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I haven't done ER for a while, but I was inclined to suture most pediatric
lac because it's difficult to keep hands, feet and mouth areas clean.
 Suturing allows for washing after a day or so.  Additionally, when you
anesthetize, you do a better exploration and cleansing of the wound.
 
I believe I used to give 5 cc of versad orally to calm the child (no head
trauma) and that seemed to work well.  With the child already calmed down
(about 10-15 minutes afterwards), the infiltrating took just a monent.