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" No one wants to get stuck in a crowded ER unnecessarily. We asked Jennifer Trachtenberg, MD, author of The Smart Parent&amp;#039;s Guide to Getting Your Kids Through Checkups, Illnesses and Accidents, for some guidance to help you decide whether to make the trip.   if your child... go to the er if... otherwise...   Swallowed something that might be poisonous He ingested a large amount (like a whole bottle of vitamins or container of detergent as opposed to a few pills or sips). Call Poison Control at 800-222-1222 (save this number!). They&amp;#039;ll ask you what and how much he ingested, his age, height, weight, etc., and then tell you whether you should go to the ER or just monitor him for specific side effects.   Cut herself She&amp;#039;s losing a lot of blood (it&amp;#039;s spurting out or gushing heavily and doesn&amp;#039;t show any signs of slowing) or she&amp;#039;s starting to lose consciousness. Apply pressure for 10 minutes. If it still hasn&amp;#039;t stopped (or the cut looks especially deep), call the pediatrician. She&amp;#039;ll tell you whether to come to her office, go straight to a plastic surgeon (if scarring is the biggest concern) or go to the ER.   Has a high fever He has a fever of 105\u00B0F or higher and/or is extremely cranky, agitated, inconsolable or listless. (For babies up to 2 months old, you should go if it&amp;#039;s 100.4\u00B0F or higher.) Give him infant or children&amp;#039;s Tylenol or Motrin (ask the doc how much) and apply a cool compress. If the fever hasn&amp;#039;t gone down after 30 minutes, call the doctor and/or go to the ER.   Bumped her head very hard/got hit in the head She fainted, is vomiting, isn&amp;#039;t acting like herself, has a bad headache, has arm or leg weakness or didn&amp;#039;t cry at all (which could mean she lost consciousness briefly). Give her infant or children&amp;#039;s Tylenol or Motrin, apply an ice pack and call the pediatrician. If you notice any symptoms (dizziness, vision problems, etc.) in the next 24 hours, call the doctor back.   Hurt his arm or leg and it may be broken A bone is protruding through the skin, you can see a deformity (like a wrist that looks bent) or the pain is excruciating. If it hurts a lot in one spot or can&amp;#039;t bear weight, it&amp;#039;s probably broken. Give him infant or children&amp;#039;s Motrin or Tylenol, apply ice, and call the doc for a referral to an orthopedist. Not sure if it&amp;#039;s broken? Wait 24 to 48 hours to see if it improves.   Got burned A large portion of skin is burned (as in a fire) or if large burns are on her hands, face or groin area. Run small burns under cold water, apply ice, give her infant or children&amp;#039;s Motrin or Tylenol and cover the area with antibiotic ointment and a bandage. If it starts to blister badly, call the doctor.   "^^<http://www.w3.org/2001/XMLSchema#string>
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