Aims & Objectives: As pediatric critical care continues to advance, hospitals in Low-and-Middle-Income Countries (LMICs) are recognizing a need to expand critical care capacity and services. Guidelines assisting hospitals to properly staff and equip critical care services are essential to improve child health outcomes. We conducted a scoping review to assess the need for a classification scheme for the levels of services and resources relevant to pediatric critical care in resource-limited settings. Methods: This is a comprehensive literature review of PubMed, WHO, and Scopus databases guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISM-ScR) to identify articles published between 2002-2022 describing and classifying levels of critical care. Articles were screened utilizing eligibility criteria. Concepts were extracted by two independent reviewers via standardized data collection form using the Arksey and O'Malley methodological framework. Results: Of 1,947 abstracts screened, 27 met the inclusion criteria (Figure 1). Three main themes were identified:(A) Lack of a classification system by levels of care for pediatric critical care services that included resource-limited settings; (B) Limited description of what each level of critical care encompassed (e.g., equipment, personnel) to facilitate classification of centers; (C) lack of evidence evaluating the impact of level of care on patient outcomes.Conclusions: Our review revealed that a standardized classification system for levels of care for pediatric critical care services in LMICs is lacking. These findings will inform the development of a pediatric Critical CAre Resource Evaluation (CritCARE) tool designed to assess levels of pediatric critical care services across resource-variable settings. Keywords: global health, Pediatriccriticalcare, PICU Classification, LMIC