Pediatric patients often present during an exacerbation of what might or might not be asthma. We will cover how to handle the entire respiratory condition during an exacerbation. Also, how can we determine if a patient has asthma when they are too young for spirometry? Once the exacerbation is over, how do we take steps to keep them better and prevent future risk? Finally, when to refer a pediatric patient to an asthma specialist for possible biologic therapy?