When to Call Your Pediatrician Instead of Going to the ER

Introduction:

It’s 2 a.m. Your child has a fever. Do you head to the ER or wait to call the pediatrician in the morning? This post breaks down common situations and guides parents on when to seek emergency care versus pediatric advice.

1. Fevers: What’s Normal, What’s Not

• Call your pediatrician if the fever is under 104°F and your child is drinking fluids and alert.

• Go to the ER if your infant is under 3 months with a fever, or your child has a seizure, stiff neck, or trouble breathing.

2. Coughs, Colds, and Breathing Issues

• Pediatrician visit: Mild cough, runny nose, or suspected flu symptoms.

• ER visit: Labored breathing, wheezing not relieved by medication, or blue lips.

3. Injuries and Falls

• Call your doctor for minor cuts, sprains, or falls without loss of consciousness.

• Head to the ER for deep wounds, suspected broken bones, or head injuries with vomiting or confusion.

4. Rashes and Allergic Reactions

• Pediatric care for rashes without fever or swelling.

• ER for swelling of lips/tongue, difficulty breathing, or full-body hives.

5. When in Doubt

Your pediatrician is your first line of defense. Many practices offer after-hours advice or virtual visits. When you're unsure, call—your provider can guide your next steps and often help you avoid an unnecessary trip to the ER.

Conclusion:

Knowing when to call your pediatrician versus heading to the ER can save time, money, and stress. Personalized pediatric care gives you peace of mind and clear guidance when your child needs help most.