MINNEAPOLIS (EGMN) – Clinicians often hesitate to call a case of pediatric septic shock, even though they may treat the patient appropriately, according to one critical care physician. Dr. Jerry D. McLaughlin presented the case of an alert but ill-appearing 1-year-old with 2 days of fever and vomiting, negative chest x-ray, abnormal urine analysis, capillary refill time of 3 seconds, cool extremities, and a normal respiratory rate, blood pressure, and urine output.