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Pediatric Injuries

Rowley Cottingham trauma-list@trauma.org
Sat, 1 Jun 2002 07:56 +0100 (BST) 

I don't bother with analgesia, but I certainly warn the parents that the child will cry! Otherwise you lose their confidence completely.
 
> Gosh, I guess I am a beast. I never bother with analgesia, or much
> discussion in advance. I usually reduce the "nursemaid's elbow" within
> seconds of entering the patient's room. During the initial examination,
> I reduce the elbow before the child or the parents even know what is
> going on. I usually tell them, "OK, it should be back to normal in a few
> minutes." I am met with surprise, and then I explain the condition.
> Sometimes the child is using the arm before we are even done with the
> discussion. Always within 10 minutes.
> 
>  
> 
> JM 
> 
>   
> 
> John L. Meade, MD, FACEP 
> 
> Emergency Medicine Specialist
> 
> Emerald Healthcare Group, P.A. 
> 
>  <http://www.statdoc.com/> http://www.statdoc.com/  


Best wishes,


Rowley Cottingham

rowley@cix.co.uk
http://www.emergencyunit.com