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A 4-year-old child is brought to the ED department with her parents. She has a 3 inch cut to her lower leg, which appears to need suturing. She is crying and inconsolable and you have only just seen enough of the cut to assess it superficially.
How can you examine the patient more adequately?
In a situation where the child is willing for you to proceed with treatment, but nervous about injections, how should you go about anesthetising the wound and carrying out the treatment?
In a situation where the child is completely unable to accept the local/topical treatment, what anaesthetic options would you consider?