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advanced management of the critically ill child, as recommended by international guidelines. Crucial steps are the recognition and treatment of potentially reversible causes of the CA, summarized in the “ 4I ”: hypoxia, hypovolemia, hypothermia, hypo-hyperkaliemia and the “ 4T ”: cardiac tamponade, thromboembolism, toxic, tension pneumothorax. Fast-ultrasound may be useful for quantitative diagnosis of some of these causes. After the initial stabilization the child should be transferred to other units for secondary care. A mention should be given to the presence of parents during invasive manoeuvres and CPR. In fact, a number of studies demonstrate that their presence during resuscitation efforts, may be helpful for them, particularly in case of poor outcome. Conclusions

Management of red codes in the paediatric emergency room