Killien EY, et al. - Researchers performed this retrospective cohort study to assess morbidity and mortality among critically injured children with acute respiratory distress syndrome. They included one hundred forty-six thousand fifty-eight patients less than 18 years old admitted to 460 Level I/II adult or pediatric trauma centers contributing to the National Trauma Data Bank, from 2007 to 2016. They found a significantly increased risk of morbidity and mortality among children who developed acute respiratory distress syndrome following traumatic injury, this was observed even after adjustment for injury severity and hemodynamic abnormalities. An additional 44.8% of acute respiratory distress syndrome patients vs 16.0% of patients without acute respiratory distress syndrome needed postdischarge care. Over the past decade, no improvement was seen in the outcomes, this calls for new therapeutic interventions, and prevention strategies for acute respiratory distress syndrome among severely injured children.