tag:blogger.com,1999:blog-5498194182629204271.post1280370414863317241..comments2023-09-26T12:58:21.651+00:00Comments on The Paramedic's Diary: Indoor campingXfhttp://www.blogger.com/profile/08189044083128101123noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-5498194182629204271.post-55170143693075368722009-03-26T22:23:00.000+00:002009-03-26T22:23:00.000+00:00I could not say call takers advocate calpol, we're...I could not say call takers advocate calpol, we're not allowed to advise medication, but we do get dozens of call for high temperatures in children where the advice from other HCP's has been to give them calpol. On the evidence of that article not sound advice.<BR/><BR/>I'll happily lend you my copy of principles if you're interested in the reasoning behind the triage.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-1254651682083376602009-03-26T21:24:00.000+00:002009-03-26T21:24:00.000+00:00JB102Strange that the principles of EMD advocate t...JB102<BR/><BR/>Strange that the principles of EMD advocate the use of Calpol (I guess) and not the natural effect of cooling. Read this article...<BR/><BR/>http://www.australianprescriber.com/magazine/23/3/60/1/Xfhttps://www.blogger.com/profile/08189044083128101123noreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-44778309711492990822009-03-25T15:07:00.000+00:002009-03-25T15:07:00.000+00:00Amber 1 for the sudden onset, same as strokes. But...Amber 1 for the sudden onset, same as strokes. But you're right, it could just have been nothing and I'd have been equally guilty, if it was me, of giving a simple headache a red call, sometimes you get lucky.<BR/><BR/>As for the cooling, it's the main reason given in the principles of emd, however i'd be out of my depth to debate pro's and con's.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-37546965383665350432009-03-24T00:10:00.000+00:002009-03-24T00:10:00.000+00:00JB102Not sure about the cooling bit because physic...JB102<BR/><BR/>Not sure about the cooling bit because physical cooling does not interfere with the body's process as much as a drug like paracetamol.<BR/><BR/>As for the SAH, it was actually lucky for her (if she survived) that the call had been given as chest pain. It would have been an amber for a headache with no priority symptoms, right?<BR/><BR/>As with everything, there is no point in debating call categories in such circumstances because even I felt it was probably nothing until I got there...Xfhttps://www.blogger.com/profile/08189044083128101123noreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-20314285847340394812009-03-23T23:48:00.000+00:002009-03-23T23:48:00.000+00:00One of the same reasons why we do not advocate coo...One of the same reasons why we do not advocate cooling in infantile convulsions from a dispatch point of view.<BR/><BR/>I may also have been the one that took the call for the lady with the Subarachnoid, I had a lady give similar symptoms and coded it as chest pain, the neck and shoulder pain will code higher because you go via chest pain.<BR/><BR/>Sometimes the only symptom that we can actually triage for isn't the most appropriate, but out of interest, would you think that warrants a red or an amber?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-7332081445399631932009-03-23T19:01:00.000+00:002009-03-23T19:01:00.000+00:00AnonymousThe science of it all is very simple and ...Anonymous<BR/><BR/>The science of it all is very simple and I'm not the only scientist advocating control of this drug, especially in children.<BR/><BR/>When you have a virus, one of the first and most effective defences against it is for the body's temperature to rise so that the virus can be killed. It's uncomfortable and can lead to side effects, like fits and hallucinations.<BR/><BR/>If Calpol is given, the temperature drops and so the virus can continue to breed and multiply inside the body, thus increasing the time it will take for total eradication. You are effectively making your child sicker for longer just to make them comfortable...and their immune system learns nothing.Xfhttps://www.blogger.com/profile/08189044083128101123noreply@blogger.comtag:blogger.com,1999:blog-5498194182629204271.post-67286344439646321662009-03-23T18:37:00.000+00:002009-03-23T18:37:00.000+00:00I was interested to read what you say about the us...I was interested to read what you say about the use of Calpol - I have 2 sons aged 3 & 7. The advice I have always received from the OOH service is 'give him Capol and Ibuprofen', when I've called them. The older child has had some 40 degree temperatures which has led him to halculinate, which is pretty scary.<BR/><BR/>In what way does the use of Calpol extend, say, a viral illness which leads to a high temp iin a child?Anonymousnoreply@blogger.com