- one cannot assume that any tube taped/stitched in place will remain so secured (NGT vomited out, CT "fell out" 2x, IV slipped, GT leaked)
- anticipate that meds may be hidden, coughed up, refused, thrown in face
- screaming child = vocal cords adducted = block route to lungs?
- super sick kids make the world seem a terribly unjust place