The only reason to go to the ER before contacting us is for a child with severe breathing difficulty, a child who is non responsive, or a child who is victim of a severe accident or trauma. Infants who are 6 weeks or under need to be seen in the ER for fever as well – but parents should call ahead to let the ER know that they are coming in for a workup. Otherwise call your doctor first to discuss the situation – there are many situations that can be managed by phone or Telemedicine appointments.