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After Hours Calls

When to Contact a Doctor After Office Hours

At Montgomery Pediatrics, your child’s safety is our top priority. If your child is having a true emergency, call 911 before contacting the on-call doctor. If you’re unsure whether it’s an emergency, it’s appropriate to call the on-call doctor for guidance. However, for non-urgent concerns that don’t require immediate attention, please wait to call during regular office hours, as we can’t provide treatment or prescriptions over the phone without an exam.We’re always here to support you in making the best decisions for your child’s health. Don’t hesitate to reach out when you need guidance or reassurance.

A Note On Fever

Infants younger than 3 months (12 weeks)

Fever of 100.4*F or higher – Call the doctor immediately

Children 3-24 months of age

Fever of 100.4*F or higher for 24 hours – Call the doctor immediately

If your child looks very ill, is not responding to your voice, is extremely sleepy or difficult to wake up – Call the doctor immediately

Children 2 years and older

Fever of 100.4*F or higher for 72 hours (3 days) – Call the doctor during office hours

If your child looks very ill, is not responding to your voice, is extremely sleepy or difficult to wake up – Call the doctor immediately

Please see the tab on our website under “Resources” titled “Dosages” for appropriate dose per weight of Tylenol and Motrin

Please know that the doctor on call will NOT call-in antibiotics over the phone.

The following are situations in which a call to 911/ immediate ER evaluation would be recommended.

Medical health

Rhythmical, repeated jerking and loss of consciousness

– Unconsciousness

– A serious injury from a fall or other type of accident – especially head injuries that involve loss of consciousness, confusion, worsening headache, or multiple episodes of vomiting.

– Gaping wounds – if the edges of a cut do not meet, your child will likely need stitches as soon as possible

– Bleeding that does not stop with pressure applied after 20 minutes or bleeding that cannot be controlled.

– Skin or lips that look blue, purple, or gray.

– Persistent and worsening abdominal pain.

– Trouble with breathing: breathing quickly, using neck and belly muscles to help them breathe, flaring their nostrils.

– Very loose or knocked out permanent teeth, or other major mouth or facial injuries. If the injury involves teeth we recommend you call your dentist to determine if an ER visit is warranted.

– Repeated vomiting with inability to even keep a small sip of water every 15 minutes down, or if the child does not urinate after 8 hours.

– Fever greater than 100.4 rectally in a child less than 2 months of age.

– Suspected or known allergic food ingestion with symptoms (tingling of throat and/or tongue, difficulty breathing, worsening abdominal pain, vomiting, rash, swelling to face, hands, or feet). If this occurs, give your child their Epi-Pen and call 911 immediately after it is administered.

Schedule Your Visit Today

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Montgomery Pediatrics is here to support your child’s health from infancy through adolescence.
Visit our Patient Portal to book your appointment and take the first step toward exceptional care.

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