The red, amber and green signs when your baby is crying – and when to call 999
BABIES cry for many reasons – most commonly because they're simply in need of a feed or a nappy change.
But sometimes a babies wail is a sign of something more serious - but how do you know when a trip to the doctor is necessary?
Experts have created a new tool to help parents know how to respond to their baby crying and when to take them to hospital
The , launched by the Belfast Trust, breaks down symptom severity into red, amber and green categories.
Symptoms such as developing a rash, becoming cold and going blue around the lips fall into the red category and require parents to seek emergency treatment or call 999.
Not interested in feeding, excessive sleepiness and difficulty breathing would be considered an amber emergency and require being seen to by a GP.
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If child does not seem to have any symptoms of serious illness or injury then this would fall into the green category - parents are urged to seek general advice from local pharmacies.
RED SYMPTOMS
If you spot any of these symptoms in your child, it might be that they require emergency treatment.
You should call 999 or take them to your nearest A&E department.
- Your child is pale, mottled, and feels unusually cold to touch
- Pauses in your child's breathing for more than 10 seconds, grunting, going blue around the lips
- If your child goes stiff or rigid, or makes repeated jerky movements with their arms or legs that don't stop when you hold them - a sign of a seizure
- Your child becomes extremely agitated, confused or very lethargic, difficult to wake
- Develops a rash that won't disappear with pressure (the glass test)
- Is under three months old with a temperature of 38C or above (unless fever is present in the 48 hours after vaccinations and no other red or amber signs are present)
- Has fingers or toes that look very red, swollen or painful to touch
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AMBER SYMPTOMS
If your child is crying but there are no red symptoms present, check for any amber signs.
In the case of amber symptoms your child doesn't need to go to A&E, but you do need to seek medical advice asap.
Call your GP surgery during opening hours, or call NHS 111 out of hours.
If these symptoms persist for four hours or more and you can't get hold of a GP, then it is worth going to A&E.
Amber symptoms include:
- Difficulty breathing - breathing fast all the time - widening nostrils to breathe, or pulling the muscles under the ribs when they breathe
- Not interested in feeding/ looks dehydrated - dry mouth, sunken eyes, no tears, drowsy, no wet nappies in the last eight hours, or sunken fontanelle (the soft spot on their head)
- Becoming drowsy or irritable (unable to settle them with cuddles, toys, TV or snacks) - especially if they remain like this as their temperature/ fever comes down
- If your child's symptoms are getting worse or if you're worried.
GREEN SYMPTOMS
If your child is crying but you've checked and there is no sign of any red or amber symptoms then you can try to manage your baby at home.
If you're still concerned and can't settle them, you can try your health visitor or GP. You can also try your local pharmacy for general advice.
Green symptoms include:
- Your child doesn't have any symptoms of illness or injury, but is crying a lot
'EXCELLENT TOOL'
Dr Julie-Ann Maney, emergency consultant at Royal Belfast Hospital for Sick Children, said: “This is an excellent, informative tool which is designed not to replace the advice we provide in hospital, but as a guide to parents who are sometimes not sure of the right course of action to take.”
“Children regularly get sick, they can get up to 10 colds every year when they are very young, which is their immune system developing responses to the infections we are all exposed to every day.
“We recognise that this can be worrying for parents and want to help by providing high quality, easy to follow advice.”
Dr Sarah Kapur, general paediatric consultant, Royal Belfast Hospital for Sick Children said, “Bringing a child to an emergency department is sometimes not the right course of action, but parents can feel they do not have access to the right information.
“We would much rather see a child who does not need to be there than not see one who does need to be there.
“However, we hope this symptom checker can provide some reassurance in addition to GP services, pharmacies and other aspects of the healthcare system.”
Health Minister Robin Swann said: “I very much welcome the launch of this paediatric symptom checker. My thanks go all to those who have worked on its development.
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“I never cease to be inspired by the commitment of health care staff to innovation and improvement.
“I have no doubt this symptom checker will prove to be an invaluable resource for parents right across Northern Ireland.”