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Isn't the rectal temp the "gold standard"?  I mean isn't it the next best to
core temperature that we can access? I realize that core temp is the body
temp when measured via an indwelling probe and that the next best surrogate
is  an esophageal probe but really isn't the rectal temp what the entire
medical community has used for decades to decide who is sick and who isn't? 


Marty


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Pediatric Emergency Specialists, P.C.
Martin Herman, M.D.,FAAP,FACEP
President
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-----Original Message-----
From: Pediatric Emergency Medicine Discussion List
[mailto:[log in to unmask]] On Behalf Of Chamberlain, Jim
Sent: Tuesday, February 12, 2008 4:19 PM
To: [log in to unmask]
Subject: Re: Tympanic temps

Rectal temperature is inaccurate compared to core body temperature. When
temperature is changing (as in febrile conditions), rectal lags behind
other sites (esophageal, oral, tympanic, and infrared ear thermometer)
by 20-30 minutes.

Rectal temperature is also non-hygienic.

James Chamberlain, MD
Division Chief, Emergency Medicine
Children's National Medical Center
Washington, DC
202.476.3253 Office
202.476.3573 Fax
202.476.5433 Emergency Access
 

-----Original Message-----
From: Pediatric Emergency Medicine Discussion List
[mailto:[log in to unmask]] On Behalf Of Julia Whitefield
Sent: Tuesday, February 12, 2008 1:37 AM
To: [log in to unmask]
Subject: Tympanic temps

Dear all, I am finally breaking down... while in favor of rectal temps
in < 36 months old... I don't feel like having to re-invent the wheel:
who of you do tympanic temps in your ED - do you have good literature
support? - and how many of you are in support of rectal temps? I thought
we had cleared that issue for once and for all - but I guess not! Would
you please give me your input?
Thank you so
Julia S. Whitefield MD, Ph.D.
UNM
ABQ, NM
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