I did take a look at those, and did some further research myself (enlightening, thankyou). I hope readers understand that most of our training on pediatrics stresses just this point, that children don't generally die of cardiac issues - it's usually secondary to respiratory issues and as such is usually preceded by some degree of signs/symptoms. That was where I'm coming from. My original post wasn't intended to either belittle the grief of the family, or to minimize a problem that does exist. It's very unfair in EMS that often times we're the last people to have contact with someone during their dying moments and spend time second guessing and questioning ourselves, when so many times things are just so much out of our control from the very beginning - or way before that point. My post was supposed to be a 'don't feel so bad, because...' for YOU as a provider. Apologies to all who were offended.