Bristol Post

A&E Busiest time ever for staff at children’s hospital

- Emma GRIMSHAW emma.grimshaw@reachplc.com

BRISTOL Children’s Hospital’s A&E has seen a record-breaking number of patients this month as the number of kids experienci­ng mild fevers soars.

Emergency department­s across the country are being flooded with children with often mild fevers, creating a “winter in June” for the NHS, it’s being warned.

And experts are warning this influx is putting ‘patient safety at risk.’

Three royal colleges have joined forces to issue new guidance for parents worried about fevers, after seeing a large rise in the numbers seeking emergency help for conditions that are not Covid.

Dr Dan Magnus, consultant in paediatric emergency medicine at the Bristol Children’s Hospital, said: “We had an incredibly busy week last week - in fact on Monday we set a new record for the number of children seen in 24hrs in our department ever, and that’s in the middle of summer.

“We are effectivel­y running a winter-level ED (emergency department) response in the summertime.”

As lockdown eases, more children are mixing and coming into contact with viruses that are usually seen in the winter months.

These include a range of respirator­y infections, bronchioli­tis, paraflu and rhinovirus, all of which produce symptoms of cough, runny nose and fever.

The Royal College of Paediatric­s and Child Health (RCPCH) said the conditions are usually mild, but it has heard from paediatric emergency medicine doctors around the country describing pressures on their department­s from an increase in children being brought in by anxious parents.

It said many parents have not seen fever in their child - particular­ly if they were born during lockdown - and are taking them to A&E rather than seeking help at pharmacies, their GP, NHS 111 or online.

Dr Camilla Kingdon, president of the RCPCH, said: “Many emergency department­s are currently overwhelme­d and there has been a particular­ly steep rise in the number of young children presenting.

“Some have seen the highest ever numbers of children in their department and waiting times can be huge.

“The biggest increase we’re seeing is in children with mild fever. Fevers are very common in young children and usually aren’t serious.

“But many parents haven’t seen fever in their child before and are worried, particular­ly if they don’t have their usual sources of support to turn to, such as parent groups.”

One emergency paediatric­ian described the situation as “winter in June”, with data from four hospitals showing May attendance­s for those aged 15 and under rose from 15,954 in 2018 to 23,661 this year.

The RCPCH, the Royal College of Emergency Medicine (RCEM) and the Royal College of GPs have issued advice on how parents can treat children with mild fever and when to seek help.

They say that, for most children, treatment with children’s paracetamo­l or ibuprofen (but not both at the same time) is usually enough to reduce the fever and the child will start to feel better after a few days.

Parents should also ensure children stay hydrated by drinking clear fluids like water or squash. Those who are concerned about fever in their child should call their GP practice or 111 outside of normal hours, or seek advice from a pharmacist.

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