A rash that does not fade under pressure using the 'glass test' is a sign of meningococcal septicaemia and is a medical emergency.
How to do the glass test:
Take an ordinary clear glass (or plastic) tumbler
Place it on the skin next to the spots/rash
Roll it onto the spots/rash, applying firm pressure. Note that the normal skin under the glass goes white as the blood is pushed out of the tiny surface blood vessels
If the spots fade when the glass is rolled over them, the rash may not be serious, but keep checking, it can develop into a rash that does not fade
If spots/rash doesn’t fade, it is a non-blanching rash, and needs urgent medical attention
Remember though: Don't wait for a rash, it won't always appear or may appear late. Trust your instincts.
Sit in a chair (leaning forward with your mouth open) and pinch your nose just below the bone for 10 minutes, by which time the bleeding should have stopped.
If the bleeding continues or if your are taking blood-thinning tablets (anticoagulants): consult your doctor.
Avoid blowing your nose for 48 hours and hot food and drink for 24 hours.
Sprains and Strains
Apply a cold compress (e.g. a packet of frozen peas wrapped in a wet tea towel) to reduce swelling: then apply a firm crepe bandage and give the sprain plenty of rest until the discomfort has subsided.
Try to prevent this by avoiding exposure to the sun in the heat of the day and using sun screens.
Treat sunburn by cooling the skin with cool water or calamine lotion and take Paracetamol or anti-histamine tablets as necessary.
A raised temperature occurs commonly even with mild infections.
In small children it is important to stop the temperature rising too quickly and they should be given Paracetamol syrup which may be bought from the chemist.
If they are still feverish they should be gently sponged with tepid water as in a bath or shower to cool them (this may take up to 20 minutes)
If a temperature is very high and does not come down with this treatment or the child appears very unwell you should consult your doctor.
A child or adult with a temperature will not come to any harm being brought by car or by pram to the surgery.