Effective management of life-threatening emergencies in infants and children demands a high level of technical skill. The Pediatric Advanced Life Support (PALS) provider course, developed jointly by the American Academy of Pediatrics and the American Heart Association, is highly recommended to help physicians prepare for pediatric emergencies. Equipment, cardiopulmonary assessment, airway maintenance, circulation maintenance and intravascular access are discussed in this article. The description of pediatric emergency management follows that of the PALS course.