AAP News Vol. 13 No. 7 July 1997, p. 2
© 1997 American Academy of Pediatrics
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Coughed-up blood

Stefanie Dell' Aringa

A simple set of "telephone triage" questions can help physicians determine whether a child coughing up blood should be taken to the emergency room or treated in the pediatric office, according to a Florida researcher.

Parents or caregivers should be asked:

Is the child having trouble breathing? "Yes" directs to the ER.

• Has the child lost "a lot" or "a little" blood? "A lot" directs to the ER.

• Has the child fainted or experienced dizziness? "Yes" directs to the ER.

• Is the source of the blood unknown? "ess"directs to the ER.

Once the child can be evaluated in person, the pediatrician first should determine the cause of bleeding.