Noisy, high-pitched, and rapid wheezing or grunting indicates a child is struggling for air, usually during a respiratory infection or an asthma attack. "You'll see the chest sucking in and the belly moving," if not harder -- to exhale as it is to inhale, which means your child's condition will deteriorate fast. Get emergency aid for a baby taking in more than 60 to 70 breaths per minute, a 1-year-old taking in 40 or more, or an older child taking in 30 or more (the normal rate slows with age). This applies not only to blood loss from trauma but also to dehydration from vomiting or diarrhoea, which prevents blood from properly nourishing the body. Signs that your child needs intravenous fluids include decreased urination (fewer than two soaked diapers a day), a sunken soft spot on the head, a sticky mouth, tearless crying, sunken eyes with dark circles underneath, listlessness, paleness, and clammy skin.
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