First, I'm not an ER nurse. I'm a FNP in primary care.
I recently found out that our local ER routinely uses ice packs on kids with fever over about 102. I'm not talking about heat stroke, fever of 106, febrile seizures, or anything unusual; I'm talking about the kid with fever from otitis, UTI, viral illnesses, whatever.
My question: is this common practice??
"Back in the day" when I was in the hospital- including a stint in Pedi ICU- we only used cooling blankets with very high fevers (over 105) or in patients with head injuries or brain surgeries who were having fever from hypothalmic dysfunction. That's been a while back so things could have changed.
I was taught that using ice packs or cold water to try to reduce fever would produce shivering and could actually raise core temperature.
I did a google search on ice packs for fever and didn't find anything to support their use except in case of heat stroke, but it wasn't an extensive search and maybe I've missed something.
I hope that some of you ER folks can help me out with this. Thanks!