highlighted the importance of doubt in decision making. It is not possible to admit all children who have features of infection. We must select those with high risk signs/symptoms for investigation & treatment and discharge low risk cases with adequate safety netting. This in itself is a conundrum and it is important that senior clinicians wrestle with this balance of risk. For not to do so results in either over-treatment, or in-appropriately conservative management. This is a significant cognitive and emotional drain, and in the context of spiralling presentations, it's imperative we reduce the decision making load on acute and emergency clinicians
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