Each day from October 3 through 6, 2022 I will be releasing one of the four online PEMPix cases. The theme in advance of the AAP National Conference and Exhibition in Anaheim, CA should be obvious to any theme park aficionado. This year I received 88 submissions for PEMPix, and these 4 online cases will be accompanied by ten cases presented in person at the Section on Emergency Medicine session on Saturday October 8th.