Warning Signs
<p>Symptoms at the time of evaluation, including toxic appearance, lethargy, unexplained recurrent vomiting, or respiratory distress.</p>
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<p class="bulletIndent1">Significant physiologic compromise during the event, based on a detailed description by the caretaker. Concerning symptoms include generalized sustained cyanosis or loss of consciousness, and/or need for resuscitation by a trained CPR provider (more than just stimulation).</p>
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<p class="bulletIndent1">Bruising or any other evidence of trauma.</p>
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<p class="bulletIndent1">History of prior events in this patient, especially within the past 24 hours, or clusters of events.</p>
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<p class="bulletIndent1">History of clinically significant events or unexpected death in a sibling.</p>
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<p class="bulletIndent1">History that raises suspicion for the possibility of child maltreatment, such as an inconsistent description of the event, prior report for child maltreatment in the family, or a description that is inconsistent with the child's developmental stage.</p>
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<p class="bulletIndent1">Dysmorphic features, congenital anomalies, and/or known syndrome.</p>