The aim of the study is to substantiate the need to form specialized pediatric surgical teams to improve the effectiveness of treating children in emergency situations (ES) based on the analysis of special systematic reviews and original publications on the provision of staged surgical care to children injured in earthquakes. Research methods: analytical method and generalization method. Research results and their analysis. The article presents the state of the art of organizing surgical care for adults and children in earthquake-affected regions. The structure of earthquake injuries in children and adults is considered. The anatomical and physiological features of the child's body that must be taken into account when providing medical care to children in the context of their mass admission during earthquakes are indicated. The main errors in the strategy and tactics of surgical treatment of open injuries of the musculoskeletal system in children are presented. A conclusion is made about the medical and social significance of the formation of mobile pediatric teams in providing staged medical care to children during their mass admission after destructive earthquakes. © 2025 Elsevier B.V., All rights reserved.