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Hi Jim:
What, if any, method of temperature taking, would you use in a child less than 8 weeks (or 4 weeks) to make a decision to perform an evaluation for an SBI?
 
Bob   > Date: Wed, 13 Feb 2008 00:35:37 -0500> From: [log in to unmask]> Subject: Re: Tympanic temps> To: [log in to unmask]> > Rectal temperature is the gold standard for detecting what?> > Bacterial illness? ROC = ~ 0.55 as I recall, not much better than flipping a coin.> Fever? Not if you measure core body temperature. It lacks both sensitivity and specificity because it lags behind core body temperature changes.> > Not a very useful test...> > Jim> > > > -----Original Message-----> From: Pediatric Emergency Medicine Discussion List on behalf of Martin Herman> Sent: Tue 2/12/2008 8:34 PM> To: [log in to unmask]> Subject: Re: Tympanic temps> > 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> > > ------------------------------------> Pediatric Emergency Specialists, P.C.> Martin Herman, M.D.,FAAP,FACEP> President> [log in to unmask]> PO box 637> Ellendale TN 38029> tel: 901 405 1407> fax: 901 405 1524> mobile: 901 219 9202 > ------------------------------------> -----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> For more information, send mail to [log in to unmask] with the> message: info PED-EM-L> The URL for the PED-EM-L Web Page is:> http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html> > Confidentiality Notice: This e-mail message, including any attachments, is> for the sole use of the intended > recipient(s) and may contain confidential and privileged information. Any> unauthorized review, use, disclosure or distribution is prohibited. > If you are not the intended recipient, please contact the sender by reply> e-mail and destroy all copies of the original message.> > For more information, send mail to [log in to unmask] with the> message: info PED-EM-L> The URL for the PED-EM-L Web Page is:> http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html> > For more information, send mail to [log in to unmask] with the message: info PED-EM-L> The URL for the PED-EM-L Web Page is:> http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html> > Confidentiality Notice: This e-mail message, including any attachments, is for the sole use of the intended > recipient(s) and may contain confidential and privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. > If you are not the intended recipient, please contact the sender by reply e-mail and destroy all copies of the original message.> > > For more information, send mail to [log in to unmask] with the message: info PED-EM-L> The URL for the PED-EM-L Web Page is:> http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
The URL for the PED-EM-L Web Page is:
  http://www.brown.edu/Administration/Emergency_Medicine/ped-em-l.html