Most children receive emergency care by general emergency physicians and not in designated children's hospitals. There are unique considerations in the care of children that differ from the care of adults. Many management principles can be extrapolated from adult studies, but the unique pathophysiology of pediatric disease requires specialized attention and management updates. This article highlights ten impactful articles from the 2024 whose findings can improve the care of children in the Emergency Department (ED). These studies address pediatric cervical spine injury, resuscitation, infant fever, appendicitis, direct admissions, mental practice, and hypothermia.