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Pain and Sedationm

Poirier, Michael P. MD*; Isaacman, Daniel J. MD*; Strait, Richard T. MD; Counselman, Francis L. MD; Foster, Robin L. MD§

doi: 10.1097/01.pec.0000101589.65509.3d
Controversies in Pediatric Emergency Medicine

*Department of Pediatrics, Eastern Virginia Medical School, Children’s Hospital of The King’s Daughters, Norfolk, VA;

†Department of Pediatrics, University of Cincinnati College of Medicine, Children’s Hospital Medical Center, Cincinnati, OH;

‡Department of Emergency Medicine, Eastern Virginia Medical School, Emergency Physicians of Tidewater, Norfolk, VA;

§Department of Emergency Medicine and Department of Pediatrics, Virginia Commonwealth University Health System, Richmond, VA.

Editor’s Note: Appropriate pain relief and sedation is an absolute must for patients cared for in the ED. The management of patients’ pain and sedation is both an art and a science. Although great improvements have been made in managing a child’s pain and anxiety while in the ED, variations in its use exists. While these variations could be described as a part of the art of medicine, the science of these medicines is known and predictable.

Address correspondence and reprint requests to Daniel J. Isaacman, MD, Children’s Hospital of the King’s Daughters, 601 Children’s Lane, Norfolk, VA 23507; E-mail:

© 2004 Lippincott Williams & Wilkins, Inc.