Children’s Emergency Department
If you think an infant or child is experiencing a medical emergency, call 9-1-1 right away.
Expect longer waits
- Come to McMaster Children’s Hospital if your child needs emergency care.
- Please bring any essentials you will need for a long wait. As always, the sickest children are seen first.
- Consider seeing your family doctor or visiting a walk in/urgent care clinic if your child’s medical concern is not an emergency.
- We appreciate your patience as our team is working hard to help!
At McMaster Children’s Hospital, our kids-only emergency department provides the most advanced care for infants, children and youth age 17 and under who have a serious illness or injury. Our team is made up of health care professionals who are specially trained in pediatric emergency care.
The McMaster Children’s Hospital Emergency Department is committed to providing your child with the best care possible. Not all kids will need to see an emergency medicine doctor. Learn about when you should come to the Emergency Department, and when to seek care from a family doctor or urgent care centre. See below.
The McMaster Children’s Hospital emergency department is open 24 hours a day, 7 days a week.
McMaster Children’s Hospital
1200 Main St. West
Health Tip Video Series
When to come to children's emergency
The McMaster Children’s Hospital emergency department is staffed by health care providers who are experts in pediatric emergency care. We assess and treat medical issues ranging from minor illnesses and injuries to life-threatening conditions. We treat patients with infections, difficulty breathing, injuries, mental health concerns, seizures, allergic reactions, tummy pain and many other conditions.
Our team is equipped to perform a wide range of procedures, such as:
- Setting broken bones or dislocated joints
- Stitching minor and major cuts
- Lifesaving procedures, such as intubation and resuscitation
We also provide our expertise to family doctors and other health centres in our region.
In the children’s emergency department, you may meet many different team members, including: emergency doctors and nurses, pharmacists, child life specialists, respiratory therapists, social workers, business clerks, and environmental aides.
Reasons to come to the children’s emergency department:
- Allergic Reaction or Anaphylaxis (swollen throat and can’t breathe) – if your child has an EpiPen, use it and come to emergency. If you don’t have an EpiPen, call 911.
- Experiencing a fever under one of these circumstances:
- Baby less than 3 months old
- Child with complex medical issues
- Child with immune system problems
- If lethargic, even after giving fever medication
- Severe headache or neck pain with fever
- Trouble breathing that doesn’t improve with fever medications or your child’s puffers
- Vomiting or diarrhea in a baby less than 3 months old, bloody diarrhea, dehydration (no pee for 8 hours), green vomit, a lot of stomach pain outside of vomiting or diarrhea
- Weakness, confusion or sudden change in mental status or alertness
- Injured arm or leg that looks crooked, deformed or dislocated
- A fall with pain the neck, chest or stomach
- A burn that is blistering
- Head injury with extreme tiredness, loss of consciousness, and/or repeated vomiting
- Cuts that won’t stop bleeding or that are deep or big that might need stitches
- Eye injuries
- Poisoning or drug overdose – if your child is acting normally, try calling Ontario Poison Control first at 1-800-268-9017
- Seizure, loss of consciousness
- Suicidal with a plan or attempt
- Drowning and/or choking with trouble breathing afterwards
You know your child best. Please use your judgment and discretion. Call Health Connect Ontario at 811 if you are unsure if you should come.
When to visit an Urgent Care Centre
If you or your loved one is experiencing an illness or injury that isn’t an emergency but can’t wait for an appointment with a family doctor, an urgent care centre is a good option for you. Urgent care centres treat all ages: children and adults.
Examples of medical issues which require urgent care:
- minor cuts or wounds that may require stitches
- simple broken bones
- sprains, strains or deep bruises
- ear infections
- fevers, coughs, congestion, and sore throats
- insect bites, rashes and scrapes
Main Street West Urgent Care
690 Main Street West
Hours: Noon – 7:00 p.m., 7 days a week
Urgent Care – King Campus (St. Joseph’s Healthcare Hamilton)
2757 King Street East
Hours: 8:00 a.m. – 10:00 p.m., 7 days a week
Reasons to Seek Care from your Family Doctor, Walk-In Clinic, or Urgent Care Centre
- Ongoing nighttime cough after a recent runny nose/cough illness without fevers/trouble breathing and acting well otherwise
- Rashes/eczema that is not new – unless around eyes or in the mouth
- Hives alone
- New runny nose and/or cough with a fever of less than 5 days and no trouble breathing
- Ongoing abdominal pain without vomiting, weight loss, fevers, bloody stools
- Not new or worsening behaviour or aggression issues in a child under 10 years old
- Chronic concussion symptoms that are persistent but not worsening
- Doctor’s notes and concussion paperwork for school
- Scrapes and bruises
- Ankle injury where your child can still walk
- Ear pain
- If your child has on ongoing issue for which you want a referral to a specialist
- Chronic dental issues requiring a dentist
Please remember the doctors and nurses in the Pediatric Emergency Department are not experts in chronic conditions. They are experts in emergency medicine only.