in addition as being a doctor trained in bioengineer, i am a pediatrician and public health researcher. it is the largest pediatric health care network and home to one of the largest programs in the u.s. i am humbled by the commitment and skill the hospital brings to pediatric injury much of which has enabled by investments from the federal government. i came to care about tbi early in my training. when i would hear the trauma transport helicopter i felt a sense of dread for the family whose life would be changed by their child's tbi, every day more than 125 of our nation's children are hospitalized or die from tbi. car crashes, sports, falls and child abuse are the likely causes, largely preventable events, a great cause to families or to society. annually estimated tbi costs are more than $29 billion for children who die and $53 billion for those who are hospitalized. therefore, as a nation, i propose that our primary success metric should be annual reductions in pediatric traumatic brain injuries to reduce the tbi burden i propose three priority areas, one, prevention, two, timely,