A nother month of top-rated specialist articles in Pediatric Critical Care Medicine (PCCM). My three April 2024 Editor's Choice articles, each with editorials, cover familiar research themes in the Journal. For a change, alongside each of these highlights, I include some educational material usually found in the PCCM Connections section. The topics are pediatric acute respiratory distress syndrome (PARDS) (1, 2), formal ethics consultation in cases of extracorporeal membrane oxygenation (ECMO) (3, 4), and hemodynamics in cannulation for ECMO during active cardiopulmonary resuscitation (ECPR) (5, 6).