Unfortunately I can bear witness to every word written above. I had 3 paed arrests in the 2 weeks before Christmas 2005, those jobs still periodically leave their mark on me. The point that you make about getting the child to the specialist team asap is an important one. I am sometimes thought of for "staying and playing" but not with kids...you can see the puff as dust as I dissappear to the nearest suitable ED...that's what blue lights and sirens were made for and after past experiences i have a very low threshold to use them. It's a credit to ambulance staff that in situations like the one above, everyone seamlessly plays their part and displays their true professionalism. Thoughts are with you and your crew Tom, and of course the parents.