You should NEVER take a child to the ER for a cold. You will expose her to the flu, other germs and all kinds of things, making her sicker. And they will not do anything for a cold. The time a child should be taken to the ER is fever above 104, seizures, breathing problems, uncontrollable bleeding, lethargy (lying around not moving/ not acting their normal self, they could be dehydrated), not taking any liquids for an entire day, (not eating is NOT a reason to go to the ER; when children are sick they don't want to eat, just like adults. As long as they are getting fluids in, this is ok.) EMERGENCIES are a reason to go to the ER. Use saline in her nose, this is bought over the counter at any pharmacy, suction her nose to keep airways open (youngsters do not breathe out of the mouth.) If she runs fever, tylenol every 4 hours (no motrin until over 6 months of age), give plenty of liquids. You are doing the right things. If fever develops, take her to her pediatrician. They will check her ears for infection. If infection is present, they will prescribe antibiotics. Antibiotics are used too much in America, and bacteria get immune to them. So it takes stronger medicine to fight infection when it is present. Colds do NOT require antibiotics. Good luck, and give her lots of cuddle time.