Intended for healthcare professionals

Letters NICE on feverish illness in children

Hypothermia and the assessment of sick children

BMJ 2013; 347 doi: (Published 02 July 2013) Cite this as: BMJ 2013;347:f4220
  1. Anna Cronin de Chavez, research fellow, health services researcher1,
  2. Charmaine Childs, professor of clinical science1,
  3. Shona Kelly, reader in public health1,
  4. Angela Mary Tod, professor of health services research1,
  5. Derek Burke, medical director, consultant in paediatric emergency medicine2
  1. 1Centre for Health and Social Care Research (CHSCR), Sheffield Hallam University, Sheffield S10 2BP, UK
  2. 2Sheffield Children’s NHS Foundation Trust, Sheffield, UK
  1. a.cronin-de-chavez{at}

Although it is gratifying to see updates to the National Institute for Health and Care Excellence (NICE) clinical guideline on feverish illness in children,1 we would like to redress the balance for concern about altered thermoregulation in sick children. Fever is a cardinal sign of inflammation, infection, and trauma, but low body temperature is also a …

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