Ibuprofen or Naproxyn is Head or muscular skeletal trauma

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International pharmacology concensus:

Rather paracetamol than other NSAID's in children due to the incidence of Reye Syndrome which leads to fatal hepatic failure and encephalopathy.

Tim
Dr T C Hardcastle
M.B.,Ch.B.(Stell); M.Med(Chir); FCS(SA)
Senior Surgeon / Senior Lecturer: Surgery (Trauma and ICU)
ATLS  instructor and DSTC Cape Town Course Director
Intern program Coordinator: Surgery
Program Manager: Emergency Medicine (SU)
Clinical Head (Director): Diana Princess of Wales Trauma Unit
Department of Surgery Room 4064
Tygerberg Hospital / University of Stellenbosch
PO Box 19063
Tygerberg 7505
Western Cape
South Africa
e-mail: tch at sun.ac.za
Cell: +27824681615
Office: +27219389281 or 4911 pager 0302



-----Original Message-----
From: trauma-list-bounces at trauma.org
[mailto:trauma-list-bounces at trauma.org]On Behalf Of Charlene M Morris
Sent: Thursday, September 07, 2006 5:47 AM
To: Trauma &amp, Critical Care mailing list
Subject: Re: Ibuprofen or Naproxyn is Head or muscular skeletal trauma


For children?!

CMM


On 9/6/06, Jago Miloguz <japrak at gmail.com> wrote:
>
> paracetamol rules, non problems with 'em, and even usage of diclofenac in
> my
> short clinical experience didn't show any complications, very good in
> cases
> where fever is combined with pain, per rc EXELLENT!
>
> 2006/9/5, Guy Jackson <r.g.m.jackson at qmul.ac.uk>:
> >
> > Most neurosurgeons I know worry about the anti-platelet effects of
> NSAIDs
> > in
> > any situation where there is potential for intracranial bleeding and
> > haematoma formation/enlargement. I know of no evidence for this, but
> there
> > is probably some case report somewhere associating the two.
> >
> > My paediatric colleagues regularly use paracetamol (acetaminophen) in
> > young
> > children. The dose is 20 mg/kg po or iv. They would look at me blankly
> if
> > I
> > suggested problems with liver clearance.
> >
> > If you want to look up the recommendations here in the UK try:
> > www.bnf.org.uk. I do not know how this differs from what the FDA say.
> >
> > Guy Jackson
> > London, UK.
> >
> >
> > ----- Original Message -----
> > From: "Charlene M Morris" <cvmmorris at gmail.com>
> > To: "Trauma &amp, Critical Care mailing list" <trauma-list at trauma.org>
> > Sent: Monday, September 04, 2006 7:42 PM
> > Subject: Ibuprofen or Naproxyn is Head or muscular skeletal trauma
> >
> >
> > > Having worked in medicine for over two decades, I was intruiged that
> one
> > doc
> > > with whom I work stated that NSAIDs are not to be used for children
> with
> > > head injuries or obvious contusions. He advised stayed with
> > Acetimenophen--
> > > despite the obvious liver clearance issues.
> > >
> > > He also stated irrefutably that ibuprofen is not to be used in babies
> > under
> > > 6 months old, even if weight requirements are met.
> > >
> > > I would really like opinions on these issues from this very erudite
> > forum.
> > >
> > > C M Morris
> > > --
> > > trauma-list : TRAUMA.ORG
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> >
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