Procedural sedation and analgesia for reduction of distal forearm fractures in the paediatric emergency department: A clinical survey

Abstract

Objective: Distal forearm fractures frequently require reduction in children. We set out to survey how such fractures are currently reduced at Paediatric Research in Emergency Departments International Collaborative (PREDICT) sites. Methods: A survey was completed by paediatric emergency physicians at PREDICT sites. Survey questions covered departmental guidelines and resources and individual practice, agents used and limitations of fracture management using case vignettes. Results: One hundred eleven of 145 (77%) possible surveys were returned. All 12 PREDICT sites have guidelines for the use of nitrous oxide and 11 of 12 for ketamine. Guidelines for other agents are less common and highly ..