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High fever hospital: Fever – Symptoms and causes

Fever – Symptoms and causes

Overview

A fever is a temporary increase in your body temperature, often due to an illness. Having a fever is a sign that something out of the ordinary is going on in your body.

For an adult, a fever may be uncomfortable, but usually isn’t a cause for concern unless it reaches 103 F (39.4 C) or higher. For infants and toddlers, a slightly elevated temperature may indicate a serious infection.

Fevers generally go away within a few days. A number of over-the-counter medications lower a fever, but sometimes it’s better left untreated. Fever seems to play a key role in helping your body fight off a number of infections.

Symptoms

You have a fever when your temperature rises above its normal range. What’s normal for you may be a little higher or lower than the average normal temperature of 98.6 F (37 C).

Depending on what’s causing your fever, additional fever signs and symptoms may include:

  • Sweating
  • Chills and shivering
  • Headache
  • Muscle aches
  • Loss of appetite
  • Irritability
  • Dehydration
  • General weakness

Children between the ages of 6 months and 5 years might experience febrile seizures. About a third of the children who have one febrile seizure will have another one, most commonly within the next 12 months.

Taking a temperature

To take a temperature, you can choose from several types of thermometers, including oral, rectal, ear (tympanic) and forehead (temporal artery) thermometers.

Oral and rectal thermometers generally provide the most accurate measurement of core body temperature. Ear or forehead thermometers, although convenient, provide less accurate temperature measurements.

In infants, doctors generally recommend taking a temperature with a rectal thermometer.

When reporting a temperature to your or your child’s doctor, give the reading and explain how the temperature was taken.

When to see a doctor

Fevers by themselves may not be a cause for alarm — or a reason to call a doctor. Yet there are some circumstances when you should seek medical advice for your baby, your child or yourself.

Infants

An unexplained fever is greater cause for concern in infants and in children than in adults. Call your baby’s doctor if your child is:

  • Younger than age 3 months and has a rectal temperature of 100.4 F (38 C) or higher.
  • Between ages 3 and 6 months and has a rectal temperature up to 102 F (38.9 C) and seems unusually irritable, lethargic or uncomfortable or has a temperature higher than 102 F (38.9 C).
  • Between ages 6 and 24 months and has a rectal temperature higher than 102 F (38.9 C) that lasts longer than one day but shows no other symptoms. If your child also has other signs and symptoms, such as a cold, cough or diarrhea, you might call your child’s doctor sooner based on severity.
Children

There’s probably no cause for alarm if your child has a fever but is responsive — making eye contact with you and responding to your facial expressions and to your voice — and is drinking fluids and playing.

Call your child’s doctor if your child:

  • Is listless or irritable, vomits repeatedly, has a severe headache or stomachache, or has any other symptoms causing significant discomfort.
  • Has a fever after being left in a hot car. Seek medical care immediately.
  • Has a fever that lasts longer than three days.
  • Appears listless and has poor eye contact with you.

Ask your child’s doctor for guidance in special circumstances, such as a child with immune system problems or with a pre-existing illness.

Adults

Call your doctor if your temperature is 103 F (39.4 C) or higher. Seek immediate medical attention if any of these signs or symptoms accompanies a fever:

  • Severe headache
  • Unusual skin rash, especially if the rash rapidly worsens
  • Unusual sensitivity to bright light
  • Stiff neck and pain when you bend your head forward
  • Mental confusion
  • Persistent vomiting
  • Difficulty breathing or chest pain
  • Abdominal pain or pain when urinating
  • Convulsions or seizures

Causes

Fever occurs when an area in your brain called the hypothalamus (hi-poe-THAL-uh-muhs) — also known as your body’s “thermostat” — shifts the set point of your normal body temperature upward. When this happens, you may feel chilled and add layers of clothing or wrap up in a blanket, or you may shiver to generate more body heat, eventually resulting in an elevated body temperature.

Normal body temperature varies throughout the day — it’s lower in the morning and higher in the late afternoon and evening. Although most people consider 98.6 F (37 C) normal, your body temperature can vary by a degree or more — from about 97 F (36.1 C) to 99 F (37.2 C) — and still be considered normal.

Fever or elevated body temperature might be caused by:

  • A virus
  • A bacterial infection
  • Heat exhaustion
  • Certain inflammatory conditions such as rheumatoid arthritis — inflammation of the lining of your joints (synovium)
  • A malignant tumor
  • Some medications, such as antibiotics and drugs used to treat high blood pressure or seizures
  • Some immunizations, such as the diphtheria, tetanus and acellular pertussis (DTaP) or pneumococcal vaccine

Sometimes the cause of a fever can’t be identified. If you have a fever for more than three weeks and your doctor isn’t able to find the cause after extensive evaluation, the diagnosis may be fever of unknown origin.

Complications

Children between the ages of 6 months and 5 years may experience fever-induced convulsions (febrile seizures), which usually involve loss of consciousness and shaking of limbs on both sides of the body. Although alarming for parents, the vast majority of febrile seizures cause no lasting effects.

If a seizure occurs:

  • Lay your child on his or her side or stomach on the floor or ground
  • Remove any sharp objects that are near your child
  • Loosen tight clothing
  • Hold your child to prevent injury
  • Don’t place anything in your child’s mouth or try to stop the seizure

Most seizures stop on their own. Take your child to the doctor as soon as possible after the seizure to determine the cause of the fever.

Call for emergency medical assistance if a seizure lasts longer than five minutes.

Prevention

You may be able to prevent fevers by reducing exposure to infectious diseases. Here are some tips that can help:

  • Wash your hands often and teach your children to do the same, especially before eating, after using the toilet, after spending time in a crowd or around someone who’s sick, after petting animals, and during travel on public transportation.
  • Show your children how to wash their hands thoroughly, covering both the front and back of each hand with soap and rinsing completely under running water.
  • Carry hand sanitizer with you for times when you don’t have access to soap and water.
  • Try to avoid touching your nose, mouth or eyes, as these are the main ways that viruses and bacteria can enter your body and cause infection.
  • Cover your mouth when you cough and your nose when you sneeze, and teach your children to do likewise. Whenever possible, turn away from others when coughing or sneezing to avoid passing germs along to them.
  • Avoid sharing cups, water bottles and utensils with your child or children.

When To Go To the ER for a Fever| Blog

Simple at-home treatments are generally effective for low-grade fevers. When rest, fluids and over-the-counter medicine don’t do the trick, a fever can be an indicator of a more serious infection. Use the guidelines below to decide if you need to seek emergency care at for yourself or your child at a Denver hospital near you.

Fever in infants and babies

If your child is less than three months old, an ER visit is necessary if he or she has a temperature over 100.4 degrees, or if his or her fever is accompanied by the following symptoms:

  • Difficulty breathing
  • Difficulty waking up to feed or not feeding
  • Inconsolable, non-stop crying
  • Rash
  • Vomiting

Fever in babies three months to three years of age

If your child is between three months and three years of age, an ER visit is necessary if he or she has a higher fever (over 102.2 degrees), or if his or her fever is accompanied by the following symptoms:

  • Difficulty breathing
  • Difficulty waking up
  • If your child is not immunized
  • Inconsolable
  • Not feeding or eating
  • Not urinating
  • Rash
  • Unable to keep fluids down

Fever in children 36 months and older

Children three or older need to visit the ER if they have a high fever (over 102 degrees) for two days or more, or if their fever is accompanied by any of the following symptoms:

  • Abdominal pain
  • Cannot keep fluids down
  • Difficulty breathing or swallowing
  • Does not look well
  • Does not urinate or experiencing burning during urination
  • Not eating
  • Rash
  • Stiff neck

High fever in adults

Seek emergency care if you or a loved one is experiencing a fever that lasts for more than two days, or if the fever is accompanied by any of these symptoms:

  • A headache pain you’ve never felt before
  • Abdominal pain
  • Burning during urination
  • Difficulty breathing or swallowing
  • If you may have a compromised immune system
  • If you have recently had chemotherapy

When Should You Seek Emergency Help?

Typically, adults
don’t worry about fevers, unless their child is sick. However, kids aren’t the
only ones who get fever. Similar to childhood fevers, most adult fevers are
harmless and short-lived.

It can be draining
when your body temperature spikes and it is followed by waves of chills. This
familiar roller coaster experience of symptoms usually point in one direction –
the onset of a fever.

More than just a
symptom of an infection or illness, a fever can be a friend. You might have heard that a mild fever is
an indication that your immune system is doing a good job. It ensures that your
immune system is taking proper action in defending your body against an
offending bacteria or virus.

At times, however, a prolonged fever merit attention, as it may be a symptom of a serious illness. A fever may pose a real threat to health in some extreme cases and may warrant a trip to your local emergency room in Corpus Christi, TX.

Is it a fever?

For an adult, the
average normal body temperature is 37°C or 98.2°F. Medical professionals agree
that a temperature of more than 38°C or 100.4°F is a sign of fever. Note that
the body temperature is different throughout the day; it is normally higher in
the afternoon.

What causes it?

Those who have a
fever typically have an unwelcome bacteria or virus. Once your body detects an
intruder, it triggers cellular mechanisms that helps your body fight the
infection. Your internal thermostat resets, and your body temperature rises
gradually. This makes life a bit harder for the invading virus or bacteria.

Other possible
causes of fever include cancer, reactions to certain medications or drugs, or
some inflammatory conditions like Still’s disease or rheumatoid arthritis.

Treatment

Most fevers
resolve on their own after a few days. However, you can take steps to speed
your recovery.

  • Normally,
    fevers can be brought down by common medications for pain like acetaminophen or
    ibuprofen.
  • Hydrate.
    Drink lots of liquids like fruit juices and water. This will help prevent
    dehydration and will cool you down from the inside.
  • Rest.
    Listen to your body and stay home to rest. Subjecting yourself to stress will
    postpone your recovery.
  • Stay
    cool. Dress comfortably and reduce the temperature of your home.

When should you
seek medical help?

Call your doctor
if:

  • Your
    fever lasted for more than 3 days.
  • Your
    temperature rises above 103°F.
  • You
    experience chest pain or difficulty breathing along with fever symptoms.

When should you
go to the emergency room?

A fever can be a medical emergency. Go to your nearest emergency room in Corpus Christi, TX right away if:

  • Your
    fever is accompanied by nausea, headache, a stiff neck, confusion, or a rash.
    You may have meningitis.
  • You
    were exposed to very high temperatures and experiencing confusion, a rapid
    heartbeat, or dizziness – you may be experiencing a heat stroke.
  • Your
    fever is high and is accompanied by diarrhea, vomiting, tiredness, headache,
    dizziness, and confusion – you may be experiencing Toxic Shock Syndrome.

Fevers (for Parents) – Nemours


All kids get a fever from time to time. A fever itself usually causes no harm and
can actually be a good thing — it’s often a sign that the body is fighting an
infection.

But when your child wakes in the middle of the night flushed, hot, and sweaty,
it’s easy to be unsure of what to do next. Should you get out the thermometer? Call
the doctor?

Here’s more about fevers, including when to contact your doctor.

What Is a Fever?

Fever happens when the body’s internal “thermostat” raises the body temperature
above its normal level. This thermostat is found in a part of the brain called the
hypothalamus. The hypothalamus knows what temperature your body should be (usually
around 98.6°F/37°C) and will send messages to your body to keep it that way.

Most people’s body temperatures change a little bit during the course of the day:
It’s usually a little lower in the morning and a little higher in the evening and
can vary as kids run around, play, and exercise.

Sometimes, though, the hypothalamus will “reset” the body to a higher temperature
in response to an infection, illness, or some other cause. Why? Researchers believe
that turning up the heat is a way for the body to fight the germs
that cause infections, making it a less comfortable place for them.

What Causes Fevers?

It’s important to remember that fever by itself is not an illness — it’s
usually a sign or symptom of another problem.

Fevers can be caused by a few things, including:

Infection: Most fevers are caused by infection or other illness.
A fever helps the body fight infections by stimulating natural defense mechanisms.

Overdressing: Infants, especially newborns, may get fevers if
they’re overbundled or in a hot environment because they don’t regulate their body
temperature as well as older kids. But because fevers in newborns can indicate a serious
infection, even infants who are overdressed must be checked by a doctor if they have
a fever.

Immunizations: Babies and kids sometimes get a low-grade fever
after getting vaccinated.

Although teething may cause a slight
rise in body temperature, it’s probably not the cause if a child’s temperature is
higher than 100°F (37.8°C).

When Is a Fever a Sign of Something Serious?

In healthy kids, not all fevers need to be treated. High fever, though, can make
a child uncomfortable and make problems (such as dehydration)
worse.

Doctors decide on whether to treat a fever by considering both the temperature
and a child’s overall condition.

Kids whose temperatures are lower than 102°F (38. 9°C) often don’t need
medicine unless they’re uncomfortable. There’s one important exception: If
an infant 3 months or younger has a rectal temperature of 100.4°F (38°C) or
higher, call your doctor or go to the emergency department immediately.
Even
a slight fever can be a sign of a potentially serious infection in very young babies.

If your child is between 3 months and 3 years old and has a fever of 102.2°F
(39°C) or higher, call to see if your doctor needs to see your child. For older
kids, take behavior and activity level into account. Watching how your child behaves
will give you a pretty good idea of whether a minor illness is the cause or if your
child should be seen by a doctor.

The illness is probably not serious if your child:

  • is still interested in playing
  • is eating and drinking well
  • is alert and smiling at you
  • has a normal skin color
  • looks well when his or her temperature comes down

And don’t worry too much about a child with a fever who doesn’t want to eat. This
is very common with infections that cause fever. For kids who still drink and urinate
(pee) normally, not eating as much as usual is OK.

Is it a Fever?

A gentle kiss on the forehead or a hand placed lightly on the skin is often enough
to give you a hint that your child has a fever. However, this method of taking
a temperature (called tactile temperature) won’t give an accurate measurement.

Use a reliable digital thermometer to confirm a fever. It’s a
fever when a child’s temperature is at or above one of these levels:

  • measured orally (in the mouth): 100°F (37.8°C)
  • measured rectally (in the bottom): 100.4°F (38°C)
  • measured in an axillary position (under the arm): 99°F (37.2°C)

But how high a fever is doesn’t tell you much about how sick your child is. A simple
cold or other viral infection can sometimes cause a rather high fever (in the 102°–104°F/38.9°–40°C
range), but this doesn’t usually mean there’s a serious problem. In fact, a serious
infection, especially in infants, might cause no fever or even a low body temperature
(below 97°F or 36.1°C).

Because fevers can rise and fall, a child might have chills as the body’s temperature
begins to rise. The child may sweat to release extra heat as the temperature starts
to drop.

Sometimes kids with a fever breathe faster than usual and may have a faster heart
rate. Call the doctor if your child has trouble breathing, is breathing faster than
normal, or is still breathing fast after the fever comes down.

Fever – Myths Versus Facts

Many parents have false beliefs (myths) about fever. They think fever will hurt their child. They worry and lose sleep when their child has a fever. This is called fever phobia. In fact, fevers are harmless and often helpful. Let these facts help you better understand fever.

MYTH. My child feels warm, so she has a fever.

FACT. Children can feel warm for a many reasons. Examples are playing hard, crying, getting out of a warm bed or hot weather. They are “giving off heat.” Their skin temperature should return to normal in about 20 minutes. About 80% of children who act sick and feel warm do have a fever. If you want to be sure, take the temperature. These are the cutoffs for fever using different types of thermometers:

  • Rectal (bottom), ear or forehead temperature: 100.4° F (38.0° C) or higher
  • Oral (mouth) temperature: 100° F (37.8° C) or higher
  • Under the arm (Armpit) temperature: 99° F (37.2° C) or higher

MYTH. All fevers are bad for children.

FACT. Fevers turn on the body’s immune system. They help the body fight infection. Normal fevers between 100° and 104° F (37.8° – 40° C) are good for sick children.

MYTH. Fevers above 104° F (40° C) are dangerous. They can cause brain damage.

FACT. Fevers with infections don’t cause brain damage. Only temperatures above 108° F (42° C) can cause brain damage. It’s very rare for the body temperature to climb this high. It only happens if the air temperature is very high. An example is a child left in a closed car during hot weather.

MYTH. Anyone can have a seizure triggered by fever.

FACT. Only 4% of children can have a seizure with fever.

MYTH. Seizures with fever are harmful.

FACT. These seizures are scary to watch, but they stop within 5 minutes. They don’t cause any permanent harm. They don’t increase the risk for speech delays, learning problems, or seizures without fever.

MYTH. All fevers need to be treated with fever medicine.

FACT. Fevers only need to be treated if they cause discomfort (makes your child feel bad). Most fevers don’t cause discomfort until they go above 102° or 103° F (39° or 39.5° C).

MYTH. Without treatment, fevers will keep going higher.

FACT. Wrong, because the brain knows when the body is too hot. Most fevers from infection don’t go above 103° or 104° F (39.5°- 40° C). They rarely go to 105° or 106° F (40.6° or 41.1° C). While these are “high” fevers, they also are harmless ones.

MYTH. With treatment, fevers should come down to normal.

FACT. With treatment, most fevers come down 2° or 3° F (1° or 1.5° C).

MYTH. If you can’t “break the fever”, the cause is serious.

FACT. Fevers that don’t come down to normal can be caused by viruses or bacteria. The response to fever medicines tells us nothing about the cause of the infection.

MYTH. Once the fever comes down with medicines, it should stay down.

FACT. It’s normal for fevers with most viral infections to last for 2 or 3 days. When the fever medicine wears off, the fever will come back. It may need to be treated again. The fever will go away and not return once the body overpowers the virus. Most often, this is day 3 or 4.

MYTH. If the fever is high, the cause is serious.

FACT. If the fever is high, the cause may or may not be serious. If your child looks very sick, the cause is more likely to be serious.

MYTH. The exact number of the temperature is very important.

FACT. How your child looks and acts is what’s important. The exact temperature number is not.

MYTH. Oral temperatures between 98.7° and 100° F (37.1° to 37.8° C) are low-grade fevers.

FACT. These temperatures are normal. The body’s normal temperature changes throughout the day. It peaks in the late afternoon and evening. A true low-grade fever is 100° F to 102° F (37.8° – 39° C) .

SUMMARY. Keep in mind that fever is fighting off your child’s infection. Fever is one of the good guys.

Seattle Children’s Urgent Care Locations

If your child’s illness or injury is life-threatening, call 911.

Last Reviewed: 04/06/2021

Last Revised: 03/11/2021

Copyright 2000-2021 Schmitt Pediatric Guidelines LLC.

High Fever – Symptoms, Causes, Treatments

Your immune system raises your body’s temperature to eliminate certain infections or to impede the growth of microorganisms that cause disease (most bacteria affecting humans flourish in normal or near normal body temperatures). While it is a natural immune response and can kill infection, high fever can be uncomfortable. Fever symptoms worsen when the body is unable to rid the body of the extra heat. Treatments are aimed at reversing the fever and helping lower the body temperature.

The most common causes of high fever are infections, such as pneumonia, meningitis, and infections of the urinary tract. In rare cases, fevers can occur without any infection as a result of arthritis, lupus, or certain gastrointestinal and vascular disorders.

Infectious causes of high fever

High fever may be caused by infections or inflammation including:

Noninfectious causes of high fever

High fever can also be caused by noninfectious conditions including:

Serious or life-threatening causes of high fever

In some cases, high fever may be a symptom of a serious or life-threatening condition that should be immediately evaluated in an emergency setting. These include:

  • Abscess

  • Appendicitis

  • Cellulitis (infection of the skin and tissues beneath the skin)

  • Encephalitis (infection or inflammation of the brain)

  • Meningitis (infection or inflammation of the sac around the brain and spinal cord)

  • Osteomyelitis (bone infection)

  • Pancreatitis

  • Pneumonia

  • Pyelonephritis (kidney infection)

  • Tissue ischemia (loss of blood flow to a limb or organ)

  • Venous thromboembolism

Questions for diagnosing the cause of high fever

In order to diagnose your condition, your doctor or licensed health care practitioner will ask you several questions related to your high fever including:

  • How long have you had a fever?

  • What other symptoms have you had?

  • How high has your fever been?

  • Are you taking any medications?

  • Have you been exposed to anyone who is sick?

  • Where do you feel your symptoms?

  • Does anything make you feel better or worse?

What are the potential complications of high fever?

The complications of high fever depend largely on how high the fever rises, the fever’s duration, and its underlying cause. In adults, a fever of 105 degrees Fahrenheit, while high, may produce no complications, while a child with a fever that high could be at risk of serious and even life-threatening complications. In most cases when fever results from infection, complications from the cause of the infection are likely to be worse than complications from the fever itself.

Since your high fever may be due to a serious illness, it is vital to seek prompt medical attention to treat the underlying condition responsible for the fever. Once the underlying cause of your fever is diagnosed, it is very important to closely follow the treatment plan you and your doctor design specifically for you to reduce the risk of potential complications including:

  • Amputation

  • Brain damage

  • Organ failure

  • Permanent disability

  • Seizures

  • Spread of infection

When Is a Fever Too High?

High-grade fevers, called hyperpyrexia, involve temperatures above 103 degrees and can be dangerous. However, when gauging a fever’s danger in yourself or your child, it’s more complicated than just looking at a number—especially in children.

For most people, most of the time, a fever isn’t dangerous in terms of causing brain damage. This may go against what you’ve been taught to fear.

It helps to know what causes a fever, what the potential complications can be, and when to call your doctor or head to the emergency room. It’s also important to know what’s different about fevers in kids versus adults.

Why You Get Fevers

Usually, fevers are actually a good thing. They’re part of the natural way the body fights off infections.

A part of the brain called the hypothalamus acts as a thermostat for your body. Most of the time, it keeps body temperatures around 98.6 degrees (37 degrees Celsius). When you get sick, though, it raises the temperature to make it hard for germs to live and multiply.

That’s all well and good, unless the fever gets so high that it could start harming you.

Causes

A lot of things can cause high fevers. Some include low-grade fevers that become high-grade, such as:

  • Viruses
  • Bacteria
  • Fungi
  • Toxins
  • Drugs

If a fever continues unchecked, or your body doesn’t respond to treatment, the fever may rise into the danger zone.

Verywell / Jiaqi Zhou

Some medical conditions that don’t involve low fevers are associated with high-grade fever. Some of these are:

  • Intracranial hemorrhage
  • Thyroid storm
  • Serotonin syndrome
  • Sepsis
  • Kawasaki syndrome
  • Neuroleptic malignant syndrome
  • Heatstroke
  • Drug overdose

Symptoms and Complications

As your fever rises, it may bring on new symptoms.

Low-grade fever (pyrexia) symptoms include:

  • Chills
  • Sweats
  • Feeling hot
  • Headache
  • Eyes that are achy or tired
  • Thirst
  • Low appetite

Early high-grade fever (hyperpyrexia) symptoms may still include those from the list above, plus:

  • Extreme sweating
  • Dizziness and light-headedness
  • Muscle cramps
  • Fatigue
  • Weakness
  • Nausea

Persistent or worsening high-grade fever can also cause:

  • Contracted (small) pupils
  • Mild confusion
  • Cool, moist, pale skin
  • Upset stomach or vomiting
  • Decreased urine or inability to urinate

Longer-lasting high-grade fever or temperatures above 106.1 F can lead to:

  • Extreme confusion
  • Hallucinations
  • Loss of consciousness
  • Shallow, rapid breathing
  • Hot, dry, red skin
  • Weak, fast heartbeat
  • Dilated (large) pupils
  • Seizures

Fevers over 106. 1 F (41.2 C) need medical attention to prevent serious, long-term consequences—including brain damage and death.

Brain Damage and Death

While high fevers, especially those that are prolonged, can lead to brain damage and death, this is extremely rare.

According to a 2016 study, heatstroke is the most deadly heat-related illness, killing 58% or more of the people it affects. Among survivors, most make full recoveries, but some may have long-term organ damage.

Organs that can be damaged by prolonged hyperpyrexia include:

  • Brain
  • Heart and cardiovascular system
  • Kidneys
  • Liver
  • Intestines

Proper treatment is the key to preventing severe complications of high-grade fevers.

Treatment

If someone has a fever but feels fine for the most part, treatment isn’t necessary. In fact, because the fever’s job is to kill infectious agents, treating a low-grade fever can interfere with the body’s efforts.

When it comes to children, a rule of thumb is that if they’re playing and have energy, there’s no immediate danger.

When fever-related symptoms are making you feel lousy or the temperature has crept up near that 103-104 F mark, an over-the-counter fever-reducing medication like Tylenol (acetaminophen) or Motrin/Advil (ibuprofen) can help you feel better.

The effects of these medications are only temporary, though. They work for 4 to 8 hours and then wear off, meaning your fever may come back and you’ll need to take more. This doesn’t mean something is wrong or that it didn’t work.

Children and teenagers should not be given aspirin for a fever due to the risk of Reye syndrome, a rare and serious illnesses that causes brain and liver damage.

Rest and plenty of liquids can help your body weather the fever (and underlying illness), as well.

Other home remedies may help, but you need to know which ones are safe and effective, and which ones are potentially harmful.

Treatment by Temperature

For most adults and older children, symptoms are a better indicator of when it’s a problem than the number on the thermometer. Still, it’s good to keep an eye on how high the fever gets.

Adults and Children 4+
Temperatures Fahrenheit Celsius
High-Grade 103 39.4
Potentially Dangerous 104 40
Get Medical Attention 106.7 and up 41.5

With children under 3 years of age, and especially with babies, it pays to be more cautious and know what the exact temperature is.

Fever in very young children can be a sign that something serious is wrong, so it shouldn’t be ignored. Your pediatrician should have an on-call number so you can get advice at any time, or, in some cases, you may want to go straight to the emergency room.

Babies and Toddlers
Temperatures by Age Fahrenheit Celsius What to Do
0-3 Months 100 oral, 100.4 rectal 37.7 oral, 38 rectal Call doctor or go to ER
3 Mo.-3 Years 102.2 39 Call doctor for advice, even after hours

Medical Care

If your fever is caused by an infection, it won’t go away until the infection is gone or at least improves. Depending on the specific pathogen, this may require medical treatment.

If your fever doesn’t go away or is accompanied by other symptoms that suggest illness, you should see a doctor.

If you rush to your doctor’s office, urgent care, or the ER for fever treatment, you can expect medications and testing to figure out what’s causing the elevated temperature.

A Word From Verywell

Adults are typically better able to determine when our symptoms are making us feel so bad that we need to seek medical treatment, but if you aren’t sure, evaluate what is going on. Learn how to check your cold and flu symptoms, evaluate a fever, and know the situations when you should see a doctor for a fever.

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90,000 Is it worth putting a child in the hospital at a temperature

Not a single child likes to get sick, and especially to be in the hospital. The first and most important signal for admitting a child to the hospital is a rise in temperature. Whether it is necessary to put the child in the hospital – the opinions of parents on this matter vary greatly. However, there are several situations in which an urgent appeal to a medical facility is necessary.

If a baby’s temperature rises accompanied by cramps, acute abdominal pain, edema, all sorts of rashes or difficulty in breathing – these are urgent signals to call an ambulance! When such symptoms appear, parents are obliged to act decisively, reinsurance in such situations cannot be superfluous!

Symptoms associated with high temperature

Symptoms associated with high temperature, at which hospitalization is necessary: ​​

Fever accompanied by vomiting.This can be both a reaction to poisoning and a response of the nervous system, it can also be a sign of meningitis.

Rash. Scarlet spots or blood rash, which are symptoms of meningococcemia, an extremely dangerous neuroinfection, deserve special attention. In such a situation, the child immediately needs medical attention.

Headache, lethargy, lethargy, drowsiness at high temperatures can be symptoms of severe infections.

Temperature is accompanied by acute abdominal pain.This could be a sign of appendicitis or volvulus. Although appendicitis is rare in babies under 3 years of age, it is still necessary to seek emergency medical attention and, if necessary, agree to be examined by a specialist in a hospital. Volvulus is most common in infants under one year old, accompanied by fever, loss of appetite (refusal to eat and drink), pallor, severe pain, vomiting with an admixture of bile, and indigestion. There is a lot of blood and mucus in the child’s stool.Hospitalization in this situation is necessary. Providing qualified assistance to a child with a similar ailment can only be in a hospital.

Should I put my child in the hospital

However, there are cases when a sharp rise in temperature in children causes the process of teething. Babies up to 2.5 – 3 years old especially suffer from this. It is accompanied by increased salivation, redness of the throat, swelling of the gums. Calling a doctor in such a situation is extremely desirable, but talking about admission to a hospital is possible only in the most difficult cases, for example, when donation is accompanied by angina.Also, the reasons for the increase in temperature in babies can be a reaction to vaccination, a viral or bacterial disease. In these cases, contacting a specialist is necessary. It is not uncommon for a fever to be caused by overheating – overly warm clothing, out of season clothing or sunstroke. Parents can help the baby in such a situation on their own.

Should I put my child in the hospital? This is a difficult decision made by parents together with specialists, but we hope that the above tips will help you make the right decision and keep you and your children healthy.

How to bring down a high temperature and whether it is necessary to do it

Photo: Vladimir Smirnov / TASS

Specialists of the City Clinical Hospital № 13 in the material of the newspaper “Evening Moscow” tell when to bring down the temperature and how to do it correctly.

Scientists conducted research using mathematical modeling and proved that high body temperature increases immunity. According to American experts, even a slight rise in temperature moves proteins into the cell nucleus and back.As a result, the immune system reacts to changes and begins to fight neoplasms, infections, viruses. Lowering the temperature activates the reverse process in the body, the movement of proteins slows down, as in a dream.

“Indeed, when the body temperature rises, the body’s defenses are activated and a significant number of bacterial and viral pathogens die, therefore it is not recommended to lower the temperature below 38.5 degrees in adult patients. With hyperthermia above 38.5 degrees, the risk of complications associated with increased temperature is already high, therefore, in this case, the tactics of lowering the temperature is justified.There are some cases when it is recommended to bring down the temperature when it rises to lower numbers (for example, 37.5 degrees): for example, in patients with febrile seizures, when even a slight rise in temperature can provoke a convulsive seizure “- says head of the advisory department of hospital No. 13 Moscow Department of Health Elena Berestovskaya .

It is extremely important to seek medical help in time to establish the correct diagnosis and select adequate therapy.

It is safest to bring down the temperature at home with ibuprofen in age-specific dosages in the absence of NSAID intolerance, but it should be remembered that by knocking down the body temperature, we do not cure the disease, but only stop the hyperthermia. Local cooling methods such as wiping with cold water are also acceptable.

The full version of the material can be read on the Vechernyaya Moskvy website.

High temperature is a risk factor for the development of various diseases

Monday,
21
September
2020

► Excessive doses of ultraviolet radiation cause sunburn, accelerate skin aging, reduce immunity, and contribute to the development of various types of skin cancer, cataracts and other eye diseases. People with fair skin and light or red hair are at greatest risk of developing skin cancer.
► In the heat, the frequency of allergic reactions sharply increases, which leads to an exacerbation of chronic diseases of the eyes, nose, respiratory tract (rhinitis, conjunctivitis, bronchial asthma, bronchitis).
► Patients with chronic respiratory disease should be doubly careful. Hypersensitivity to allergens and a weakened immune system can exacerbate bronchial asthma.
►If you suffer from bronchial asthma or other bronchopulmonary disease, visit your doctor in advance, before the onset of the heat wave, in order to adjust the anti-inflammatory drug regimen necessary for long-term control of the disease.
► Patients are advised to have a quick-acting bronchodilator with them (usually they are produced in the form of familiar inhalers).

To prevent diseases arising from exposure to ultraviolet rays, it is necessary: ​​
• limit the time spent in the midday sun, avoid open space, try to stay in the shade;
• find an opportunity not to go outside in the heat from 11 am to 4 pm;
• Protect yourself from the sun’s rays with clothing, hats, sunglasses;
• Ensure that a sufficient amount of fluid is supplied to the body;
• Provide a varied diet with plenty of vegetables and fruits;
• Use sunscreen to protect your skin when sun exposure cannot be avoided.

The highest intensity of solar ultraviolet radiation reaches from 11 am to 2 pm, at which time the greatest protection from radiation is required. Even healthy people should not abuse sun exposure to avoid heatstroke.

Central City Clinical Hospital №6

Details
Views: 51 072

12/24/2020

Nadezhda Karsakova, a pulmonologist at the city outpatient consultative department of allergology and pulmonology, Central City Clinical Hospital No. 6, told the city portal E1 how to recover from the coronavirus.

Postcoid Syndrome

– Patients come for an appointment most often one to three months after suffering COVID-19, a visit to a pulmonologist is mandatory after covid pneumonia.

Complaints are completely different. The most common are prolonged cough, shortness of breath with minimal and strong exertion. The reception was attended by athletes who have been engaged all their lives, and after the coronavirus cannot take the same loads, because they developed shortness of breath, fatigue, and weakness.

Some patients have a slight fever, up to 37.3 ° C, especially in the evenings. They often complain of migratory chest pains: it hurts in one place, then in another. There are pains in muscles and joints. One of the most common manifestations is hair loss, especially in women. Moreover, this does not happen immediately, but after some time, and then it stops.

Also, some patients complain of hearing and vision impairment. Many people say that the sense of smell is not restored for six months, patients feel some kind of individual odors.Taste sensations are also not fully restored. Some patients begin to worry about tachycardia, which was not there before. There are not many complaints about the gastrointestinal tract, but after intensive antibiotic treatment, patients have diarrhea.

Chronic diseases – cardiovascular, asthma, are aggravated, sugar rises in diabetic patients. There is a rare complaint – a certain smell, for example, of tobacco, haunts: a person himself does not smoke, but it seems to him everywhere.This is also a manifestation of the postcoid syndrome.

The complaints are very different, this is due to the action of the virus – it affects not only lung cells, but also other organs. Absolutely in every organ – in the vessels, heart, gastrointestinal tract – there are receptors, just someone has more of them, someone less. No one knows for sure yet, but scientists suspect that the damage to the body depends on the number of receptors and their damage.

Receptors accumulate in a person over the years, and the degree of their damage depends on how sick the person is, whether there is hypertension or obesity.We see that hypertensive patients, diabetics and obese people tolerate the disease worst of all, and children – like ARVI, because they still have few receptors.

Let me give you an example: recently there was a lawyer at an appointment, he complained that he could not work – he cannot remember a lot, he reacts more slowly, concentrates worse. In a large number of patients, after discharge, memory and sleep are disturbed, they have nightmares, and these symptoms persist for a month or two. This means that the nervous system is affected in these patients. We are glad that in the majority of the patients we observe, all this passes over time.

Do the symptoms need to be treated?

– It depends on the severity of the problem and on the complaints. With regard to symptoms such as sleep disturbance, memory impairment, we explain that this is a harmless manifestation of a new disease and it will definitely stop. For almost all patients, we advise non-drug treatment: to train memory, get a good sleep, fight stress.

If the consequences are more serious, we refer patients to fellow doctors of different specialties, since we can only advise on shortness of breath.Among patients, there are also those who have severe anxiety and depression, we recommend that they consult a psychotherapist.

Recovery from COVID-19

– As a pulmonologist, I recommend doing breathing exercises, because it promotes recovery from pneumonia and reduces shortness of breath. And physical exercise is also mandatory, because usually patients lose weight due to illness, their muscles decrease in volume, and therefore they feel weak.

We give a set of exercises from the recommendations of the Ministry of Health for rehabilitation after covid. There are exercises for the upper muscle group, the auxiliary respiratory muscles. We also recommend walking at a normal pace and walking up the stairs, this is necessary to restore muscle strength. The goal of breathing exercises, which we recommend performing, is to restore breathing with full lungs. There is no need to train the force of exhalation, in no case should balloons be inflated. It is necessary to take a deep breath and exhale slowly, in this case the breathing technique is trained, because patients forget how to breathe correctly.The doctor talks about all this in detail at the appointment.

Tips for those who are treated at home

– Most patients are now treated on an outpatient basis, 80% of patients with coronavirus are mild: some are asymptomatic, some with mild manifestations. If less than 20% of the lungs are affected and there are no chronic diseases, home treatment is recommended. The main task, no matter how it sounds, is to follow the doctor’s recommendations and take the prescribed therapy. You need to talk to a doctor – whether it’s a hotline, an appointment with a therapist at the site, or a doctor’s home call.Important symptoms, red flags, temperature 38.5 ° C for more than three days and shortness of breath are indications for hospitalization. In this case, it is necessary to urgently measure the saturation (the level of oxygen in the blood. – Approx. Ed. ) and read the respiratory rate.

If a high temperature persists for a long time, and you still have not been able to contact a doctor, call an ambulance. It is important for the ambulance operator to provide the data correctly. Say what your temperature is and how many days it lasts, report that you have shortness of breath, name the number of respiratory movements per minute.If you managed to measure the saturation – report it too. An ambulance arrives and provides assistance in any case. Do not forget that there are emergency rooms specifically for patients with signs of SARS, almost all therapists now take to the last patient.

In addition to the drugs prescribed by the doctor, I recommend drinking multivitamins. If the patient does not have alarming symptoms, the person recovers quickly, he only needs symptomatic therapy, bed rest and plenty of fluids. I want to draw your attention to the fact that antibiotics are used only if a bacterial infection is confirmed in a hospital, you do not need to prescribe them yourself.

In the acute period of the disease, it is not recommended to use a nebulizer (inhaler) – this will contribute to a more rapid spread of the virus into the respiratory tract. In addition, the likelihood that the people around them become infected increases. When coughing, it is better to take antitussives in the form of tablets or syrup. If the sputum is difficult to separate, thinners are used.

Such simple procedures as rinsing the nose, blowing your nose, drinking plenty of fluids, gargling, help to remove the virus from the nasal and nasopharyngeal mucosa, and reduce its concentration.This can and should be done by the patient regardless of the symptoms. It is worth rinsing your nose with saline solutions, you can find them at any pharmacy.

As for the question of antipyretics, when it is time to take them depends on how the person tolerates the temperature. If the patient is very ill at 37.5 ° C, do not tolerate it. If the patient tolerates an increase in temperature normally, then up to 38 ° C it can not be knocked down. After all, temperature is a natural process, a reaction to infection. When it is above 37 ° C, the body fights the virus.

The main thing is not to miss the sign of a cytokine storm. This is a dangerous reaction of the immune system to the coronavirus, which damages many organs – including the lungs, liver and kidneys. If the high temperature lasts more than three days and does not go astray, you need to do a CT scan and not self-medicate. If the temperature goes astray, then everything is fine.

Some patients have a low temperature for a long time after the illness – these are the characteristics of the organism. The virus affects the nervous system.The center of thermoregulation is located in the brain, and the disruption of its work due to the virus can also give rise to temperature. The analysis of the reasons for maintaining the temperature must be approached professionally.

In a number of patients with illness, the temperature rarely rises. This is their feature – it is likely that their thermoregulation center is disrupted. This is neither bad nor good, it is not scary. The person may have a milder course of the infection. It does not happen that a patient has terrible pneumonia and at the same time there is no temperature.But I want to warn you that the virus is insidious and it can cause blood clots. There is a danger even at low temperatures.

Therefore, for people at risk who are treated at home, the doctor prescribes anticoagulants (medicines that thin the blood. – Approx. Ed. ). But I strictly forbid to appoint them myself, it is unsafe for life.

Source : https://www.e1.ru/news/spool/news_id-69654046.html

90,000 Answering the most important questions about coronavirus

28.10.2020

The situation with the coronavirus in the Altai Republic remains tense. The Ministry of Health of the region explains what to do to residents with symptoms of COVID-19, where and when to go.

1. The person felt the signs of ARVI. What to do?

Stay at home first. It is necessary to notify the employer and the nearest circle of contact persons. Call a doctor at home.

With ARVI and COVID-19, the patient must comply with all anti-epidemic measures, observe bed rest, eat right, and observe an abundant drinking regime.

When the body temperature rises above 38.5 ° C, it is recommended to take antipyretic drugs. The reason for calling a doctor may be an increase in temperature from 38.5 ° C and above, persistence of a high temperature for three to five days, shortness of breath.

2. What is the difference between mild and severe forms of COVID-19?

In a mild form, the disease can proceed as ARVI.

Body temperature can rise and remain at 38-38.5 ° C. There is a cough, shortness of breath is insignificant, there is pain in the muscles, “aches”.In a mild form, the disease can last for about two weeks. In severe cases, the duration of treatment may be longer.

A severe course of COVID-19 is manifested by symptoms:

– shortness of breath;
– loss of appetite;
– confusion of consciousness;
– persistent pain or a feeling of compression in the chest;
– high body temperature from 38.5 ° C and above.

3. I was given appointments, I am being treated at home, medications do not help, my condition does not improve.Am I having complications?

If the doctor prescribed treatment, and within two or three days the condition has not improved, do not panic and call the doctor again. Because the drugs are cumulative in nature, improvement in well-being can occur on the third or fourth day. If the situation gets out of control, shortness of breath increases – this is already a reason to call the doctor again.

4. I am sick, how can I protect my family from infection?

If it is not possible to live separately from the family during the treatment, then it is necessary to live in a separate room from the household, if it is not possible – to fence off part of the room.Use separate hygiene items, dishes. Wear a mask even at home. Change the mask every two hours.

Twice a day, wet cleaning with chlorine-containing detergents, thoroughly treat bathroom / toilet surfaces with chlorine-based detergents or whiteness. Ventilate the room regularly.

5. We are sick with the whole family, temperature. We passed the test, no one comes and cannot get an appointment, what should I do?

Due to the difficult epidemiological situation, the number of home visits to the doctor has increased. The waiting time for a doctor with ARVI symptoms is on average a day.

If you notice signs of acute respiratory viral infections, it is recommended to drink plenty of fluids, take antiviral drugs, vitamin C (500 mg every six hours), control of temperature, well-being, shortness of breath.

Residents of the Altai Republic should remember that, having felt mild ARVI symptoms, it is worth staying at home for a few days and starting ARVI treatment.

6. We cannot reach the hotlines, what should I do?

Today, due to the difficult situation with the coronavirus, the number of calls has increased significantly.On average, the operators of the Gorno-Altaysk polyclinic receive about three thousand calls a day.

If you cannot get through to the city polyclinic – send a request to call a doctor at home by e-mail [email protected], indicating your full name, contact phone number, address of residence, complaints about your well-being.

Or write your data with the address of residence in the personal messages of the accounts of the Ministry of Health of the Altai Republic in the social networks Instagram, VKontakte, Odnoklassniki for communication and solution of the issue.

7. Is it possible to go to the polyclinic in case of illness?

Due to the epidemiological situation, scheduled appointments in polyclinics were canceled. Monitoring of patients with chronic diseases is carried out remotely.

Patients with mild ARVI (body temperature 37-38 ° C, satisfactory health), no contact with infected COVID-19, can receive medical care in the red zone of the clinic, or in the emergency room.

Try to get to the medical facility by personal transport.Be sure to follow all measures: wear the correct mask, keep your distance.

8. In what cases can an ambulance be called?

If the temperature is higher than 38.5 ° C for more than three days, you have a cough, chest pain, immediately call an ambulance at numbers – 103, 112.

Ambulance is an emergency service. If you have only mild signs of SARS and a low temperature, you do not need to call an ambulance.

nine.Why are not all residents with ARVI symptoms examined for coronavirus in the Altai Republic?

The coronavirus test is done according to the indications determined by the doctor. Testing for a new infection is an auxiliary method of confirming the diagnosis for the correct treatment.

The possibilities of the laboratory base of the region are limited, therefore, during the period of an increased level of morbidity, first of all, citizens are examined:

  • in whom the doctor found signs of coronavirus infection;
  • 90,227 people who have been in contact with a Covid-19 patient, if they have symptoms;

  • with a diagnosis of community-acquired pneumonia.

10. Why is it not allowed to do CT at personal request?

The presence or absence of covid can only be established by laboratory diagnostics, PCR reaction.

CT is not done for prophylaxis, it is not done for a mild course of the disease in the absence of risk factors.

Temperature <38 ° C, cough, weakness and sore throat are not indications for CT, even with positive smears for coronavirus.The detected 5-10% of lung damage will not affect the treatment tactics. And the body will receive an unreasonable dose of radiation.

The approach of doctors in treatment depends on the condition of the person: the frequency of respiration and the level of blood oxygen saturation. To assess these indicators, complex instruments are not needed – you need a pulse oximeter and a stopwatch.

This study is possible only as directed by the attending physician, in the presence of clinical indications.

eleven.How to get sick leave?

– Can they open a sick leave without a doctor’s examination?

No, the certificate of incapacity for work is opened only after the patient has been examined by a doctor.

– I have been ill for several days, but the doctor has not come yet. From what date will the sick leave be opened?

The hospital will be opened from the date of registration of the appeal to the medical organization. It is important to have a confirmed examination of the patient. An alternative to examining the patient by a medical officer of the clinic can be a signal sheet from an ambulance, or a visit to a private clinic.

– What if I can’t get through to the reception and call a doctor at home?

If a person does not get through to the reception or call center, then he has the opportunity to come to the clinic in person. There are filters everywhere for

feverish patients. There, the patient will be examined, prescribed treatment and, if necessary, a certificate of incapacity for work will be opened.

– I tested positive for covid. How to open a sick leave?

If the patient has a positive result for covid in his hands, then the sick leave will be open from the date specified in the decree from Rospotrebnadzor.The waiting time for the result will not be included in the sick leave.

Contact information:

General Issues – Ministry of Health of the Altai Republic – 89136910220

Determination of the circle of “contacts” – Center for Hygiene and Epidemiology in the RA – 83882264650

Issuance and delivery of a decree on self-isolation – Rospotrebnadzor Administration for the Altai Republic – 83882264384, 83882282264302, 8388382264302

Outpatient treatment and follow-up of patients with a confirmed diagnosis of COVID-19 – outpatient service of the hospital of the Republican Hospital – 89830520290, 83882249175

Calling a doctor at home, prescribing outpatient treatment, issuing a sick leave – outpatient clinic of the Republican Hospital in Gorno-Altaysk 922000 polyclinics of district hospitals:

Mayminsky district hospital – 83884422596 (for adults), 83884421197 (for children)

Shebalinsky district hospital – 83884921375, 89133257590

Chemal district hospital – 8383841230192 Gudai regional hospital – 83884522597

Ust-Kansk regional hospital – 83884722131

Ust-Koksinsky regional hospital – 83884822141, 89136991616

Ulagan regional hospital Koshtha 934000 – Ak 83884622910

Choi district hospital – 83884022125

Turochak regional hospital – 83884322542.

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Hits: 1186 90 000 How does an ambulance

work

Important to know! How does ambulance work!

Specialists of the Station of Ambulance and Emergency Medical Aid. A.S. Puchkova are always ready to help in word and deed. However, it is important to know in which cases it will be correct to call an ambulance, and in which situations you can cope on your own.

The most common situations when an ambulance is called are associated with a high fever during colds and flu. It should be noted that the temperature is different. So, everything that is not higher than 39-40 degrees, can often be cured on its own and, in general, is a normal protective reaction of the body to the presence of viruses in it and passes in 2-3 days. This is the case when the local doctor of your polyclinic will always help, and before his visit you can apply a fairly simple and well-known therapy at home.The rest (higher temperature and a long period of exacerbation) is a good reason to call a team of doctors (paramedic) at home.

If we are talking about an acute pathology, about a sudden illness, a sharp deterioration in the condition of a chronic patient, about a serious injury, , of course, you should immediately call 103. No There is no need to contact emergency medicine specialists, as this is not their prerogative.

The fact is that the ambulance teams are not entitled to prescribe systemic treatment and drugs for regular use (for example, for hypertension, etc.), leave any certificates and write prescriptions. In chronic diseases, it is important to constantly monitor patients, the ability to assess their condition in dynamics, if necessary, to correct therapy (replacement of the drug or its dosage). If there are no indications for inpatient treatment, then it is necessary for the patient to be observed by a local doctor or specialist doctors of the district polyclinic. An ambulance can provide only one-time (emergency) assistance. This is not always correct for the patient. Therefore, you do not need to unnecessarily expose your body to the effects of potent drugs unnecessarily. As a rule, these are exactly what the ambulance workers use, since they are not faced with the task of long-term systemic treatment.

Often, ambulance workers, after making a call, leave the so-called “asset in the clinic,” that is, they call the district or duty doctor from the district clinic to the patient.But you can do this yourself, without forcing the brigade to go to the patient only in order to then call and call the district police officer for him. The doctor from the clinic will come both on weekends and on holidays. It should be noted that the doctor from the clinic comes to the place where the patient is actually located, regardless of where he is registered and to which clinic he is attached, whether the patient has an insurance policy or not – the doctor will come to the house in any case.

In case of a minor injury that is not associated with a threat to life, you should contact the emergency room at your place of residence on your own – they will provide full assistance and prescribe further treatment.If the trauma center doctor finds it necessary to carry out further treatment in the hospital, he will write out a referral and call the team himself to transport the patient to the hospital.

The Station has 90,087 emergency departments for children and adults, operating around the clock to provide assistance to the population in connection with diseases that do not require emergency hospitalization (for example, fever, cough, runny nose, headache, etc.). The call is attended by a qualified doctor (pediatrician or therapist) who can provide emergency medical care at home and give recommendations.In cases where the doctor suspects a disease requiring inpatient treatment, he will give a referral or call an ambulance for medical evacuation of the patient.

Regional State Budgetary Healthcare Institution “Dalnegorsk Central City Hospital”

Home / Our services / The procedure for referring to the hospital

The procedure for referring to the KGBUZ “DTSGB”

Organization of admission to the outpatient clinic provides:

– extraordinary provision of outpatient care for emergency indications without an appointment;

– the presence of a sequence of planned patients for an appointment with a doctor, separate diagnostic tests, expert advice;

– reception of patients by appointment, including by telephone and self-registration.

Patients go to city adults, children, dental clinics, antenatal clinics, outpatient clinics in accordance with the compulsory medical insurance policy. Patients, parents of children or their legal representatives have the right to choose a clinic and a doctor to receive medical care, subject to the consent of this doctor.

In case of injuries, primary health care is provided in the central polyclinic or admission department at the KGBUZ “Dalnegorsk Central City Hospital”.

Reception of patients in polyclinics is carried out upon presentation of an insurance policy or a referral from a departmental organization (police, military enlistment office, drug control, etc.)etc.), passports. The organization of reception in polyclinics provides a convenient and uninterrupted work schedule during the working day for the reception, district therapists, pediatricians or general practitioners and specialists of narrow specialization.

Reception of patients by doctors is carried out by appointment in the registry of the clinic on the day of treatment. The patient is served in the registry on a first come, first served basis, with the exception of war veterans, family members of the dead (deceased) war invalids, participants in the Great Patriotic War and war veterans, participants in the liquidation of the consequences of the disaster at the Chernobyl nuclear power plant, citizens who have received or have suffered radiation sickness, others diseases, and invalids due to the Chernobyl disaster, pregnant women, patients with high fever, acute pain of any localization.

For emergency indications, medical care in outpatient clinics is provided from the moment the patient applies.

If the patient is unable to visit the clinic by the nature and severity of the disease (acute and sudden deterioration in health conditions requiring bed rest, high fever, conditions that threaten others, severe chronic diseases if the patient is unable to move, diseases in young children, etc.) , medical care is provided at home.Calling a local doctor is carried out by phone or with direct contact of relatives to the registry of the polyclinic.

Priority for the provision of municipal budgetary services

An appointment with a doctor is carried out during his working hours on a first-come, first-served basis, or by appointment, or by coupons.

Out of turn serviced:

– participants of the Great Patriotic War and groups equated to them;

– family members of the fallen (deceased) war invalids, participants in the Great Patriotic War and war veterans, participants in the liquidation of the consequences of the disaster at the Chernobyl nuclear power plant;

– citizens from special risk units, citizens who have received or have suffered radiation sickness and other diseases associated with radiation exposure due to the Chernobyl disaster or with work to eliminate the consequences of the disaster at the Chernobyl nuclear power plant, people with disabilities as a result of the Chernobyl disaster, participants in the work on eliminating the consequences of the Chernobyl disaster , citizens evacuated from the exclusion zone and resettled from the resettlement zone.

It is allowed to have a queue when conducting planned diagnostic and laboratory tests, scheduled consultations of specialists, waiting times for an appointment – no more than 20 minutes from the assigned patient, except for cases when the doctor is involved in providing emergency assistance to another patient, about which patients are waiting for an appointment, must be informed by the staff of the outpatient clinic.