Children can present with outrageous behaviors including temper tantrums, property destruction, aggression towards others, and flight. Parents and teachers are frequently unable to control children in these situations and may call for EMS assistance. These children may have diagnoses of autism, Asperger's, oppositional defiant disorder, conduct disorder, intermittent explosive disorder and bipolar disorder. The EMS response may differ slightly based upon these diagnoses. This program will discuss these diagnoses and appropriate interventions to help deescalate the situation and prepare the child for safe transport to an appropriate facility.