it looks real to me.
I doubt it man, that kid looks sincere as hell
But note: the cleanliness of the ambulance, the perfect state of the road where some heavy bombing supposedly took place (can anyone spot a piece of rubble? a stone a pebble? a a pothole?) the shiny sandals of the rescue worker supposedly working over debris, and the older man that is walking with a white face (and a “blood stain” that only dripped until the chin…), supposedly covered in dust, but with clean neck and chest. wouldn't head wounds would have you dripping on blood all the way to your shoes, blood would not stop making straight lines on your cheeks?
I wonder what a paramedic thinks when he/she sees something like this
Also, Apparently the photographer of that “iconic picture that couldn´t hold his tears when seeing that injured child”, likes to hang out with the same group that beheaded a Palestinian child weeks earlier, note the shirt:
https://pbs.twimg.com/media/CqL2UTRXYAEIw7X.jpg