The May 2023 issue features a study examining characteristics and outcomes in pediatric patients with COVID-19 or multisystem inflammatory syndrome who received extracorporeal membrane oxygenation in U.S. intensive care units. The feature review article is a meta-analysis identifying factors contributing to the common problem of delirium in critically ill children. This PCCM issue is diverse, with studies exploring how to improve daily patient goal setting, long-term quality of life in patients with congenital heart disease, the impact of patient acuity levels on team rounding, prehospital tranexamic acid administration in pediatric trauma patients, the association of prehospital physician presence during out-of-hospital cardiac arrest with neurologic outcomes, and more.