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J Korean Soc Emerg Med > Volume 15(3); 2004 > Article
Journal of The Korean Society of Emergency Medicine 2004;15(3): 156-160.
Effect of Tepid Massage and Antipyretics in the Management of Fever at the Emergency Department
Hyung Min Lee, Myung Chun Kim, Young Gwan Ko
Department of Emergency Medicine, School of Medicine, Kyung Hee University, Seoul, Korea.
Fever is the single most common problem in children visiting the emergency department. Fever is treated with a variety of methods, including the recommended combination of tepid massage, and antipyretics. We compared the effects of antipyretics and tepid massage for the management of febrile children.
We conducted a prospective, randomized, controlled study to assess 49 children who visited to the ED, Kyung Hee Medical Center, with complaints of fever. Ages ranged from 3 to 60 months. Patients were grouped into one of the following three treatment groups: 1) acetaminophen only, 2) tepid massage only, and 3) acetaminophen and tepid massage. We measured body temperature at 0 and 30 minutes after management.
The mean temperature at 30 minutes had decreased by initial temperature 0.58degrees C, 0.48degrees C, and 0.90degrees C for groups 1), 2), and 3), respectively. Although body temperature for group 3) decreased to a greater degree than it did in the other groups, the differences were not statistically significant.
Although tepid massage have been recommended for managing fever, their effect is still uncertain, so they are not recommended, especially in the cases of crowded emergency rooms.
Key words: Fever, Antipyretics, Massage
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