Increasing ED Use of Jet Injection of Lidocaine for IV-Related Pain Management.

Background And Objective: Venipuncture is a leading cause of procedural pain for children. Jet injection of lidocaine (JIL; J-Tip) has been demonstrated to be effective in controlling intravenous (IV) placement-related pain and, due to its rapid onset, is particularly suited to emergency department (ED) use. Our objective was to increase JIL use with IV placements in our ED from 11% at baseline to 50% within 12 months.

Interexaminer agreement in physical examination for children with suspected soft tissue abscesses.

Objective: This study aimed to measure interexaminer agreement for physical examination (PE) findings in children with a suspected soft tissue abscess.

Methods: A prospective study was conducted from March 1 to July 31, 2007, at an urban, tertiary care children's hospital emergency department. Children presenting to the emergency department with a suspected local skin abscess were independently examined by 2 physicians.