You have a 7 year old in the ED that needs sutures to a wound inflected when he and his twin were playing Pirates of the Caribbean with kitchen knives … he’s not the sort of chap that will lie still while you stitch him up … so what would you use to keep him down? General anaethesthesia? Midazolam? Ketamine?

A senior ST in paediatrics (with previous experience in anaesthetics) is asking this question – but what do you think?

Acknowledgement: Image from lo.re.n.zo @ flickr