We're in the Paediatric section of the TCR Emergency Department where Mo, Stephen and Rachel are concerned about a five day old baby. GBS sepsis is no joke, and our team bring us through the management of one of the most daunting cohorts of all: the septic neonate. Our Adult in the Room Dr Rasha Sawaya reviews our work, and also talks about feeding issues, what to do when your initial management doesn't work, and gives some tips and tricks for ED NCHDs who are graduating to more senior roles. Join the conversation on X, Instagram, and Facebook. We've got some great infographics and notes to compliment your learning that you can find at thecase.report. This will be our last episode of 2023, but we've got an incredible PEM bonus episode coming early in the new year. And as always: "May your coffee be strong, and your rounds grand."