Inclusion Criteria:  Children with a SUD score of 30 or higher indicated by the caregiver  Exclusion Criteria:  Active infection: abscesses, fever, respiratory issues, vomiting Patients presenting for burn care, dog bite, ESI triage category 1 or 2, or transferred from outside facilities Sterile procedures Oncology patients / patients with known neutropenia in past medical history Parent/caregiver or patient fear of dogs Parent/caregiver or patient allergy to dogs Dog bite injury Already underwent procedure during their visit