<s>[INST] Hello, my 6yr. Old son (55-58# s) has had a high fever of 102.8 - 102. His cheeks are hotter then his forehead & red. Should I keep him awake till his fever goes down (only right after taking tylenol, it drops a couple degrees). I m worried about a fever having a long term negative effect. What point do I take him to E.R? [/INST] Immediately give antipyretic combination such as paracetamol+ mefenemic acid, PCM+ ibuprofen, kept in minimal clothing, don't cover body with blanket, sponging the baby, keep a watch for mental status of baby. </s>