You decide to intubate the child, recognising his obstructed and unprotected airway.

'I'm going to intubate him Julian, hand me a laryngoscope and a tube.'

Julian hands you a straight bladed laryngoscope, which you throw back at him. 'Straight blades are for infants Julian you should know that.'

Julian immediately starts behaving like an infant and goes into one of his 'moods'. 'Sorry, I'm sure. What size tube do you want? I'm sure you know what size tube a year old needs.'