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Hi Fiona We are all hoping that the age limit will be lifted from morphine; I would echo Jels words that the current situation is utterly inhumane! I'm a fan of intranasal morphine providing it doesn't distract me from getting IV access when I should be! Perhaps intranasal nalbuphine works? Our ambulance service currently uses nalbuphine for the under 12s & morphine for the over 12s. Best wishes Dr John Apps GP (until Dec; then freedom!) www.neashamroadsurgery.co.uk Basics North East www.basicsnortheast.fsnet.co.uk -----Original Message----- From: Accident and Emergency Academic List [mailto:[log in to unmask]]On Behalf Of Fiona Jewkes Sent: 30 September 2001 21:21 To: [log in to unmask] Subject: Prehospital Analgesia for Children Dear all, I have been given the task of trying provide some answers as to how paramedics in the UK can adequately control pain in children before they reach hospital. As many of you will know, Morphine was not approved for paramedic use in children in the UK. I'm interested to hear any ideas, novel or otherwise, pharmacological or not. I would particularly value the experiences of other countries such as the USA, Canada, Australia, S.Africa, New Zealand... - as well as Europe - and what they do (including opiate use) and whether they feel they've got it right. It's a real problem in the UK and I'd be really grateful for some help. Please contact me direct at [log in to unmask] or of course via the list if more appropriate. Many thanks Fiona Jewkes