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‘So why didn’t you think this baby was ill?’ Decision-making in acute paediatrics
  1. Damian Roland1,2,
  2. Edward Snelson3,4
  1. 1 SAPPHIRE Group, Health Sciences, Leicester University, Leicester, UK
  2. 2 Paediatric Emergency Medicine Leicester Academic (PEMLA) Group, Leicester Hospitals, Leicester, UK
  3. 3 Sheffield Children’s Hospital, Sheffield, UK
  4. 4 Sheffield Hallam University, Sheffield, UK
  1. Correspondence to Dr Damian Roland, SAPPHIRE Group, Health Sciences, Leicester University, Leicester LE1 7RH, UK; dr98{at}


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.

  • decision making
  • acute paediatrics
  • gut feeling
  • heuristics

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  • Contributors Both authors contributed equally to the article.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; externally peer reviewed.

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