This case-based discussion will focus on many of the pitfalls in caring for pediatric patients. Pediatric runs are infrequent and high-acuity patients are few and far between. Pediatric airways can be difficult to manage when experience is limited. We will discuss the different options for airway management in kids and provide the evidence behind endotracheal intubation in this population. Cardiac arrest in pediatrics can also be a stressful event. We will review causes for cardiac arrest in children and review the most up-to-date literature in this field. This talk with conclude with a discussion of pediatric shock and the subtleties of identifying shock in young children.