The subject of this final work is Nursing's approach to emergency states in pediatrics, written in the subject of Child Health Care. In the first part of the paper, there is a general section on emergency states in pediatrics, which are the emergency states, how to recognize them and what is the role of nurses in an emergency. An emergency condition in pediatrics is any condition that directly threatens the life of a child. Emergencies in pediatrics include drowning, traffic accidents, drug poisoning, detergents or food poisonings (eg mushrooms), falls from the height, hyperprophylaxis, foreign body aspiration, burns and the like. The second part of the paper is the presentation of the research conducted on the students of the 4th and 5th grade of the Medical schools in Rijeka and in Karlovac, direction - nurse / general health care technician. The aim of the paper was to examine and compare the knowledge of fourth and fifth grade students in the Medical Schools in Karlovac and Rijeka on emergencies in pediatrics. A total of 161 students from Karlovac and Rijeka participated in the research at the age of 18 to 20 years. Of the surveyed students, 75 attend the 5th grade, while 86 attend the 4th grade. The data were statistically processed in Microsoft Excel 2016. The survey showed that fourth grade students answered 6% of questions more precisely from fifth grade students.