What is happening?

What to do

1. Hard to wake, breathing difficulty, blue lips or first seizure: emergency help now.
2. Stiff neck or rash that does not fade under pressure: emergency help now.
3. Grunting or chest pulling in, grey/pale skin or lips, abnormal response or light sensitivity: emergency help now.
4. Under 3 months: 38 °C or higher. At 3–6 months: 39 °C or higher. Urgent assessment, also for suspected fever.
5. Use a digital armpit thermometer as instructed. Do not delay help.
6. Awake and swallowing safely: offer fluids or breastfeeding. Check regularly, including at night.
7. Unresponsive with abnormal breathing: follow the dispatcher and open child CPR.
8. Urgent advice for refusing feeds, unusual behaviour, fewer wet nappies or fever lasting 5 days. Seek advice if worried even below those temperatures.