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Attention to detail for children in pain
  1. K Bizos1,
  2. S M Smith2
  1. 1
    A&E Department, Buckinghamshire Hospitals NHS Trust, Stoke Mandeville Hospital, Aylesbury, UK
  2. 2
    Emergency Department, John Radeliffe Hospital, Oxford, UK
  1. Correspondence to Dr K Bizos, Buckinghamshire Hospitals NHS Trust, Stoke Mandeville Hospital, Mandeville Road, Aylesbury HP21 7JL, UK; Kimon.Bizos{at}

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The recent debate in the Emergency Medicine Journal about the clinical effects of infusion equipment dead space1 highlights the need for care and attention to detail when administering medication in accordance with the latest evidence for its use.

Our paediatric analgesia protocols stated that for severe pain, opiate analgesia was to be used, preferably parenterally. The usage of intranasal diamorphine was common, but anecdotally the effects were not as great as expected given the research evidence. …

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  • Competing interests None.