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What to Say in an Emergency

When Calling Emergency Services

Say exactly:

""I'm calling about my [age] child who has a high fever of [temperature]. They are showing these symptoms: [list symptoms like difficulty breathing, extreme lethargy, rash]. The fever started [time] ago. We are at [your exact location/address].""

At the Emergency Room or Doctor's Office

Say exactly:

""My child's fever is [temperature] and started [time] ago. I've given them [medication and dosage] at [time]. They are also showing: [list all symptoms]. Their normal temperature is usually [normal temp]. They [have/don't have] any medical conditions.""

Step-by-Step Instructions

  • 1
    Take an Accurate Temperature
    • Use a digital thermometer (most accurate)
    • For children under 3: Rectal temperature is most reliable
    • For older children: Oral or ear thermometer is fine
    • Wait 15 minutes after eating/drinking before taking oral temperature
    • Record the exact number and time
  • 2
    Assess Your Child's Overall Condition
    • Look at how they're acting, not just the number
    • Are they alert and responsive when fever comes down?
    • Can they drink fluids and keep them down?
    • Are they breathing normally?
    • Check for rash, stiff neck, or severe headache
  • 3
    Provide Comfort and Fever Relief
    • Give age-appropriate fever reducer (acetaminophen or ibuprofen)
    • Follow dosing instructions exactly - never exceed recommended dose
    • Dress in light clothing, use light blankets
    • Offer frequent small sips of fluids (water, diluted juice, popsicles)
    • Keep room temperature comfortable (not too hot or cold)
  • 4
    Monitor and Document
    • Check temperature every 2-4 hours
    • Write down: time, temperature, medications given, how child is acting
    • Watch for changes in behavior or new symptoms
    • Take photos/videos if child seems very unwell (helpful for doctors)
    • Continue monitoring even after fever breaks
  • 5
    Know When to Seek Medical Care
    • Fever lasts more than 3 days
    • Child becomes more lethargic or difficult to wake
    • Signs of dehydration (dry mouth, no tears, less urination)
    • Fever returns after being gone for 24+ hours
    • Your parental instinct says something is wrong

Watch for Signs

Monitor your child for these symptoms:

🚩 Red Flags (seek immediate care)

  • Any fever in baby under 3 months old
  • Fever over 104°F (40°C) in any child
  • Difficulty breathing or rapid breathing
  • Severe lethargy (hard to wake up, not responding normally)
  • Stiff neck or severe headache
  • Rash that doesn't fade when pressed
  • Signs of dehydration (no tears, dry mouth, no wet diapers)
  • Febrile seizure (convulsions)
  • Persistent vomiting (can't keep fluids down)

💚 Normal Fever Symptoms

  • Mild fussiness or decreased appetite
  • Wanting extra cuddles and rest
  • Slight increase in heart rate
  • Warm, flushed skin
  • Mild headache or body aches
  • Sleeping more than usual
  • Less interest in playing (but still responsive)
  • Drinking fluids, even if less than normal

FAQs (Common Parent Questions)

"What temperature is considered a fever?"

Rectal: 100.4°F (38°C) or higher. Oral: 100°F (37.8°C) or higher. Ear: 100.4°F (38°C) or higher. Armpit temperatures are less reliable but 99°F (37.2°C) or higher may indicate fever.

"Should I wake my child to give fever medicine?"

Generally no. If they're sleeping comfortably, let them rest. Only wake them if the fever is very high (over 103°F/39.4°C) or if they seem uncomfortable even while sleeping.

"Can I give both Tylenol and Advil?"

Yes, but only under specific guidance. You can alternate them every 3 hours, but it's easy to overdose. Write down exact times and doses. When in doubt, stick to one medication.

"Should I use ice baths or alcohol rubs to cool them down?"

No, never use ice baths, cold water, or alcohol rubs. These can cause shivering (which raises body temperature) or dangerous temperature drops. Lukewarm baths are okay if your child enjoys them.

"How long do fevers typically last?"

Most viral fevers last 3-5 days. The pattern often includes higher fevers in late afternoon/evening. If fever persists beyond 5 days or returns after being gone 24+ hours, see a doctor.

Real Parent Tips

Real Parent Experiences

"I learned to trust my gut over the thermometer. My daughter had a "low" fever but was acting really sick - turned out to be strep."

— Jennifer M., Calgary

"Keep a fever log on your phone. Doctors always ask when it started and what you've given. Having exact times saved us multiple ER visits."

— David L., Montreal

"Popsicles were a game-changer. My son wouldn't drink anything but would eat popsicles all day. Kept him hydrated."

— Priya S., Toronto
This guide is intended for quick reference and does not replace professional medical advice. Always consult a medical professional if uncertain.