Dr. Wojo. Healthy Living. Simplified.

When a child is ill, parents often turn to family members, the Internet or a nurse help line for initial answers. But often a nagging question remains — should I seek medical attention, or emergency treatment, for my child?

Fortunately, during my nearly 20 years in the Emergency Room I’ve rarely diagnosed a serious disease in a young child. There have, however, been instances — such as the time a child was brought in because he experienced a seizure — his first —and tests revealed the cause was a brain tumor. And I’ve seen children who appear to have the flu, which is actually new onset diabetes.

Many parents worry about “abusing” the medical system — they’re afraid of bringing their child in too often. However, it’s important for parents to understand that there are times when your child needs medical attention — sometimes emergency medical treatment. Trust your parental instincts. If your child just doesn’t look right to you, then your child should be evaluated.

What are pediatric medical emergencies? Following are examples of when to seek emergency medical care for your child.

• A fever accompanied by a very stiff neck may indicate meningitis, which is a potentially life threatening condition. 
• In a newborn child up to the age of 6 weeks, a fever of 101º or greater is an emergency because it could be a sign of a serious infection.  Bring your child to your pediatrician or the Emergency Department. The visit may include blood work, x-rays, and a spinal tap. Close follow-up may be recommended if the child is not hospitalized.
• Severe head injuries, including those with a loss of consciousness, require an examination. If the head injury is accompanied by severe nausea and vomiting, seek emergency treatment. This may include a CT scan and possible hospital observation.
• Severe allergic reactions leading to swelling or difficulty breathing require medical care.
• Chemical burns should be examined by a physician. Also, if any burn is larger than your child’s palm or is discolored, it is best to have your child examined.
• Abdominal pain may require attention. If your child’s abdomen is swollen or tender to the touch, if you see blood in his stool, or if your child is experiencing severe pain in the lower right side of the abdomen, seek medical attention.

Ultimately, trust your instincts and when in doubt seek medical attention for your child.