<p>Pediatric emergencies in the prehospital setting are usually managed by nonspecialized emergency medical service (EMS) teams. They make up only a&#xa0;small proportion of the spectrum of cases and rarely require invasive therapies. Therefore, even individuals with many years of EMS experience cannot acquire routine skills in managing airway and respiration in children. Specialized pediatric emergency services (e.g., pediatric emergency physician services) are available only very sporadically and usually limited in time; telemedicine-based pediatric consultation services are planned only pointwise at best, and the capacity of children’s hospitals is far from sufficient for a&#xa0;structured, nationwide pediatric training of rescue teams. Thus, nonspecialized EMS teams must be enabled to provide high-quality management of pediatric respiratory emergencies. This is the aim of the new ANNA-Kids (“Atemwegsmanagement und Narkose in der Notfall- und Akutmedizin bei Kindern”) course format: Suitable therapeutic actions with favorable risk profiles and a&#xa0;flat learning curve are initially trained in skills stations and then applied in simulation scenarios. Patient safety and crew resource management are addressed, with the guiding principle of treating as noninvasively as possible. The present article provides an overview of the measures portfolio and the fundamental concept of the ANNA-Kids course.</p>