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Emergency Consultation Guide

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Fever (child)

"Had a fever", "Has a fever'', "Body is hot'', "Has chills'', "Is trembling'', "Fever does not go down", etc.

Fever (38°C or higher) in infant younger than 3 months
Has been half-asleep for 8 hours or longer, but can respond normally when spoken to
Has no energy and feels tired
Has a special illness* and was instructed to go to the hospital as soon as experiencing a fever (*Regular use of steroids for heart disease, liver disease, diabetes, cancer, serious infection, immune system disease, treatment, etc.)
Is unable to drink a sufficient amount of liquids (drinking quantity and frequency have decreased)
The amount of urine is decreasing, number of times of urination is decreasing, or the color of urine is darker
Almost no tears are produced Or the mouth and tongue are dry
Urination seems to be painful Or the color or odor of the urine is different from usual
Condition seems different from usual from the viewpoint of the parents (Responses are unusual/feel somewhat abnormal, etc.)
None of the above apply. The person has energy, but there is worry that a fever of 41°C or higher has continued
Has traveled abroad within the past month (other than to North America/Europe)
Has a severe headache
Has a cough/is experiencing breathlessness
Had diarrhea
Feels nauseous or is vomiting
Abdominal pain is present
Was in a hot or humid place for a while or it is after performing heavy exercise
Rash or hives are present Or the body is red or itchy
Ear seems to hurt
There is pus or discharge dripping out of the earhole
Has a runny nose/stuffy nose
When none of the above items apply

First aid, etc.

■*1.【Observation of pediatric fever】

1．In the case of fever in a "child younger than 3 months", they should be taken immediately to a medical institution. (Children under the age of 3 months in particular may have a severe infection.)

2．At 3 months of age or older, body temperature values are not as important, and general condition (lack of energy, inability to drink, etc.), cough, and headache are more important. Watch carefully for changes.

■*2.【General response to pediatric fever】

1．Sufficiently rehydrate by drinking liquids

(Oral rehydration solution, ionic beverage, barley tea, etc.. Breast milk or milk may be used before weaning)

2．Do not wear heavy clothing and wear comfortable clothing that allows heat to dissipate. However, if there are chills, warm the person with a blanket, etc., and when the chills disappear, have the person wear cool clothing.

3．When cooling the body, it is effective to cool the armpits and groin. Use an ice pack wrapped in a towel or a wet towel that has been wrung out to cool the body.

4．If the person has an antipyretic medication that was prescribed for this condition, follow the instructions of the prescribing doctor when using.

■*3.【If the person has influenza (including suspected cases)】

(Prevention of infection to surrounding people)

Wear a mask, wash hands, etc., and avoid going out until feeling better.

*Estimate: "Course until 5 days after onset and 2 days after subsiding of fever (3 days in the case of infants)"

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(Countermeasures against abnormal behavior)

Abnormal behavior may occur in underage persons. Be careful of the following points

●Do not leave the person alone for at least 2 days

●In addition, perform the following (1) and (2) as measures to prevent jumping out of the residence.

(1)In the case of living in a high-rise building

ーSecurely lock the doors and windows of all rooms (including inner locks, auxiliary locks, etc.)

ーLet the person sleep in a room not facing a veranda

ーHave the person sleep in a room with iron bars on the window (if such a room is available)

(2)In the case of a detached house

ーIn addition to (1) above, have the person sleep on the first floor as much as possible