Fortunately in Georgia we are able to obtain "in loco parentis" consent
from any adult who accompanies the child (OCGA 31-9-2(a)(4) "Any person
temporarily standing in loco parentis, whether formally serving or not,
for the minor under his care").
If this child had a displaced fracture that would be going to the OR then
I would given IV morphine or fentanyl. I have also had good success with
IV ketorolac. If it was a non-displaced fracture that would be discharged
after splitting, I would probably use oral acetaminophen with codeine, or
Vicodin/Vicoprofen. I have use Nitro-Nox in the past and have found it
very useful in these cases; unfortunately we do not currently have it at
the hospitals where I work.
Jeff Linzer Sr, MD MICP
Division of Emergency Medicine
Children's Healthcare of Atlanta at Egleston and
Hughes Spalding Children's Hospital
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On Sat, 11 Aug 2001, Shari Platt wrote:
> Dear All,
> Would you give analgesia to a child with a fracture, prior to obtaining
> parental consent?
> [ie: Child with supracondylar fracture, in care of nanny, unable to reach
> If YES, how would you administer medication...PO, SQ, IV?
> Thanks for your input. Feel free to answer directly to me, and I will
> summarize my responses for the group.
> Shari Platt,MD
> New York, NY
> For more information, send mail to [log in to unmask] with the message: info PED-EM-L
> The URL for the PED-EM-L Web Page is:
For more information, send mail to [log in to unmask] with the message: info PED-EM-L
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