Two hours later: admitted to paediatric ward.

Nursing assessment: Temp 38.4, HR 172, RR 45, BP 112/50.
Small pin prick rash on abdomen

Ward SHO reviewed child
Sleepy but rousable, no neck stiffness or photophobia, HR 171.
No rash but he has a few old chickenpox scars.
Chest clear.

Diagnosis:  viral URTI.  Child sent home.

Child 3 years old with short history of fever, shaking and generally unwell.

ED Triage assessment:
High temperature, he looks flushed, no rash, unwell child.

Ten minutes later– ED SHO:
Febrile child, listless, irritable and drowsy.
Temp 39.7, HR 170, RR 55.
Pyrexial and drowsy: ? cause, refer to paediatric team.