Specialty · Pediatrics

Age and weight matter, and the conversation is with the parent or carer.

Pediatric triage with age-specific red flags, weight-based dosing checks, immunisation catch-up and school-age illness advice, spoken to the adult who is holding the child.

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< 25s
Infant red flag to emergency advice
58%
Immunisation gaps closed per wave
3.9x
Parent contacts handled per hour

In the product

Pediatric line, inbound 03:14

Emergency

  1. Inbound 03:14 · Isla T. · 7 weeks 3 days · birth weight 3.1kg · parent calling

  2. Caller

    She feels really hot and she's not feeding like she normally does. I took her temperature and it's 38.1.

  3. Age < 3 months + temp ≥ 38.0 → sepsis pathway, emergency regardless of appearance

  4. Primum AI

    At seven weeks, any temperature of 38 or above needs to be seen straight away, even if she seems settled between feeds. Take her to the emergency department now.

  5. Caller

    Should I give her Calpol first?

  6. Primum AI

    No, nothing before she's assessed, it can mask what they need to see. Bring her red book if you have it. I'm letting the department know you're coming.

Age-banded triage

Age
7 weeks 3 days
Temperature
38.1°C
Feeding
Reduced
Band rule
< 3 months: any fever
Antipyretic
Advised against
Department
Notified 03:16

Emergency advice given · chart flagged · pediatric team informed

Age in weeks setting the threshold before symptoms are discussed

Overview

A fever in an eight-week-old needs a different assessment from a fever in an eight-year-old.

  • Thresholds banded by age in weeks, not by a single pediatric rule.
  • Weight-based dosing checked against the chart instead of estimated.
  • Advice written for a parent at 04:00, with unambiguous return instructions.

Pediatric triage is age arithmetic before it's anything else. The same temperature means sepsis workup in a neonate and calpol in a schoolchild. The same rash means one thing with a normal capillary refill and something else without. And the person describing it's a frightened parent who has been awake since two.

Primum AI applies age-banded thresholds from the first answer, using the child's actual age in weeks where that matters. Doses are checked against recorded weight, not guessed. Advice is given to the parent in language they can act on at four in the morning, and anything crossing a threshold goes to a clinician immediately.

Capabilities

What pediatric contact has to get right

Age, weight, the parent, and the safety net.

  • Age-banded red flags

    Under three months, three to six months, under two years and school age each carry their own thresholds. Fever, feeding, wet nappies, responsiveness, breathing effort and rash are assessed against the band the child is in.

  • Dosing checked against weight

    Paracetamol and ibuprofen doses confirmed against the most recent recorded weight, with the interval and maximum daily dose stated plainly and repeated back.

  • Immunisation catch-up

    Schedules read from the record, gaps identified, catch-up appointments booked, and parental questions answered clearly instead of deflected to a leaflet.

  • Written for the parent

    What to watch for, what to do, and exactly when to seek help again, given verbally and sent as a message so it survives the rest of the night.

How it works

A parent's call, triaged by age

The child's age in weeks changes the thresholds before a single symptom is discussed.

  • Arrives
  • Decided
  • Done
  • Returned

  1. 01

    Child identified

    Matched to the record with exact age, recorded weight, immunisation status and any relevant history loaded.

    Age in weeks

  2. 02

    Banded assessment

    Symptoms assessed against the thresholds for that age band, fever, feeding, hydration, responsiveness, work of breathing and rash.

    Age-band thresholds

  3. 03

    Dosing verified

    Any advised medication checked against recorded weight and current intake, and verified before it's spoken.

    Weight-based, verified

  4. 04

    Advised or escalated

    Emergency instructions, a same-day appointment, or home care with written safety-netting and a defined point at which to call back.

    Safety-net sent

Benefits

Parents get an answer, clinicians get the right children

Pediatric demand is driven by uncertainty more than by illness.

  • The youngest are protected

    Infants under three months are escalated on thresholds that would be reassuring in an older child, and the age arithmetic is done every time.

  • Dosing errors stop happening

    Weight-based doses confirmed against the record remove the most common medication error in pediatrics.

  • Fewer 03:00 attendances

    A parent who reaches a clear answer and written instructions at three in the morning often doesn't need an emergency department at four.

In practice

Four parents, four different nights

The same symptom, different ages, different answers.

  • 7 weeks old, 38.1°C

    Emergency, 20s

    Any fever under three months meets the threshold. Emergency attendance advised immediately and the pediatric team notified.

  • 4 years old, 38.9°C

    Home care

    Alert, drinking, wet nappies, no rash, normal breathing. Weight-based dosing given and written safety-netting sent.

  • 18 months, barking cough

    Same-day review

    Croup features with stridor only when upset. Advice given and a same-day slot booked with clear worsening instructions.

  • Immunisations, 6 behind

    Catch-up booked

    Schedule gaps identified from the record, parental concerns discussed, and two catch-up appointments booked.

Read next

All solutions

Give it your overnight parent calls

One week of out-of-hours pediatric contacts. We'll show you which would have been escalated on age alone, and which parents would have got a clear answer without an attendance.

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