The causes of pediatric cardiac arrest is not primarily cardiac in origin, for example it may be caused by trauma or drowning. Before commencing any resuscitation process, it is essential to evaluate the overall situation and to eliminate, as far as possible, any environmental danger or physical hazard. Assessment of the initial response of the child to gentle but firm stimulation is the next step. If the child is unresponsive, a shout for help should be made and the ABC (airway, breathing, circulation) sequence of resuscitation should be commenced without further delay. Advanced life support should begin at the same time as basic life support. It is essential that basic resuscitation starts immediately and continues in the background during the advanced life support procedures. As in basic life support, the emphasis of these advanced procedures is to establish an airway and to oxygenate the child as soon as possible. Treatment algorithms have been developed for basic and advanced pediatric life support. These pathways aid in the efficiency and performance of pediatric resuscitation. Resuscitation of a baby at birth, is a specific sequence of events centered on the respiratory and circulatory changes that occur in relation to the newborn’s ``first breath``. The recommended resuscitation procedures emphasize the airway and reathing maneuvers as basic procedures while management of the circulation is left to the trained health care provider.