• Breathing & Effort: Breathing that stops or pauses for 10 seconds or more; breathing very fast; or significant
  struggle (severe sucking in under the ribs, head 'bobbing', or a grunting noise with every breath).
• Colour: Looks pale, blue, mottled, or feels unusually cold to touch.
• Responsiveness: Very difficult to wake, unusually confused, or won't wake for feeds.
• Headache: Sudden, severe "thunderclap" headache; a headache with a very stiff neck, constant vomiting, or
  bright lights hurting their eyes.
• Fever: Over 38°C in a child under 3 months old.
• Rash: A rash that does not fade under pressure (the glass test).
• Tummy & Dehydration: Severe/constant tummy pain, greenish vomit, or no urine passed for 12 hours.

• Headache: Waking the child from sleep; worse in the morning or when lying down; or associated with change in
  vision/balance.
• Breathing: Breathing a little faster than normal or mild increased work of breathing (mild 'tugging' at the ribs).
• Hydration & Illness: Drinking less than 50% of normal fluids or no urine for 8 hours.
• Vomiting & Diarrhoea: Persistent vomiting (unable to keep fluids down), more than 5 vomits in 24 hours, or
  more than 10 watery stools in 24 hours.
• Dehydration Signs: Sunken eyes, dry mouth, or a sunken 'soft spot' on the head.
• Fever: A temperature lasting for 5 days or more.
• Concern: You feel they are significantly less well than when you last sought advice.

If your child is alert, smiling, and staying hydrated:

• Fluids: Small, frequent sips. Continue breast or formula feeds. Avoid fruit juice/fizzy drinks.
• Comfort: Use paracetamol if they are distressed or in pain.
• Environment: Keep them away from tobacco smoke and monitor them through the night.