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When is a child's fever an emergency?

Age sets the rules: any fever in a baby under three months is an urgent same-day assessment, no exceptions. Beyond that age, the child's behavior outranks the thermometer: a 39.5 child playing and drinking is usually safer than a 38.2 child who is limp and listless.

Emergency signs at any age: a rash that does not fade under a pressed glass, stiff neck, breathing difficulty, blue lips, seizures, inconsolable crying, signs of dehydration, or drowsiness beyond the ordinary.

Otherwise: fluids, comfortable clothing, paracetamol or ibuprofen by weight for comfort, and review any fever beyond five days. Trust the parental gut; it has good statistics behind it.

Source: American Academy of Pediatrics, HealthyChildren.org on fever

Answered by the AskDoc Medical Team · Medically reviewed under our Medical Director, MBBS · How we review

If you are buying a thermometer

A basic digital stick thermometer is accurate and costs a few dollars. Forehead scanners are fine for quick checks on children; ear thermometers need good technique to read true.

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