b'Chapter hapterHow to RecogniseRestlessness, agitation, dizziness, decreased level of consciousness, confusion, slurred shivering orshaking, fever or feeling very cold Unexplained muscle pain or discomfort Passing little or no urine Rapid heart rate, nausea and or vomitingNew rash or blotchy, pale, or discoloured (often described as mottled) skin Children and Infants Children often cannot express how they feel so look for the combination of an infection with any of the following signs and symptoms. Parental concern that this illness is more severe or different and care providers thinking something is wrong are predictive indicators of the presence of sepsis. Children and infants with serious illnesscan deteriorate quickly. Rapid breathing, weak cry or grunting Difficult to wake, lethargic or floppyA seizure or fitA rash that doesnt fade when pressed Discoloured, mottled, very pale or bluish skin Fever, feeling cold or cold to touch Vomiting repeatedly Not passing urine (or no wet nappy) for several hours Not feeding or drinkingThe Seriously Ill Patient / Sepsis 267'