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Intranasal diamorphine integrated care pathway for paediatric analgesia in the accident and emergency department
  1. K K Gahir,
  2. P A Ransom
  1. A&E Department, Princess Royal Hospital, Lewes Road, Haywards Heath, West Sussex, RH16 4EX, UK
  1. Correspondence to:
 K K Gahir
 East Sussex Hospitals NHS Trust, Eastbourne District General Hospital, Kings Drive, Eastbourne, BN21 2UD, UK;Kalvinder.Gahir{at}

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Intranasal diamorphine (IND) is a safe and effective analgesic in children attending A&E with clinically suspected limb fractures.1 To introduce IND for paediatric analgesia in our unit, we developed an integrated care pathway (ICP)2 and subjected its use to an audit cycle.3

To formulate the INDICP, various information sources were interrogated for evidence about IND use in paediatric analgesia (Medline database, article …

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  • Competing interests: none declared

  • INDICP and clinical proforma are available from the first author on request