👤 Emma, 3 years old, Bed 4

HR: 168, BP: 92/58, Temp: 39.2°C
Quiet, staring, not reaching for mom.
Cap refill: 4 seconds. Mottling to knees.

BP is "normal" (min for 3 yo = 76 mmHg).
But perfusion is failing.

⚠️ This is compensated cold shock.
Don't wait for BP to drop.
TAPS: 4/4 abnormal → ESCALATE NOW.