Fever in Children Aged 3 to 36 Months: Management in the Emergency Department (Pharmacology CME) | Points & Pearls
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Fever in Children Aged 3 to 36 Months: Management in the Emergency Department (Pharmacology CME)

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Points & Pearls Excerpt

  • Fever of concern in a well child is ≥39°C.2
  • In general, fever measured at home may be evaluated as fever in the ED even if the child is afebrile at presentation.
  • A meta-analysis found that all peripheral methods of thermometry have poor limits of agreement with central methods such as rectal thermometry.71
  • When a temperature measured by means other than rectal is necessary, the best alternatives are oral, then tympanic measurements.71,72
  • The pediatric assessment triangle (PAT) can be used to assess the ABCs—appearance, work of breathing, circulation to the skin. (See Table 2.) If the PAT assessment indicates an ill-appearing child, interventions are tailored to the child based on the physiologic category.
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Publication Information
Authors

Nader Badri, MD; Lucas Friedman, MD

Peer Reviewed By

Jeffrey R. Avner, MD, FAAP; Jo-Ann O. Nesiama, MD, MS

Publication Date

October 2, 2022

CME Expiration Date

October 2, 2025

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.
Specialty CME Credits: Included as part of the 4 credits, this CME activity is eligible for 1 Pharmacology CME credit.

Pub Med ID: 36121775

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CME Information

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