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Eight years ago, in a gated South Florida community on a summer afternoon, Jonathan Robbins found himself racing to his first serious pediatric call. He and his crew knew they were responding to an unresponsive 2-year-old drowning victim.

Sudden cardiac arrest (SCA) has garnered significant attention lately. And for good reason – according to SuddenCardiacArrest.org, it’s a leading cause of death in the U.S., claiming nearly 300,000 deaths each year.

This past year legislation was introduced – the Airplane Kids in Transit Safety (KITS) Act – in Congress, “that would require the FAA to review the contents of emergency medical kits and update them to include appropriate medications and equipment for children if deficiencies are found.”

Pre-hospital pain control is moving at a rapid pace; it’s time to buckle up for an interesting ride. While Morphine is being laid to rest by many EMS agencies due to its side effect profile, time to peak effect and the inability to be administered intranasally, other medications are moving to the forefront of care.

If you are an EMS provider and want to ruffle some feathers simply tell your local easy going pediatric specialist “kids are just little adults,” and then sit back and watch them boil up with anger.