For an older infant or child

Labored breathing.

If your child appears much sicker than usual with a routine illness. If he is playful, eating and drinking, your child’s body is successfully coping with the illness.

Rash that looks like bleeding under the skin or red/purple freckles.

Stomach pain that is lasting over 2 hours or is worsening over time. Especially if the lower abdomen, on the right side is affected.

Symptoms of dehydration: no urine in 12 hours, inside of mouth dry and sticky, crying without tears, limp or not responsive.

Blood in stool or vomit.

Severe headache.

Fever 105 or above.

Worsening skin infection: area has spreading redness, red streak is observed, or area becomes hard and has pus - especially if child develops fever.

Trauma/injury symptoms:

Injured body part looks crooked or deformed.

Head trauma.

Gash that may need stitches, or uncontrolled bleeding.

If your child refuses to use an injured arm or leg for more than one hour.

Animal or human bite that has punctured the skin.

Eye injury causing pain, or eye tearing for over 15 minutes.