First Aid & Emergencies

Treating Fever in Children

• Is limp or unresponsive
• Is having trouble breathing
• Is vomiting and has a headache or a stiff neck
• Has blue lips or skin
• Has a seizure

A high temperature can be alarming, but in an otherwise healthy child it usually isn't something serious. A fever often means that a body is working the way it should and fighting off infection.

Call Doctor If:

• You think the child needs medical attention.
• The child is younger than 3 months old with a rectal temperature of 100.4 F or higher.
• The child is 3 to 6 months old with a temperature of 101 F or higher or has had any fever for more than one day.
• The child is older than 6 months and younger than a year with a temperature of 103 F or higher or has had any fever more than one day.
• The child is 1 to 2 years old with a high fever lasting more than 24 hours.
• The child is any age with a temperature of 104 F or higher.
• The soft spot on the child’s skull is bulging.
• The child vomits repeatedly or has severe diarrhea.
• The child has signs of dehydration, such as not wetting diapers, crying without tears, dry mouth or mucous membranes, or sunken soft spot.
• The fever triggers a seizure.
• The child has a fever and a rash. 
• Your child is at special risk for serious infections. This includes children with blood or immune disorders, or any child who has not received the routine immunizations.

For Infants Younger Than 4 Months Old

1. Take Temperature

• The most accurate way to take a temperature is rectally. If you are uncomfortable with this, then take temperature under the armpit. If it is higher than 99 F, then double check it rectally using a rectal thermometer to get the most accurate reading.

2. Call Your Pediatrician

• If the child's temperature is higher than 100.4 F, call your pediatrician.
• Bathing or sponging the child with lukewarm water may help bring down a fever. Do not use cold water, ice baths, or alcohol.
• Do not give any medicine unless discussed first with the doctor,

For Children 4 Months Old or Older Who Have Been Immunized

1. Take Temperature

• Rectal. For a child under 4 or 5 months, use a rectal thermometer to get an accurate reading.  A child has a fever if the rectal temperature is above 100.4 F.
• Oral. For a child over 4 or 5 months, you can use an oral or pacifier thermometer. The child has a fever if it registers above 100.4 F.
• Ear. If the child is 6 months old or older, you can use an ear or temporal artery thermometer, but this may not be as accurate. Still, under most circumstances, it's a reasonable way to get a good enough estimate. If it's essential that you get an accurate reading, take a rectal temperature.
• Armpit. If you take the child’s temperature in the armpit, a reading above 100.4 F usually indicates a fever.