RT Journal Article SR Electronic T1 ‘So why didn’t you think this baby was ill?’ Decision-making in acute paediatrics JF Archives of disease in childhood - Education & practice edition JO Arch Dis Child Educ Pract Ed FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP edpract-2017-313199 DO 10.1136/archdischild-2017-313199 A1 Damian Roland A1 Edward Snelson YR 2018 UL http://ep.bmj.com/content/early/2018/02/28/archdischild-2017-313199.abstract AB Determining severity of illness and undertaking an adequate risk assessment is a fundamental part of acute paediatric practice. This review highlights physiology, communication, heuristics and external elements as factors which influence decision-making and discusses how incidence of disease and seniority of clinician impact might influence outcomes.