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Emergency medical services (EMS) professionals infrequently transport children leading to difficulty in recognition and management of pediatric critical illness. Simulation provides an opportunity to train EMS professionals on pediatric emergencies. The objective of this study was to examine the effect of serial simulation training over 6months on EMS psychomotor and cognitive performance during team-based care. This was a longitudinal prospective study of a simulation curriculum enrolling EMS professionals over a 6-month period during w