Call the surgical team

The surgeons have finished in theatre and attend within 15 minutes. They immediately ask you to call the intensive care team and give Charlie a fluid bolus. They review the child and decide that a laparotomy will be needed, as the bloody stool suggests she has infarcted bowel and that she may well perforate her bowel if she has an air enema. They will prepare a theatre and take her as soon as she is clinically stabilized.

The intensive care team say they will come immediately but ask you to check the blood glucose right now. They arrive within minutes and give another fluid bolus. The blood glucose is 1.9 mmol/L, and so a bolus of glucose is also given intravenously.

Your shift has ended and you go home.