In summary, although pediatric medical emergencies are a rare occurrence in the dental office, when it does occur, it is important the staff is well-trained in emergency management so efficient and timely treatment is administered to the physically and physiologically immature pediatric patient. Preparation includes the use of comprehensive medical and dental histories, at minimum BLS training for staff and providers, initiation of an office emergency team, organization of an emergency drug kit and equipment, and periodic reviews and simulation.