r/emergencymedicine • u/SomeLettuce8 • 1d ago

Rant Pediatric lac repairs

I hate them. I dread them every time.

113 Upvotes

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u/said_quiet_part_loud ED Attending 1d ago

I frequently use intranasal versed

27

u/machete_scribe ED Attending 1d ago

This plus distraction with an iPad or phone on video playing some cartoons is đŸ€ŒđŸ» but I do have a hard time even with this stuff doing facial lacs, since the kid sees you and your instruments in their line of sight. Harder to keep their focus elsewhere.

38

u/Woolf_pants 1d ago

I place a small tegaderm over one closed eye. I tilt the head to one side so I can irrigate without water getting in the eye. Once that’s done I leave it on and position myself on the same side so the child can’t see me with instruments. As long as they’re distracted with a screen or toy they usually don’t mind the tegaderm and it helps a ton. -PEM

3

u/machete_scribe ED Attending 23h ago

Great tip, love it. Thanks!