Fever is a common symptom of many illnesses and can be concerning, especially when it affects children or the elderly. Understanding when to seek emergency care for a fever based on age and accompanying symptoms is essential for making informed health decisions.

What is Considered a Fever?

A fever is an increase in body temperature above the normal range. Normal body temperatures typically range from 97°F (36.1°C) to 99°F (37.2°C). A fever is generally considered to be a body temperature of 100.4°F (38°C) or higher. However, what temperature constitutes a fever can vary slightly depending on the method of measurement (oral, rectal, ear, or forehead).

When Should I Go to the ER for a Fever?

Deciding when to go to the ER for a fever depends on the age of the individual and the presence of specific symptoms. Here’s a breakdown of when to seek emergency care based on different age groups and symptoms.

Infants (0 to 3 Months)

For newborns and very young infants, even a slight fever can be a sign of a serious infection. Immediate medical attention is necessary in the following cases:

  • Fever of 100.4°F (38°C) or Higher – Any fever in an infant younger than 3 months warrants a trip to the ER.
  • Symptoms to Watch For – Difficulty breathing, persistent crying, lethargy, feeding difficulties, or a rash.

Babies (3-12 Months)

In this age group, fevers are still concerning but not always an emergency. However, seek ER care if:

  • Fever of 102°F (38.9°C) or Higher – Especially if it lasts more than a day or is accompanied by other symptoms.
  • Symptoms to Watch For – Irritability, difficulty breathing, lack of appetite, dehydration (fewer wet diapers), persistent vomiting or diarrhea, or a rash.

Toddlers and Young Children (1-5 Years)

Fevers are common in toddlers and young children and are often caused by viral infections. However, emergency care is needed if:

  • Fever of 103°F (39.4°C) or Higher –Especially if it lasts more than three days or does not respond to fever-reducing medications.
  • Symptoms to Watch For – Difficulty breathing, severe headache, stiff neck, persistent vomiting or diarrhea, unexplained rash, or seizures.

Children (6-12 Years)

Fevers in older children are usually less worrisome, but certain situations still require ER visits:

  • Fever of 104°F (40°C) or Higher – Seek immediate medical care if the fever is very high or persists.
  • Symptoms to Watch For – Difficulty breathing, chest pain, severe abdominal pain, persistent vomiting, confusion, lethargy, or any signs of dehydration.

Adolescents and Adults

For teenagers and adults, the body’s response to fever can vary widely. Emergency care should be sought in the following cases:

  • Fever of 105°F (40.5°C) or Higher – Such high temperatures can be dangerous and warrant immediate medical attention.
  • Symptoms to Watch For – Shortness of breath, chest pain, severe headaches, stiff neck, confusion, persistent vomiting, rash, or extreme fatigue.

Older Adults (65+)

  • Fever of 103°F (39.4°C) or Higher – Any high fever in older adults should be taken seriously.
  • Symptoms to Watch For – Difficulty breathing, chest pain, severe headache, confusion, dizziness, or inability to stay awake.

General Symptoms Requiring an ER Visit at Any Age

Regardless of age, certain symptoms accompanying a fever indicate the need for emergency care:

  • Difficulty breathing or shortness of breath
  • Chest pain or pressure
  • Severe headache or stiff neck
  • Persistent vomiting or diarrhea
  • Confusion or difficulty waking up
  • Seizures
  • Unexplained rash or purple spots on the skin
  • Signs of dehydration, such as dry mouth, no tears when crying, infrequent urination, or dark urine.

How to Manage Fever at Home

For less severe cases, fever can often be managed at home with rest, hydration, and over-the-counter medications like acetaminophen or ibuprofen. Keeping a comfortable, cool environment and avoiding overdressing can also help reduce body temperatures.

When to Contact Your Doctor

If you’re unsure about whether to visit the ER, it’s always a good idea to contact your healthcare provider for advice. They can guide you based on your specific symptoms and medical history.

Emergency Care at Village Emergency Centers

For immediate and comprehensive care, consider visiting the emergency room services provided by Village Emergency Centers. They offer specialized services for various health concerns, including fever-related emergencies.