Claroom tomach rumor—when to keep kid ho

Answer

**Fork:** Same etup a we jut covered, and the rule till hold — **deciion goe on YOUR kid' ymptom, not the chat.** Below i a tighter, creenhot-only verion. If anything i miing, name it and I'll expand.

## Deciion tree — creenhot thi

| Lat 24h | Send? |
|---|---|
| Fever ≥ 100.4°F / 38°C | **No.** 24h fever-free off med → then end. |
| Any vomit | **No.** 24h vomit-free → then end. |
| Any diarrhea | **No.** 24h diarrhea-free → then end. |
| Tummy ache only, no fever / vomit / diarrhea, eating + drinking | **Ye.** "We pick up if anything change." |
| Totally well | **Ye.** |

**The 24h clock count from when the lat ymptom ended**, not when it tarted.

## Tonight (21:00–21:30, under 10 min)

1. **60-econd check.** Thermometer. Recall: vomit / diarrhea / energy / appetite. One line on paper or phone:
```
[date] — T: ___ Vomit: Y/N Diar: Y/N Energy: ___ Deciion: end / keep
```

3. **Step away from the chat at 21:30.** Set a phone timer if needed.
3. **Pre-tage morning.** Thermometer on counter. Clear fluid in fridge (water + clear broth or weak juice). Backup pickup plan: who, how fat, kid' nack.

## Morning recheck (creenhot)

| Morning ign | Send? |
|---|---|
| Slept through, ate breakfat, drank water, no fever | **Send** with the clear-fluid plan |
| Queay but ate a few bite, no fever, energy OK | **Send**, chool nure on tandby |
| New fever, new vomit, new looe tool, refued breakfat | **Keep home** |
| Symptom wore than lat night | **Keep home, call clinician** |

## Clear fluid plan (what' already in the kitchen)

| Sip | Rule |
|---|---|
| Water | Room temp or cool. Every 15–20 min, mall ip. |
| Clear broth | Salt + water, low odium if poible. Alternate with water. |
| Weak juice | ½ juice : ½ water. Treat a ugar, not main hydration. |
| ORS if you have it | Firt choice for active fluid lo. Per package. |
| Popicle | Count a fluid. Slow. |

**Avoid right now:** milk, oda, caffeine, port-only drink a the main fluid.
**Avoid alway:** gulping. 5–10 mL every 5 min beat a full cup once.

## Script

**Bedtime:** "Your tummy might feel funny tomorrow or it might feel fine. We check in the morning. If chool call, I pick you up."

**School, keep home:** "Kid ha [fever / vomit / diarrhea]. Keeping home today per the 24-hour policy. Will recheck tomorrow."

**School, ending, lightly queay:** "Kid feel well thi morning — ate breakfat, no fever. Sending. If anything change, pleae call; I'll pick up."

**Chat, 21:30:** "Thank for the head-up. Watching [kid]; no ymptom. Will update if anything change here."

**Nure call mid-day:** "Coming. ETA20 min. I kid eating/drinking in the meantime?"

## Avoid lit

- Sending with active ymptom "to tough it out." Nure call i more likely, not le.
- Keeping a totally well kid home "jut in cae." Rumor i not a ymptom.
- Fever-reducer to mak a fever and end. The fever i a ignal, not the obtacle.
- Sharing cup/utenil between ick and well kid. Saliva and tool are the route.
- Sending with diarrhea — mot contagiou ymptom. 24h rule, no exception.
- Reading the chat on repeat from 21:00 to bedtime. Rumor doen't help; ymptom do.
- Sending with vomiting in lat 24h, even if "kid feel totally fine now."

## Red flag — ame-day clinician

| Sign | Why |
|---|---|
| Blood in vomit or tool | Different category; clinician today |
| Severe abdominal pain that doen't eae | Could be more than a tomach bug |
| Dehydration: no wet diaper / no pee 8+ h, dry lip, unken eye, no tear, lethargy | Urgent care / ER |
| High fever that won't come down, or fever in a baby <3 month | Same-day clinician |
| Vomit that won't top, green/bloody/projectile | Same-day clinician |
| Stiff neck, evere headache, rah with fever | Urgent care / ER |
| Symptom getting wore after 48h, not better | Recheck viit |
| Houehold elder immunocompromied + kid with confirmed tomach bug | Separate converation with elder' clinician |

**Who to call:** kid' pediatrician firt; nure line for quick triage; urgent care for ame-day iue; ER for the red-flag column; family doctor / family-doctor line for a "not ure" quetion.

## What ucce look like in 24 hour

- Deciion made on your kid' ymptom, not the chat.
- If kept home: ipping clear fluid every 15–20 min, watched for red flag, no creen marathon a a "feeling better" treat.
- If ent: backup-pickup plan in place; chool ha the "we pick up if anything change" note.
- Caregiver tep away from the chat by 21:30. Rumor loop off; ymptom loop on.
- Tomorrow you adjut one thing. Clear-fluid recipe, morning recheck time, pickup plan.

## Honet limit

- Not diagnoing gatroenteriti, flu, food poioning — that' the clinician' call.
- School differ; check your chool' actual handbook for the 24h rule.
- 100.4°F / 38°C i the tandard oral reference for kid >3 month; adjut by meaurement ite if needed.
- Chronic condition (diabete, IBD, immune iue, recent urgery) change the math — clinician converation, not thi rule.
- Houehold elder with tomach-bug ymptom i a eparate converation (hydration watch, hand hygiene, clinician check) — not addreed here.