COVID-19 Updates
IWK & COVID-19: Latest Updates
Hotline: 1-902-233-3495



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Telecare: 811
Poison: 1-800-565-8161
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COVID-19 Pediatric Virtual Care

Updated: May 20, 2021 / 03:22 PM

The Covid Pediatric Virtual Care Team is offering Virtual Care appointments to families with children who have tested positive for COVID-19. To make an appointment, please call 902-470-8050. A member of the emergency department will follow up with you by phone. More information about Zoom for Healthcare and Virtual Care can be found here Virtual Care | Nova Scotia Health Authority (


Information for children and youth who have a positive COVID-19 test

Your child has tested positive for COVID-19. Some children have no symptoms after they test positive for COVID-19 but most develop a mild viral illness. Most children recover fully after COVID-19 and do not need to be admitted to the hospital. Some of the symptoms your child may have with COVID-19 are:

  • Fever more than 38°C
  • Runny nose or cough
  • Difficulty breathing
  • Vomiting, diarrhea or belly pain
  • Poor feeding
  • Skin rash
  • Loss of taste or smell

It’s normal to be scared and have questions after your child tests positive for COVID-19. If you would like extra support, you can make an appointment with an IWK Emergency Doctor to get advice on how to care for your child by calling 902-470-8050. You will be given a morning appointment time where you and your child can meet with an IWK Emergency Doctor on video using Zoom for Healthcare.

The IWK Emergency Doctor cannot help you with any non-COVID medical issues. If there are other medical problems not related to a COVID-19 infection, such as the need for prescription medications or issues with other chronic medical conditions, please call your own family doctor or nurse practitioner.

The IWK Emergency Doctor cannot give you advice about isolation requirements, off-work notes, or instructions for your family and friends. If you have questions about what to do about COVID-19 in terms of isolation or contacts, please call Public Health. Contact information for your local Public Health office can be found here:

If you need help with food or supplies, please call 211.


What you can do at home:

You may want to give acetaminophen (Tylenol) or ibuprofen (Motrin/Advil) to make your child feel better if they are having aches and pains with their fever. The dose of acteminophen or ibuprofen depends on your child’s weight. If you book an appointment, the IWK Emergency Doctor will give you information on the amount you should give your child. Having a recent, accurate weight will be useful to get the best advice for this dosing.

Children do not usually need antibiotics for COVID because it is a viral illness that will go away on its own.

Children may not want to eat and drink as much as usual. It is important that they get enough fluids to stay hydrated. Breastmilk, formula or Pedialyte are good choices for babies under the age of 1 year. Children over 1 year could also be given an electrolyte solution such as G2 because this drink provides the liquid, sugars and salts that the body needs. 


It is uncommon to need to go to the hospital. These are the signs and symptoms where you should call 911 and/or come immediately to the hospital. Do NOT wait for an appointment if your child has any of these symptoms:

  • rapidly worsening or faster breathing than normal for your child
  • struggling to breathe with the skin sucking in at the neck or between the ribs, or if the belly is moving in and out a lot with breathing
  • oxygen levels less than 91% (if you have been provided with a monitor)
  • pain in the chest or belly that does not go away with ibuprofen or acetaminophen
  • confusion or inability to stay awake
  • pale, gray or blue colored skin that is cold
  • poor drinking poorly and signs of dehydration. Dehydration signs are: o No wet diapers in more than 6 hours for a young infant or less than 3-4 pees in 24 hours for an older child
    • dry mouth
    • no tears when they are crying


You may have read about a serious condition associated with COVID-19 called Multisystem Inflammatory Syndrome in Children (MIS-C). This is extremely rare. It does not happen right away but may be seen in communities about 6 weeks after there are a lot of COVID-19 cases. Some children who have MIS-C never knew they were exposed to COVID-19. The symptoms are due to inflammation and how each child feels will depend on what part of the body is inflamed. There are effective treatments for MIS-C. Please go to your local Emergency Department if your child has any of the symptoms we list above for going to the hospital or if your child has a fever lasting 3-5 days along with:

  • a new rash
  • lip or eye changes or
  • severe belly pain.


Translating Emergency Knowledge for Kids (TREKK) Resource for Families Video:


Additional resources:


Please review before using email to communicate with your health care provider: