ED efficiency here means getting the right patient to the right next step at the right time, not moving faster for its own sake. The practical gain is the shift-start scan, the focused chart biopsy, and front-loading physician-dependent tasks before flow stalls.

The action is to check for weakness first, then look for visual loss, aphasia, or neglect. Start here because this brief episode turns suspected stroke into a fast triage decision and links a positive screen directly to CTA, thrombectomy thinking, and transfer planning.

A paediatric airway is not a smaller adult airway. Position early with a shoulder roll if the occiput flexes the neck, suction before landmarks disappear, pre-oxygenate aggressively, and plan a smaller tube and backup strategy before repeated attempts worsen oedema.

High-yield teaching needs restraint. A five-minute clinical lesson should deliver one usable framework, pearl or bias check that changes the next shift; once filler outruns action, polished education stops being practical.