre-hospitalBMJ paediatrics openPaediatric out-of-hospital clinical deterioration: a mixed-methods scoping review protocol.PMC11261697Award number NAAlghaith ACoats TWhitley GARoland DAlsuwais SfalsePaediatric out-of-hospital clinical deterioration: a mixed-methods scoping review protocol.<h4>Introduction</h4>In pre-hospital settings, identifying a deteriorating child can be challenging, especially considering that the proportion of paediatric patients with acute illnesses is lower compared with adults. This challenge is exacerbated in pre-hospital settings, where information might be scarce. Physiological alterations indicating changes in a patient's condition can be detected hours preceding a cardiac arrest. Therefore, maintaining continuous monitoring of the patient's clinical condition is crucial to detecting any physiological changes promptly, facilitating early identification of critical illness. This scoping review aims to assess the extent, range and nature of published research related to recognising paediatric out-of-hospital clinical deterioration by pre-hospital2024-01-01T00:00:00Z2024 Jul2025-04-04T14:45:34.947Z2025-04-04T14:45:34.947ZS-EPMC112616973903293610.1136/bmjpo-2024-002672