Are kids really just little adults? The answer may surprise you. This month, Josh Sappenfield skims the surface on the controversy of pediatric FAST exams in this editorial. Josh Sappenfield hails from the University of Florida and is the trauma liaison for his department there. His interest in trauma started during his surgical internship where he took care of patients in level-1 trauma center in the midwest. He later completed an anesthesiology residency at the University of Maryland, and stayed on for a trauma anesthesiology fellowship at R. Adams Cowley Shock Trauma Center. He continues to care for the traumatic injured and vested in several research studies revolving around their care.