From time to time serious illness and injuries occur. Minor to moderate illness and injuries can often be handled in the office. Serious injuries and illness need to be seen in the Emergency Department and sometimes need EMS transport. Below is a list of some examples of different categories of problems and where they are best handled.
|Type of illness or Injury||See in the Office||See in the ER||Call EMS|
|Respiratory (coughing, wheezing, fever)||wheezing but breathing comfortably, most coughs, any degree of fever||wheezing with shortness of breath, coughing non-stop, pale or blue skin color||severe shortness of breath, blue color, can't see chest moving,|
|Fevers||most all fevers||Infants under 4 weeks old go to ER for fever.||none unless other problems|
|vomiting and diarrhea||most all||if severe belly pain or looking very listless||if lethargic|
|seizures||most seizures that have stopped||multiple seizures, new seizures||seizures that do not stop or if there is poor color|
|injuries||falls less than 3 feet, patient is stable, no loss of consciousness, simple lacerations, sprains, back aches||motor vehicle accidents, any loss of consciousness, fall over 3 feet||severe injury, continued bleeding, concern for severe head injury|
|rashes||most all rashes can be seen in the office including hives||Hives with difficulty breathing|
|bites||most simple animal and human bites||BATS, severely torn skin|
|psychological||anxiety or depression, mild to moderate||severe depression, risk of injury to self or others||aggressive behavior, out of control|
|POISONINGS||CALL (800) 848-6946||CALL (800) 848-6946||CALL (800) 848-6946|
We attempt to see all sick children on the day that you call. Some minor problems may be turned away from night clinic if we are very busy such as during flu season. This may include chronic belly pain, constipation, chronic headaches or backaches, and chronic behavioral problems. We currently do not perform "checkups" on nights and weekends.