When Should You Take Your Sick Child to the ER?

November 9, 2023

Raising a child comes with a whole spectrum of emotions from joy to fear. Seeing them feel sick can make you feel concerned and uncertain. But when should you let them heal on their own, and when should you bring them to the ER? According to the CDC, when people visit the ER, about 14.2% of them wind up being admitted to the hospital. Will you have to worry about your child being one of them? There's no set rulebook or guidelines, but here are some basic guidelines for when your child needs emergency medical care.


They're Having Trouble Breathing


This goes beyond some brief wheezing. If you notice flaring around their nostrils or the muscles under the ribs are sucking, then you need to take them to the ER quickly. They could be experiencing a serious asthma attack, pneumonia, or another serious medical condition.


They Have Severe Stomach Pain


We're not talking about stomach pain after they ate a lot of junk food. This is the type where they are practically screaming. If they are sore in a particular part of their abdomen, it could be a sign of appendicitis or another serious problem. That's going to warrant an emergency visit as soon as possible.


They Have a Fever Along With Other Symptoms


This is the trickiest of the symptoms so far. If your child has a fever, that means that their body is fighting something. That alone doesn't warrant emergency care. You might have the doctor tell you to just give your child fluids and over-the-counter painkillers to manage the fever. If your child has a fever without any behavior changes, you likely don't need emergency medical care. However, if they are lethargic, confused, or nauseous along with the fever, or if the fever is excessively high, head to the nearest ER.


They Have Bleeding That Won't Stop


Kids get cuts, scrapes, and bruises. It's part of growing up. However, if they get a cut that won't stop bleeding, you're going to need to head to the emergency department. Medical staff will figure out how to stop the bleeding and get your child set up to heal with minimal scarring.


They Have Seizures


If your child has several seizures in a short amount of time, it could mean they have a serious condition. Get them to an emergency center as soon as possible. Doctors can examine them to see what is behind them and create a treatment plan.


They're Choking


The thing to look out for here is whether they can talk or cough. If they can do either, then they just had something go down the wrong pipe. If they can't, then time is of the essence. Depending on their age, the method could be anything from quick slaps on the back to doing the Heimlich maneuver. Calling for emergency services may be required.


They Ate Something Hazardous


Despite your best efforts at securing things, children occasionally consume harmful substances. If you think that's the case, contact poison control immediately and be ready to take them to the emergency room. The resolution could be anything from inducing vomiting to having their stomach pumped. It's important to be proactive in this situation since it warrants immediate action.


We didn't write this post to scare parents. Our goal is to just make everyone aware of the things that could require them to seek emergency care. Children are a lot more resilient than people think, but there are some situations when waiting around to see if it resolves itself is not the way to go. Many doctors even say that the best thing to do is to trust your gut. If you feel the need to take them to the emergency room, then you should do that. Your child's health is the most important thing, after all.


Do you need to bring your child to the
ER? Do you need to go yourself? We provide emergency room services for all ages, and we have diagnostic imaging on site. Our specialties also include pediatric medicine and sports medicine. We process all insurance, and you won't have any out-of-network penalties. Please contact our team at Family Emergency Room at Georgetown if you need more information.

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When you're faced with a medical emergency, the decisions you make can be critical. Knowing the right questions to ask can help you gather important information, understand your condition better, and make informed choices. This article explores key questions to ask during an emergency room visit. The emergency room can be a confusing environment, and understanding what to discuss with professionals can significantly improve your care experience. Engaging in informed dialogue ensures you are an active participant in your healthcare journey. 1. Clarify the Diagnosis Understanding what you're facing in the emergency room begins with the diagnosis. One of the first steps during an emergency room visit is asking what specific condition has been identified and what the basis for that finding is. Because many symptoms overlap with various conditions, there may be uncertainties or the need for further observation. It's crucial to clarify whether the diagnosis is definitive or still provisional, and ask how any ambiguity may influence treatment and next steps. A clear understanding of these points will guide you in the subsequent decision-making process. According to Forbes, there are more than 1 million licensed EMTs in the United States. These EMTs may provide the initial assessment that leads you to the emergency room. Knowing how those initial findings correlate with the official diagnosis made in the emergency room can be informative. You may wish to ask what signs the EMTs observed, how they influenced the decision to bring you to the emergency room, and how those early observations relate to subsequent findings. Such conversations can provide deeper insight into the diagnosis journey and its accuracy. 2. Review Proposed Treatments or Procedures Once a diagnosis is identified, whether provisional or final, the next key question in the emergency room is what treatments or procedures will be conducted. It's important to hear from your emergency room provider about the objectives of the proposed treatment—is the purpose relief of symptoms, stabilization of your condition, full cure of the underlying issue, or some combination? This understanding will help you evaluate whether the treatment plan aligns with your personal health goals. Such conversations are a vital part of engaging collaboratively in your own care. Questions should also include what steps are planned after the emergency room phase—whether further interventions might be necessary, such as surgery, rehabilitation, home care or specialist consults. Immediate treatments in the emergency room may include medications, monitoring, lifestyle advice, or even urgent surgical intervention, depending on the diagnosis. Clarifying these points helps you set realistic expectations about recovery and follow-up. 3. Discuss Risks and Benefits of Treatment In the emergency room, it's essential not just to know what's being done, but why—and what the trade-offs are. For each treatment or procedure proposed, ask about the likely benefits, potential side effects, risks or complications. These may vary based on your health history, age, allergies, and other factors. Engaging your emergency room professional in a detailed discussion about these risks—not just the hypothetical extremes but the realistic scenarios—helps you make safer, more informed decisions. On the flip side, grasping the benefits of treatments proposed in the emergency room context—whether relief of pain, halting progression of disease, restoration of function—provides motivation and clarity on why the work is being done. Knowing the advantages also helps in comparing alternative treatments if the initially proposed one doesn't fit your preferences or health status. 4. Set Realistic Outcomes and Prognosis Expectations In the emergency room, you'll want to ask what you should expect—both immediately after treatment and over the longer term. Short-term expectations might include how soon you will feel relief, how quickly your condition will stabilize, what adverse reactions to watch for, and when you might safely leave the emergency room or move on to outpatient care. Understanding this helps you manage the first days after your visit and reduces anxiety about unknowns. Ask your emergency room providers which indicators mean things are improving—and which signs mean you should return or call emergency services. Knowing the “red flags” can make a huge difference. Compliance with discharge instructions, follow-up visits, medication adherence, and lifestyle changes often determines how well the short-term outcomes go. In the emergency room context, getting this perspective equips you to plan lifestyle adjustments, follow-up specialist care, and home management. Understanding the long-term outcome also helps you and your family set expectations and consider goals for rehabilitation or further treatment. 5. Understand Medications You're Being Prescribed A core part of emergency room care involves medications. It's vital to ask your emergency room provider why each medication is prescribed: what symptoms it addresses, what condition it treats, and whether it is curative or preventative. Understanding the purpose behind each medication strengthens your adherence to the regimen and empowers you in your therapeutic journey. Beyond the purpose, ask whether each medication has a preventive role (for example, preventing further complications) or is strictly responsive to current symptoms. Knowing whether a medicine is temporary or part of a longer-term plan is key. Discussing how the drug fits into the overall treatment plan in the emergency room gives context to its role, helps you incorporate it into your recovery, and aligns it with health goals. Ask about potential side effects. In the emergency room, multiple medications may be started quickly. Understanding common and serious side effects helps you prepare in case you experience reactions. Ask your emergency room doctor to highlight what side effects are likely, which ones are rare but serious, and what you should do if they occur. This kind of dialogue helps prevent surprises after you leave the emergency room. 6. Clarify Cost and Financial Considerations Understanding the potential costs of your emergency room visit and subsequent care is an important part of informed decision-making. The emergency room environment often moves quickly, and financial discussions may feel secondary—but transparency about costs helps you plan and avoid surprises. Start by asking what immediate costs might be associated with the emergency room visit: diagnostics, medications, treatments, and any additional care required while in the emergency room. Some hospitals offer financial counselors or estimators; asking for one helps you get a clearer picture. Early financial discussions in the emergency room can reduce stress and let you focus on recovery. Next, speak about your insurance coverage. Ask what portion of emergency room charges your insurance covers, whether your treatment is within network, any copays or deductibles, and what you might owe out-of-pocket. Insurance policies are complex; the emergency room financial adviser or nurse can help you understand how your care fits those policies. Being proactive in the emergency room about insurance coverage mitigates post-visit shock. Visiting the emergency room can be a stressful and overwhelming experience, but by asking the right questions, you can become a more informed participant in your own care. The seven question areas above—clarifying the diagnosis, reviewing treatments, discussing risks and benefits, setting outcome expectations, understanding medications, clarifying costs, and reviewing discharge planning—form a practical framework to navigate an emergency-room episode with confidence. Next time you or a loved one visits the emergency room at Family Emergency Room at Georgetown, bring this framework with you. Write down your questions, ask for clarification, keep notes on what's said in the emergency room , and follow up promptly. Your health deserves nothing less.
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