Fasting guidelines

Cite this article as:
Andrew Tagg. Fasting guidelines, Don't Forget the Bubbles, 2018. Available at:

Some things in emergency medicine go together like peanut butter and chocolate – take monkey bars and supracondylar fractures, for example. Jack fell off the monkey bars after school and has an obviously deformed arm. With the help of some inhaled methoxyflurane and intranasal fentanyl, he has been placed in an above elbow backslab and is awaiting theatre. The orthopaedic team is on the way down to consent him and want to know when he last ate. Jack had emptied his lunch box by the middle of the morning but was still starving. So hungry was Jack, that his mother had gone to the local drive-through and picked up some fries. Time slows down to a crawl, the scream of “Nooooooooooooooooooo” on your lips as he crams a fistful of the salty delights into his face…