Sand aspiration is a rare but life-threatening event that occurs in the pediatric and adult populations after cave-ins or near drownings. We report the case of a 10-year-old boy who suffered from aspiration of particulate matter after being buried in sand. In addition, we performed a literature review regarding similar cases and their treatment of aspiration of significant amounts of particulate matter. Treatment of the victims ranges from conservative to very aggressive. The treatment employed is dictated by the patient's current condition and the services available to the physician.