When should I take my child to the emergency room?

Seek immediate medical attention if your child has:

  • Difficulty breathing
  • Bluish lips or skin
  • Severe dehydration
  • Persistent vomiting
  • Seizures
  • Loss of consciousness
  • High fever with unusual sleepiness or irritability
  • Severe injury or trauma
  • Sudden changes in behavior or responsiveness

Parents should also seek urgent care whenever a child appears seriously ill or symptoms rapidly worsen.

Breathing difficulty in children can become serious quickly. Warning signs may include:

  • Fast or labored breathing
  • Wheezing or noisy breathing
  • Chest retractions (skin pulling between ribs)
  • Nasal flaring
  • Bluish lips or fingertips
  • Difficulty speaking or feeding due to breathing problems
  • Extreme tiredness or decreased responsiveness

Immediate medical evaluation is important if these symptoms are present.

Children can become dehydrated quickly, especially during illness with fever, vomiting, or diarrhea. Common signs include:

  • Dry mouth or lips
  • Decreased urination
  • Few or no tears when crying
  • Sunken eyes
  • Fatigue or irritability
  • Dizziness or weakness

Encouraging fluids and early medical assessment can help prevent complications.

Febrile seizures are seizures associated with fever and are relatively common in young children. Although they can be frightening, many are brief and resolve without long-term problems.

What Parents Should Do:

  • Stay calm
  • Place the child on their side
  • Keep the area safe
  • Do not place anything in the child’s mouth
  • Observe the duration of the seizure

Seek immediate medical evaluation after a seizure or if the seizure lasts longer than a few minutes.

Medical attention may be needed if a child has:

  • Signs of dehydration
  • Blood in vomit or stool
  • Persistent vomiting or diarrhea
  • Severe abdominal pain
  • High fever
  • Inability to keep fluids down
  • Extreme sleepiness or weakness

Early treatment can help prevent dehydration and other complications.

Oxygen saturation measures how much oxygen is being carried in the blood. Low oxygen levels may indicate that the lungs are not working effectively.

Symptoms that may accompany low oxygen saturation include:

  • Difficulty breathing
  • Bluish lips or skin
  • Fast breathing
  • Fatigue or confusion

Children with low oxygen levels should be evaluated promptly by a healthcare professional.

Croup is a common childhood illness that causes swelling in the upper airway, often leading to a barking cough and noisy breathing known as stridor. Symptoms may worsen at night and can include:

  • Barking cough
  • Hoarse voice
  • Noisy breathing
  • Mild breathing difficulty

Medical attention is important if the child has significant breathing difficulty, bluish discoloration, or worsening symptoms.