Pediatric ER in Dulles, Virginia

At StoneSprings Hospital, we provide specialized emergency care for the children in Loudoun County through our pediatric emergency room, open 24 hours a day. If needed, we can provided continuing pediatric care for children in our facility following an ER visit. Our pediatric ER features:

  • Board-certified, pediatric emergency medicine physicians and pediatricians
  • Five dedicated pediatric rooms
  • Access to pediatric subspecialists and nurses trained in caring for children
  • Pediatric medication management system
  • Advanced technology specifically designed for children and young adults
  • Themed rooms, soothing music and larger rooms so parents and loved ones can be with their children
  • Separate pediatric waiting area
  • In-room entertainment
  • Free Wi-Fi
Visit our website or text ‘ER’ to 32222 to find out the HCA ER wait times closest to you (message and data rates may apply).
If you are unsure if you should bring your child to the ER or wait for your primary care physician’s office to open, please contact one of our nurses, available 24/7, at (855) 226-7344.

When to bring your child to the ER

One of the hardest and scariest decisions that a parent faces is deciding when their child’s condition is bad enough to warrant a visit to the pediatric emergency room. The following are some signs and symptoms that may indicate you should seek emergency care for your child.

Abdominal pain

Most children experience abdominal pain at some point. Often, it is a simple reaction to food or activity. It could also be a symptom of the stomach flu or food poisoning. Although, in certain cases, abdominal pain may be an indicator to a larger issue. It can be hard to recognize when your child’s abdominal pain is severe enough to require an ER visit. If your child has the following symptoms, emergency care may be necessary:

  • The child is inconsolable
  • Pain is severe and unrelenting
  • The abdomen is tender to the touch or pain radiates to your child’s back
  • Recent injury to the stomach
  • High-risk child, one who has a condition such as diabetes, sickle cell disease or recent abdominal surgery
  • 2 years old and younger
  • Fever over 104 degrees Fahrenheit or 40 degrees Celsius
  • They have stomach pain, plus any of the following symptoms:
    • Fever
    • Repeated vomiting
    • Significant or bloody diarrhea
    • The child is difficult to rouse and has no interest in eating or drinking
    • Seizures or fainting
    • Distended abdomen

When to call 911 for your child’s abdominal pain:

  • Not moving or too weak to stand
  • You think your child has a life-threatening emergency
  • Actively vomiting blood

Bites

Animal or insect bites may be minor or require emergency treatment, depending on what type of animal or insect bit your child. If your child is bitten by a dog, cat, pet, wildlife or another child, you may need to seek emergency care in the following situations:

  • Bites in the hand, face or joints
  • Rabies or tetanus risk
  • Viral transmission risk
  • Cat or dog bites/scratches, due to risk of infection

Bites from snakes, spiders and insects may require emergency care if your child is displaying these signs:

  • Snake bite: Seek emergency treatment unless you are 100 percent certain the snake is not poisonous. Take note of the snake’s appearance, if possible, and be prepared to describe it to the emergency staff.
  • Spider bite:
    • Severe pain at the bite location or anywhere else in the body
    • Redness and warmth surrounding the bite
    • Severe cramping
    • Drainage from the bite
    • Vomiting
  • Bee or wasp stings: Seek emergency care if your child is displaying signs of a severe allergic reaction, including:
    • Difficulty breathing or tightness in the throat
    • Nausea or vomiting
    • Dizziness or fainting
    • Swelling in the face
    • Hives or swelling all over the body
    • Fever and bite looks infected, spreading redness

When to call 911 if your child is bitten:

  • Past life-threatening allergic reaction to same insect bite
  • Trouble breathing or wheezing
  • Hoarse voice, cough or tightness in the throat or chest
  • Trouble swallowing, drooling or slurred speech
  • Hard to wake up
  • Acts or talks confused
  • You think your child is having a life-threatening emergency

Changes in breathing

If your child has stopped breathing and is not responsive, immediately begin CPR and call 911. If your child is having a hard time breathing or you notice abnormal behaviors or actions, you may need to seek emergency care. Visit the ER if you notice the following symptoms:

  • Breathing that is faster than normal
  • Breathing harder than usual without exertion
  • Chest and abdomen look like a see-saw
  • Bluish hue to the lips or skin
  • Persistent barking cough or wheezing
  • High-pitched squeaky sound in the upper airway

Pneumonia is a common lung infection that can be life-threatening. Visit the ER immediately if your child:

  • Flares the nostrils when breathing
  • Has retractions( Working too hard to breath shown in areas below the ribs, between the ribs and in the neck sinking in with each attempt to inhale)

If your child has asthma, visit the ER immediately if they are experiencing:

  • Constant wheezing
  • Repeated severe flare-up symptoms that are not relieved with rescue or fast-acting medicine
  • Blue or gray lips and fingernails
  • Difficulty talking
  • Retractions
  • A peak flow reading below 50 percent and does not improve after using medicine

Cough or sore throat

If your child’s cough or sore throat is accompanied by any of the following symptoms below, or if their immune system is compromised due to an existing condition, you may need to seek emergency care.

  • Difficulty breathing
  • Shortness of breath
  • High fever
    • Higher than 100.4 degrees Fahrenheit for children 3 months old and younger
    • Higher than 102.2 degrees Fahrenheit for children 3 months old and older
  • Coughing up blood
  • Inability to swallow
  • Muffled voice
  • Inability to open his or her mouth all the way
  • Significant swelling on one side of the throat

Cuts or injury

If your child’s cut or laceration is severe, emergency care may be needed:

  • If the cut does not stop bleeding after applying pressure for 10 to 15 minutes
  • If the cut is on your child’s face, emergency care may be necessary

Dehydration

If your child’s body does not have enough fluids to function properly, they may be experiencing dehydration. Dehydration can cause significant damage to your child. Signs of dehydration include:

  • A decrease in weight
  • Lethargy
  • Lack of body fluid, such as dry mouth, decreased urine, sunken eyes and/or no tears when crying
  • Pale skin
  • Rapid heartbeat

Fever

For newborns and infants 3 months old and younger, visit the pediatric ER if your child’s temperature is above 100.4 degrees Fahrenheit. You should also seek emergency care if your baby’s fever is accompanied by any of the following symptoms:

  • Difficulty waking up to be fed
  • Difficulty breathing
  • Rash
  • Vomiting
  • Inconsolable or non-stop crying

For babies and toddlers between 3 months and 3 years old, visit the pediatric ER if your child’s temperature is above 102.2 degrees Fahrenheit, or if your child id displaying these symptoms:

  • Difficulty waking up
  • Not urinating
  • Unable to keep fluids down
  • Inconsolable
  • Not up to date on immunizations
  • Difficulty breathing
  • Rash

If your child is 3 years old or older, visit the ER if his or her temperature is over 102 degrees Fahrenheit for two or more days. Seek emergency care if your child's fever is accompanied by any of the following symptoms:

  • Abdominal pain
  • Difficulty breathing or swallowing
  • Unable to keep fluids down
  • Burning during urination or not urinating
  • Rash
  • Stiff neck
  • Difficulty waking up
  • Not up to date on immunizations

Ingestion of nonfood items

If your child eats or drinks something they are not supposed to, it can be alarming. Be sure to take the item away from your child. Do not try to make them vomit, as this may cause more damage. If your child shows minimal symptoms, call the poison center at 1-800-222-1222.

If your child is experiencing severe symptoms, dial 911 if your child’s ingestion is accompanied by any of the following symptoms:

  • Your child does not look good
  • Loses consciousness
  • Experiencing seizures or convulsions

Rash

If your child’s rash is more serious, you may need to seek emergency care. Take your child to the ER if the rash is accompanied by:

  • Shortness of breath
  • Skin peeling away or blisters in the mouth
  • Swelling or tightness in the throat
  • Areas of tenderness
  • Fever
  • Joint pain
  • Headache
  • Streaks of red
  • Abnormal bleeding or bruises under the rash

Sports injuries

If your child sustains a serious sports injury while playing a sport, seek emergency care if:

  • Your child is 4 years old or younger and cannot use the arm or bear weight on the leg that was injured
  • The limb that was injured looks misshapen or bone is protruding from the skin

Concussions are a significant concern for sports injuries, and they require specialized care. Seek emergency care if your child’s injury is accompanied by:

  • Loss of consciousness
  • Change in level of consciousness, such as asking repetitive questions or has memory loss
  • Vomiting more than once
  • Fever
  • Abdominal pain
  • Neck pain
  • Difficulty breathing

Vomiting and/or diarrhea

Seek emergency care for your child if they are experiencing a fever, vomiting and any of the following:

  • The child is 3 months old or younger
  • Repetitive vomiting
  • Not urinating or wetting diapers
  • Lethargic
  • Inconsolable
  • Vomiting toddler or child with a fever higher than:
    • 100.4 degrees Fahrenheit for children 3 months old and younger
    • 102.2 degrees Fahrenheit for children 3 months old and older

Seek emergency care for your child if they are experiencing a fever, diarrhea and any of the following:

  • Blood in diarrhea
  • Dry mouth
  • Sunken eyes
  • Not urinating or wetting diapers
  • Lethargic
  • Inconsolable
  • High fever