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Emergency Room – Fever in Children

March 14, 2021
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"There are many reasons for a fever to be high enough in children to go to the ER. Typical childhood diseases, such as chicken pox, roseola, and other viruses that lead to infection can all cause high fevers. In rare cases, the fever is caused by a serious illness, such as meningitis, pneumonia, appendicitis, or an allergic reaction to food or medication. Children between the ages of six months and six years may also experience fever-induced seizures as a result of a high fever. For this reason, it's very important to try to determine the cause of the fever. The ER doctor may prescribe acetaminophen, which is Tylenol or ibuprofen, which is Advil, for your child to keep their fever at bay, and also to reduce any pain or discomfort that may be accompanying it. You should also make sure that your child is given plenty of cool drinks or ice pops in small amounts to prevent dehydration. Give extra breastfeeds, formula or cool water to a baby. Don't be concerned if your child isn't hungry at this stage. The most important thing is to make sure they're drinking enough to prevent dehydration. The ER doc might recommend an oral rehydration solution such as Pedialyte, especially if your child has been vomiting. Dress your child in light cotton pajamas so that body heat can escape, and check on them frequently while they sleep. Keep the room cool at about 65 to 68 degrees Fahrenheit. Although the ER team will work to determine the cause of the fever and intervene accordingly, some causes mean that the fever will return. Be on the lookout for the following signs and symptoms: the development of persistent vomiting, headache, neck stiffness, discomfort when exposed to light, drowsiness, cold arms or hands, cold feet, or if your child does not have tears when they cry. If your child has any of these symptoms, be sure to call your pediatrician or go back to the emergency department. Depending on the cause of your child's fever, it would certainly be a wise decision to see their pediatrician. This way you can determine a long-term treatment plan if needed."

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