~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ This message is from PedTalk! To reply to the group, use "" ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ wrote: > Thank God someone is looking at children and not just a thermometer! > > I couldn't care less if a kid's temperature is 39.0 or 39.3; the fact is he's > febrile. If you're using exact temperature cutoffs to make real management > decisions, you're doing your patients a disservice. You should treat the child; not the fever. Also, I remember reading some study many years ago that showed a child's fever due to bacteremia more likely responds nicely to Tylenol; whereas, a child's fever due to viremia is less likely to respond well to Tylenol. The bottom line: just because the child gets fever relief from Tylenol does not offer any reassurance that the child is not sicker than the child whose fever does not respond! Go figure, eh? Makes our job a little tougher, eh? Let us not fool ourselves nor our patients. Andrew