Aim: The Children's Hospital in Lund has an objective to increase the competence in assessment and treatment of acutely ill children.Method: The child is first assessed by nurses and doctors on each ward. If they in the assessment of vital signs find abnormal values a team with an intensivist and a nurse from the PICU will be called. Together with the responsible doctor and nurse, the team together will make a second assessment of the child. The PICU team can only recommend treatment that then has to be taken care of by the department staff. Decisions are also made on the continued level of care. At the ward, the staff will continuously assess the child as documented in a monitoring sheet, common to the Children's Hospital. A follow up is done later by the PICU doctor and / or nurse. Together with the physician at the ward they will decide when the patient is assessed as stabilized and the time for extended observation can be completed.Result: From its inception in spring 2008, 218 nurses and doctors at Children's hospital has been trained. Every training session of 12 persons was led by 2 - 4 instructors.Contents: • Lecture in acutely ill children Physiology • Assessment as in ABCDE • Airway Management • CPR training • Scenario Exercises Conclusion: Nurses and doctors who have received training in assessment and treatment of acutely ill children express that increased knowledge will led to higher security and reduce stress in emergency situations.