You have decided to start by focussing of the history.

As you do, the nurse tells you that she has a heart rate of 175, and a resp rate of 35.

Shanika Verasamulati is a 6 month old girl. She has been previously well, but became ill yesterday with a fever. She deteriorated and started to fit.

Her father called an ambulance then.

What else would you like to know?