Febrile 18-month-old: red flags, sepsis recognition and hydration

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Educational simulation. Not for real patient care and not a substitute for supervised training. Always follow local protocols.

What you will practise

Recognise red-flag features in a febrile young child that suggest serious bacterial infection or sepsis.
Prioritise a rapid structured assessment including full exposure and complete vital signs.
Explain why response to an antipyretic does not exclude serious illness.
Describe early management of paediatric sepsis: access, cautious fluid boluses with reassessment, and prompt antibiotics per local protocol.
Explain when lumbar puncture should be deferred in a child who is unwell or shocked.
Plan hydration safely, choosing an appropriate fluid type and monitoring.

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