Health

When should you go to the emergency room?

Contagious diseases

Contagious diseases rarely require a visit to the emergency room. Call your health professional or visit a family doctor first.

Allergies

In case of an important allergic reaction affecting breathing, call 911.

Unconsciousness - fainting

A sudden pallor, excessive sweating, dizziness or nausea may precede a loss of consciousness. The St-John Ambulance says, “The cause may be as simple as a lack of fresh air or as complex as an underlying medical condition”. They suggest checking the breathing and the pulse, placing the person on his side and patting him gently to see if he reacts. If you see no reaction, call 911.

Asthma crisis

If the symptoms of asthma become so important (excessive difficulty breathing, blue lips, difficulty to walk or talk, whistling breathing at rest, drowsiness, etc.) an emergency treatment is necessary.

Gastroenteritis

Note the signs of dehydration mentioned in the “From tiny tot to toddler” guide.

  • Drowsiness;
  • Dry mouth, thirst;
  • Sunken eyes;
  • Sunken fontanel;
  • Urinating very little;

See a doctor.

What about the fever?

The Montreal Children’s Hospital clearly states that fever is “not necessarily harmful, nor is it always evidence of an illness”. Being attentive to changes in the child’s general behaviour is the best way to assess his condition.

Because fever is usually the only symptoms of a sick child less than 6 months old, it is better to see a doctor. Except if your child has spectacular temperature rises or a fever that cannot be controlled by analgesics such as acetaminophen (Tylenol or Tempra) or ibuprofen (Motrin or Advil), there is no need to go to the emergency. A doctor should see a child whose temperature lasts for more than three days regardless of age.

WARNING! Do not give aspirin (acetylsalicylic acid) in case of fever!

Go to the emergency room if, in addition to fever, your child ...

  • Is drowsy, lethargic, irritable or cranky;
  • Has difficulty breathing or a suspicious cough;
  • Is over 39°C (102°F).
Useful links

Sources : From tiny tot to toddler, CLSC, Montreal’s Children Hospital

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