Becky Maxwell, an expert in emergency medicine, and Chris Connolly, an emergency medicine physician, dive deep into the updated NICE guidelines on acute kidney injury (AKI). They emphasize the importance of timely imaging and collaboration across specialties for improved patient outcomes. The duo also navigates the challenges of diagnosing kidney issues, including creative alternatives for obtaining ultrasounds. Additionally, they tackle the complexities of assessing febrile infants and the evolving clinical decision aids that support physicians in pediatric emergency care.