3/4: At Casualty

What should we expect?

When you arrive, first you will be seen by a nurse who will ask you some questions. This is to find out how serious your child's condition is and to make sure the most seriously ill or injured can be seen and treated as soon as possible.

If your child is not as seriously ill, you will have to wait to see a casualty doctor. Accident and Emergency departments can be very busy, so try to be patient. In the waiting area you should find a separate play area for children and pay phones are always nearby.

What will the casualty doctor do?

When your turn is called the casualty doctor will ask you about the problem and examine your child. You should be able to stay with your child at all times so try to reassure her and, where you can, explain what is going on. If the doctor decides to do some tests such as X-rays or a blood test, you may need to wait again for the results.

The doctor will then talk to you about any treatment your child may need and the options available. If your child needs stitches, dressings, medicines or a plaster she should normally be able to go home after she has been treated. If the doctor thinks she needs to stay in hospital, she should be given a bed as soon as possible and usually no later than two hours after you have seen the doctor.

What do I say to my child?

This depends a lot on the age of your child. Obviously a teenager can cope with, and will probably expect as full an explanation as you can give, whereas a 5 year old needs it to be kept simple and straightforward. In any event it is best to be as truthful as possible, and try to involve your child as much as you can. Simple things like asking her which arm she prefers to have an injection in, or how she would like to take her medicine, can make her feel more comfortable and in control.

What should I know before we go home?

Before you go home make sure you are happy with any advice and instructions you have been given. By now both you and your child will quite naturally feel tired and drained, so it is even more important to understand exactly how to give any medicine, when to give it and for how long, You need to know what to do if the problem comes back or gets worse (if appropriate) and whether or not you need a follow-up appointment.

If you are not sure about anything, please ask. Remember, casualty staff are trained to deal with all kinds of emergency situations and most will be more than happy to help.

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