Why isn't there a "febrile medical directive" to give Tylenol? having something like this especially around flu season would enhance patient care.

Note this question was also covered in a previous Ask MAC (May 13, 2014).

In summary: One has to consider the benefit of this medication for fever given the relative short transport times for the majority of patient contacts (we are aware of longer transports in rural areas) vs the time required for acetaminophen (Tylenol) to impact fever. As with any new Medical Directive, there are training costs in terms of medical math for dosing calculations as well as medication costs for the operator. None of these are insurmountable in any way of course, however these may be some of the reasons that acetaminophen for fever has not been considered to this point.

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