Call intensive care

The intensive care team tell you to start a fluid bolus immediately and to check the blood glucose. 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.

The intensive care team contact the surgeons who have finished in theatre now. 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.

Your shift has ended and you go home.