Because any trauma can lead to a bleeding episode, all persons caring for these children must be aware of their disorder. These children should wear medical identification, and older children should be encouraged to recognize situations in which disclosing their condition is important, such as during dental extraction or injections. Health personnel need to take special precautions to prevent the use of procedures that may cause bleeding, such as IM injections. The subcutaneous route is substituted for IM injections whenever possible. Venipunctures for blood samples are usually preferred for these children. There is usually less bleeding after the venipuncture than after finger or heel punctures. Neither aspirin nor any aspirin-containing compound should be used. Acetaminophen is a suitable aspirin substitute, especially for controlling pain at home.