Table 3

 Triggers for Hospital Admission

Key points in history and examination
Nausea/vomitingFever
Primary survey positivePrimary survey positive
Pregnancy/Pre-existing illness>39°C
Age <6 monthsAssociated vomiting
Drug/alcohol ingestionAssociated jaundice
Blood in vomitMeningism
Severe abdominal painRecent travel from a malaria area
Significant dehydrationHigh (or low) white cell count (if taken)