When to Go to the ER if Your Child Has Asthma

Making ER Trips Less Stressful

Planning can make trips to the ER less stressful for you and your child. Here are some tips to try:

• Know the location of your closest ER. If there's a children's hospital ER nearby, go there and have the address and phone number readily accessible (written on the asthma action plan, for instance).
• If you have other kids, try to make arrangements with a relative or other caregiver who can take them in an emergency situation. But don't let the lack of a babysitter delay your trip to the ER. Someone can always come to the hospital later to pick up your other children.
• Take a copy of your child's asthma action plan or a note with the names and dosages of any medications your child takes to share with the medical staff at the ER.

Following the Asthma Action Plan

Well-managed asthma is rarely life threatening. People who have died from asthma usually haven't taken their medications as prescribed and have a history of repeated severe asthma flare-ups and emergency care.

If you and your child take asthma seriously and work to manage it, you can reduce the chances that your child will need to go to the ER.

It's important to monitor your child's asthma using the written asthma action plan your doctor helps you create. This plan will outline day-to-day treatment, symptoms to watch for, and step-by-step instructions to follow during a flare-up.

Some key points of a plan are:

Avoid Triggers

The doctor can help you identify the triggers that might cause asthma flare-ups, such as tobacco smoke, animals, dust mites, mold, pollen, perfumes, aspirin, weather change, cold air, exercise, and respiratory infections.

Take the Controller Medications

Your child should take controller medications as prescribed by the doctor, even when feeling fine. Skipping doses can cause the lungs to become more inflamed, which can lead to a decrease in lung function. (This can happen without your child even experiencing any symptoms.) It also increases the risk of more frequent and severe flare-ups.

Keep Rescue Medications On Hand

Many kids go to the ER simply because they didn't have their rescue medications handy. Your child should have rescue medication accessible at all times. This includes making arrangements to keep the medications at school with the nurse, at sporting events meets, and while traveling.

Be Partners in Asthma Management

As soon as your child is old enough, make sure he or she understands the asthma action plan and the importance of following it. Some kids with asthma, especially teens, resist taking controller medications and rely instead on their rescue medications to help them on an as-needed basis. This is never a good idea and will increase your child's chances of needing emergency care.

The chances of a serious asthma flare-up can be reduced if both parent and child understand and follow the action plan. Remember to call your doctor even during early flare-ups or if you have questions about your action plan.

Reviewed by: Nicole A. Green, MD
Date reviewed: May 2013