What is the first action in treating severe dehydration?

The first action in treating severe dehydration is to initiate treatment for severe dehydration. This typically involves administering fluids to the child, as timely intervention is crucial to restore hydration and prevent complications. In cases of severe dehydration, especially in children who may present with lethargy, sunken eyes, and rapid pulse, it is vital to act quickly.

In practice, this means that healthcare providers will often begin with intravenous fluid replacement if the patient cannot take fluids by mouth effectively. The goal is to rapidly correct the fluid deficit and stabilize the child’s condition.

While referral may be necessary for ongoing care or specialized treatment, it does not replace the immediate need for fluid replacement in severe cases. Similarly, while oral rehydration solutions and breastfeeding can be beneficial in mild to moderate dehydration, they are not adequate for managing cases categorized as severe. Therefore, it's essential to recognize that the critical first step is to start the appropriate treatment protocol for severe dehydration promptly.