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When I was in my first week of training as a paediatrician in the role of paediatric registrar, a young doctor, a house officer, was in the assessment area for children with gastroenteritis. He assessed a baby who was 10% dehydrated and acidotic. He asked a nurse for 5mls of Sodium Chloride (NCl). The nurse drew up the NCl and handed to the doctor who injected the medication into the intravenous line. The baby had a cardiac arrest and died a few hours later.