A parent reports a child with fever and neck stiffness; what is the priority?

• A. Offer aspirin
• B. Wait to see if symptoms improve
• C. Seek immediate medical care and call EMS
• D. Give antibiotics

Answer: (C)

Fever with neck stiffness in a child signals a possible meningitis, which is a time-critical emergency. Meningitis can worsen rapidly and early hospital treatment with antibiotics and supportive care improves outcomes. Because this can deteriorate quickly, the priority is to seek immediate medical care and call EMS so the child is transported urgently and evaluated by professionals who can start care without delay. Giving aspirin to a child is not appropriate due to potential risks (like Reye’s syndrome), and giving antibiotics at home isn’t feasible or safe without a prescription. Waiting to see if symptoms improve could miss a critical window for treatment.