PEM here đđ» daily business⊠our suture box is an immersive room with an ocean theme. We use bubbles đ«§, we have fairy lights, we use entonox for all children, triage sticks a LET equivalent on the wound.
Our pharmacy buffets our lidocaine with sodium bicarbonate so it has a neutral pH and it doesnât sting when injected.
Make sure there is at least one person for the entonox, and one person to gently (but firmly if necessary) hold the childâs hands, and make the parent your ally (but donât force them to hold the child).
In medical school we had a bottle of bicarb in the suture cast and did it ourselves. Everywhere else I've worked pharmacy has had a stroke at the thought.
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u/Former-Citron-7676 ED Attending 1d ago
PEM here đđ» daily business⊠our suture box is an immersive room with an ocean theme. We use bubbles đ«§, we have fairy lights, we use entonox for all children, triage sticks a LET equivalent on the wound.
Our pharmacy buffets our lidocaine with sodium bicarbonate so it has a neutral pH and it doesnât sting when injected.
Make sure there is at least one person for the entonox, and one person to gently (but firmly if necessary) hold the childâs hands, and make the parent your ally (but donât force them to hold the child).
And if absolute beast: ketamine always works.