Pain management practices surrounding lumbar punctures in children: A survey of Canadian emergency physicians.

Objectives: Lumbar punctures (LPs) are painful for children, and analgesia is recommended by academic societies. However, less than one-third of pediatric emergency physicians (EPs) adhere to recommendations. We assessed the willingness to provide analgesia among pediatric and general EPs and explored patient and provider-specific barriers.

Managing environmental sustainability in a healthcare setting.

How does a hospital sustain its journey towards environmental sustainability? To date, most hospitals have embarked on some strategies for improving environmental performance, whether it's reducing energy or landfill waste. Environmental sustainability strategies, however, can often lose momentum or stagnate if not championed by someone whose full-time role is to assess, monitor, and bring new strategies to the table. In the face of ongoing budget deficits, it is increasingly difficult to get adequate support and buy-in for this type of role unless the leadership of the organization is committed to an environmental sustainability program.