A new screening tool for physicians to identify potential cardiac risk factors for sudden death in children starting stimulant medication is included in the joint position paper on cardiac risk assessment before the use of stimulant medications in children and youth published this month by the Canadian Paediatric Society, the Canadian Cardiovascular Society and the Canadian Academy of Child and Adolescent Psychiatry. (J Can Acad Child Adolesc Psychiatry 18:4 November 2009).