PT  - JOURNAL ARTICLE
AU  - Mason, S
AU  - Thorp, S
AU  - Burke, D
TI  - Prehospital use of paracetamol among children attending the accident and emergency department
AID  - 10.1136/emj.20.1.88
DP  - 2003 Jan 01
TA  - Emergency Medicine Journal
PG  - 88--89
VI  - 20
IP  - 1
4099  - http://emj.bmj.com/content/20/1/88.short
4100  - http://emj.bmj.com/content/20/1/88.full
SO  - Emerg Med J2003 Jan 01; 20
AB  - Objectives: To identify patterns of prehospital administration of paracetamol to children who were perceived to be feverish by their carers. Methods: A prospective cohort study of carers of children attending a paediatric accident and emergency (A&E) department. Carers of children completed a questionnaire to identify domestic patterns of paracetamol use. Data were collected on temperature of the child in the A&E department, administration of antipyretics in the A&E department, diagnosis, and disposal from the A&E department. Results: Seventy five adults attending the A&E department consented to involvement. Sixty five of the children were feverish on arrival in the A&E department. Twenty one children (32.3%) had not received paracetamol before attending. There was a significant relation between knowledge of the antipyretic properties of paracetamol and administration (χ2=5.0, p<0.05). There was a significant correlation between fever and administration of paracetamol in the A&E department (χ2=23.7, p<0.01), however, 15 feverish patients (24.6%) were not treated. Conclusions: Most carers administer paracetamol appropriately in the prehospital setting. Administration correlates significantly with knowledge of its benefits. There is scope for education of carers and A&E department staff in the in the appropriate use of antipyretics such as paracetamol.