The WRAP-EM Pediatric Surge Playbook is designed to serve as a reference tool for pediatric surge management activities during or in preparation for a surge incident. It contains operational considerations, potential response strategies, and associated resources to manage major challenges related to pediatric surges. This playbook is designed to support organizations and coordination networks operating within Incident Command System (ICS), Hospital Incident Command System (HICS), and/or local or state emergency management frameworks. As such, strategies and resources will be applicable for individual healthcare facilities, broader healthcare systems, and healthcare coordination and response entities such as Healthcare Coalitions (HCCs), Medical Operations Coordination Centers (MOCCs), Pediatric Care Coordination Centers (PCCCs), in addition to Emergency Support Function (ESF) #8 coordination systems at local and state levels.