This guideline is an update of the 2007 version. There is nothing mind-boggling here, but it's worth printing out a new version of the 'traffic-light' sheet.
They have handy 'parent information sheets' that you can print out too. The sections on 'Caring for your child at home' and 'Seeking further advice' are useful for safety-netting.
So what's changed? I've summarised the most important changes or things that haven't changed but are good to remember:
• Tachycardia has been defined and age specific ranges given (see the new 'traffic-light sheet' (new).
• Duration of fever shouldn't be used as a risk factor, but remember Kawasaki disease if they've had fever for over 5 days (new).
• Remote Assessment. If you are assessing a child over the phone, any red features should prompt a face to face review within 2 hrs (not new).
• Antipyretics. The advice before was 'only 1 at a time'. Did anyone do this? Anyway, they've now advised that parents can add in the second agent if the first alone isn't controlling symptoms (new).
• Red Features. This is stated as being for secondary care, but probably applies to us too. If you have a child with 'red features' and give them antipyretics, don't judge severity of illness by a fall in temperature, or by the lack of a fall. All these kids need a full reassessment regardless (new).