Background <p>Prehospital care of injured children poses particular challenges, particularly with regard to adequate pain therapy; axis-appropriate immobilization; and, isolated cases, reduction of displaced fractures. The aim of this survey study was to assess the need for prehospital measures from the perspective of pediatric traumatologists.</p> Methods <p>Assessments of prehospital measures were collected in a&#xa0;survey among the members of the section for pediatric traumatology of the German Society of Traumatology. The survey included ten case-based questions about immobilization, pain management, and fracture reduction with and without analgesia as well as two questions about the goal of analgesia. The data collected were analyzed descriptively.</p> Results <p>The survey results from 53&#xa0;respondents show that 84.9–100% of participants rated immobilization of the injured body region as absolutely necessary or desirable. Adequate pain therapy was considered essential in 85.4% of cases, especially with open fractures (98.1%). Reduction maneuvers without analgesic sedation were rejected by 88.6–98.1%, while with analgesic sedation, up to 77.5% of the participants considered this measure to be absolutely necessary or desirable for open or pulseless fractures.</p> Conclusion <p>The results show a&#xa0;clear preference for immobilization and pain therapy, while invasive measures such as reduction are only supported under adequate analgesic sedation. These findings on the requirements of clinically active pediatric traumatologists for prehospital care highlight the need for standardized algorithms and interdisciplinary training to optimize child-appropriate care in emergency medical services.</p>