Waisman et al1have oncemore highlighted the very real challenge of triagingchildren in mass-casualty events (MCE) in thepre-hospital setting. Difficulties encounteredmeasuring vital signs and different patterns ofinjury, reflecting significant anatomical andphysiological differences, necessitates a modifiedapproach when applying traditional “adult” triagemethods to paediatric trauma victims. When usingphysiological parameters to triage children, theirfaster respiratory rates and heart rates frequentlyresult in younger children being triaged to a highercategory than their injuries demand. Thesedifferences become less apparent during adolescence,as the young person matures into adulthood.