When to go to the ER with a sick child

No time is good for your child to get sick. But with holidays and vacations in between, everything gets more complicated and doubts arise about whether to go to the emergency medical services, especially when the fever rises above 38. For this reason, we wanted to take advantage of this entry on the group’s Health blog. Sanitario Ribera to ask our Pediatric specialists to give us some general guidelines and thus help us know when to go to the ER with the baby or child. We have spent several weeks in which respiratory viruses, especially those of the flu and syncytial, which can cause bronchiolitis especially in the case of the smallest, are wreaking havoc among the child population.

José Ramón García López, head of the Pediatric Service of the Ribera Juan Cardona hospital (Ferrol) explains that parents or guardians must go to the doctor or the corresponding service, such as the Emergency Department, “when the child presents high fever of more than 24 hours of evolution, severe cough, fatigue, vomiting of repetition and/or general malaise”.

Doctor Josep Mut, pediatrician from Denia Hospital, gives us similar guidelines. He assures that it is important that the minor be seen by a specialist “if he presents persistent feveror if it is a child whom we see very erased what is not able to feed habitually because he is fatigued”. He assures that right now, brochiolitis is the most common respiratory virus in children under 2 years of age. For this reason, Dr. Mut insists on the importance of closely monitor the evolution of children under 6 months and even one year, which begin with a catarrhal picture “and after a few days they develop a picture of wheezing, difficulty breathing, for feedings and fever.” These are the symptoms that should alert parents to immediately take the child to a specialist.

Dr. García López recalls that “minor symptoms such as runny nose, intermittent cough, fever, that is, low fever, with a good general condition and appetite should be treated at home, with good hydration, antipyretics and relative rest.” Dr. Gonzalo Ros, head of Pediatrics at the Vinalopó University Hospital. “In general, respiratory and digestive viruses are self-limiting and clear up on their own within a week,” he explains. However, he adds, “in case of doubt or if the child has difficulty breathing or eating, parents should see their pediatrician or the emergency room for evaluation.” If we follow these tips, we all help to ensure that services and consultations that patients with worse symptoms may need are not saturated. All this, as long as we have peace of mind and the certainty that the child does not need urgent medical attention. If in doubt, it is better to see a specialist.

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