A febrile child with poor perfusion needs deliberate fluid use rather than automatic repeated boluses. The key shift is to record each mL/kg dose, reassess perfusion and mental state, and escalate if shock persists instead of continuing a fluid cycle.

Caregiver-reported fever in an infant under 90 days remains a risk-management problem even when the baby is afebrile at assessment. This is about using local pathways reliably while recognising both missed serious bacterial infection and avoidable over-investigation.

Paediatric knife injury is not just a wound problem. This release connects penetrating chest or neck trauma with safeguarding, prior service contact and resuscitation habits, then moves into febrile infants aged 29–60 days, lung ultrasound for pneumonia and palliative care communication.