Emergencies

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Emergencies
Fever
Accidents
Upper Respiratory Infections
Coughs             
Croup & Bronchiolitis
Sore Throats
Ear Infections
Vomiting & Diarrhea
Pediatric Epidemics
(including RSV, Influenza and Rotavirus)
Fever in Summer
Rashes



10 Reasons A Child Should Be Seen Emergently

(Emergently means as soon as possible--Remember 911 is available)

The fever is over 100.5 & is a baby under 2 months old.

The child has fever or difficulty breathing which may be manifested by labored breathing, grunting with each breath, or rapid hard, shallow breathing.

There is fever over 101.5 and a purple maroon rash of dots appears under the arms, lower abdomen and groin

The child looks really ill and has fever or altered consciousness and the child has a stiff neck, cries when moved or cannot be aroused.

The child is unable to swallow his own secretions

There is fever and swelling of a joint or refusal to walk or bear weight on it

There has been an injury and an extremity looks crooked or a bone pokes through

There has been a fall and the child has altered mental status

The child has a swollen tender testicle

There is a cut that gapes over 1/8th of an inch or has fat protruding from it.


5 Examples When A Child Should Be Seen Urgently

(Urgently means within about 8_12 hours in the office or in the emergency room )

A child should be seen urgently IF….

There is painful or frequent urination or fever and back pain.

An infant or toddler has had several days of upper respiratory symptoms and then develops high fever but does not look ill.

There has been a cough for several days, the cough worsens and the fever is over 102.

The child has been vomiting for over 12 hours and is not tolerating small frequent sips of fluids or appears significantly ill.

There are signs of dehydration such as listlessness, sunken eyes, dry mouth, or greatly decreased urination.


5 Examples When A Child Should Be Observed Until The Office Is Open

(And may safely observed at home)

A happy, playful 6 month old with a 102 fever and no symptoms.

Fever and diarrhea in a child older than three months who has no blood or mucous in the stools.

A toddler who has just started with a runny nose and fever.

Other family members have been ill with fever or a flu and your child has similar symptom

Fever, vomiting and diarrhea in someone exposed to a stomach flu.