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Emergency department crowding may impact patient and provider outcomes. We describe emergency department crowding metrics based on presentations by children to different categories of high volume emergency departments in Alberta, Canada. This population-based retrospective study extracted all presentations made by children (age  18 years) during April 2010 to March 2015 to 15 high volume emergency departments five regional, eight urban, and two academic/teaching. Time to physician initial assessment, and length of stay

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