When to use the emergency room - child

Whenever your child is sick or injured, you need to decide how serious the problem is and how soon to get medical care. This article will help you choose whether it is best to contact your health care provider, go to an urgent care clinic, or go to an emergency department right away.

It pays to think about the right place to go. Treatment in an emergency department can cost 2 to 3 times more than the same care in your provider's office. Think about this and the other issues listed below when deciding.

Signs of an Emergency

How quickly does your child need care? If your child could die or be permanently disabled, it is an emergency.

Call 911 or the local emergency number to have the emergency team come to you right away if you cannot wait, such as for:

• Choking
• Stopped breathing or turning blue
• Possible poisoning (call the nearest Poison Control Center)
• Head injury with passing out, throwing up, or not behaving normally
• Injury to neck or spine
• Severe burn
• Seizure that lasted 3 to 5 minutes

  Seizure

  A seizure is the physical changes in behavior that occurs during an episode of specific types of abnormal electrical activity in the brain. The term ...

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• Bleeding that cannot be stopped

Go to an emergency department or call 911 or the local emergency number for problems such as:

• Trouble breathing
• Passing out, fainting
• Severe allergic reaction with trouble breathing, swelling, hives

  Hives

  Hives are raised, often itchy, red bumps (welts) on the surface of the skin. They can be an allergic reaction to food or medicine. They can also ap...

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• High fever with headache and stiff neck
• High fever that does not get better with medicine
• Suddenly hard to wake up, too sleepy, or confused
• Suddenly not able to speak, see, walk, or move
• Heavy bleeding
• Deep wound
• Serious burn
• Coughing or throwing up blood
• Possible broken bone, loss of movement, primarily if the bone is pushing through the skin
• A body part near an injured bone is numb, tingling, weak, cold, or pale
• Unusual or bad headache or chest pain
• Fast heartbeat that does not slow down
• Throwing up or loose stools that do not stop
• Mouth is dry, no tears, no wet diapers in 18 hours, soft spot in the skull is sunken (dehydrated)

  Dehydrated

  Dehydration occurs when your body does not have as much water and fluids as it needs. Dehydration can be mild, moderate, or severe, based on how much...

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When to go to an Urgent Care Clinic

When your child has a problem, do not wait too long to get medical care. If the problem is not life threatening or risking disability, but you are concerned and you cannot see the provider soon enough, go to an urgent care clinic.

The kinds of problems that an urgent care clinic can deal with include:

• Common illnesses, such as colds, the flu, earaches, sore throats, minor headaches, low-grade fevers, and limited rashes

  Flu

  The flu (influenza) is a viral respiratory illness that causes fever, chills, runny nose, body aches, and cough. It spreads easily from person to pe...

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• Minor injuries, such as sprains, bruises, minor cuts and burns, minor broken bones, or minor eye injuries

  Sprains

  A sprain is an injury to the ligaments around a joint. Ligaments are strong, flexible fibers that hold bones together. When a ligament is stretched...

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  Bruises

  A bruise is an area of skin discoloration. A bruise occurs when small blood vessels break and leak their contents into the soft tissue beneath the s...

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If you are not Sure, Talk to Someone

If you are not sure what to do, and your child does not have one of the serious conditions listed above, contact your child's provider. If the office is not open, your message or phone call will be forwarded to someone who can help. Describe your child's symptoms to the person who answers your call, and find out what you should do.

Your child's provider or health insurance company may also offer a nurse telephone advice hotline. Call this number and tell the nurse your child's symptoms for advice on what to do.

Prepare now

Before your child has a medical problem, learn what your choices are. Check the website of your health insurance company. Put these telephone numbers in your phone:

• Your child's provider
• Emergency department that your child's provider recommends
• Poison control center
• Nurse telephone advice line
• Urgent care clinic
• Walk-in clinic