Evid Based Nurs 7:9 doi:10.1136/ebn.7.1.9
  • Treatment

Topical anaesthetic applied at triage reduced treatment time in children presenting to the emergency department with minor lacerations

 Q In children with simple lacerations, does application of topical local anaesthesia at triage reduce total treatment time in the emergency department (ED)?



randomised controlled trial.




blinded (patients and physicians deciding on the method of wound repair and need for sedation or anaesthesia).

GraphicFollow up period:

to discharge.


an urban paediatric ED in Melbourne, Victoria, Australia.


183 children who were 1–10 years of age (mean age 4 y, 61% boys)* and had simple lacerations that might require wound repair under local anaesthesia. Exclusion criteria: wounds involving the digits, ears, penis, nose, or mucous membranes; wounds close to the eye; deep wounds involving bone, cartilage, tendon, or muscles; wounds >6 hours old; anaesthetic application or infiltration of wound before ED …

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