👤 Marcus, 14, looks "fine" at triage

Warm flushed skin. Bounding pulses. Cap refill instant. BP 85/40.

"Good perfusion" — right? Wrong.

Pulse pressure: 45 mmHg (wide). Flash cap refill. Bounding pulses. All four signs point to WARM SHOCK — vascular collapse masquerading as good perfusion.

Treatment: Norepinephrine to restore vascular tone. "WARM needs the SQUEEZE."

The child who looks best can be the sickest.