Fever in Infants less than 90 days – Unstable
From Guide to YKHC Medical Practices
Infants with fevers 100.4° or greater are at risk for sepsis and meningitis. Any infant with fever who appears ill, i.e. is irritable, lethargic, tachycardic, tachypneic, vomiting or has a rash needs to be medevaced to Bethel ASAP.
- Give IM ceftriaxone at 100mg/kg in the village while awaiting a medevac.
- If patient in SRC, obtain blood culture prior to Ceftriaxone. Have the blood culture sent in with the patient.
- Please consult peds on call for any questions or assistance in managing these patients.
See YKHC Fever - Infants 0-90 days YKHC Clinical Guideline and Fever <90 days YKHC Wiki Page
Emergency RMT Scenarios and Responses