Parental Presence During Fracture Reduction in Children at the Emergency Department; A Randomized Controlled Trial (PP)
Conscious Sedation, Anxiety

About this trial
This is an interventional supportive care trial for Conscious Sedation focused on measuring Conscious sedation, Parental presence, Invasive procedure, Children, Anxiety
Eligibility Criteria
Inclusion criteria for patients:
- Patients aged 8 to 18 years old.
- Patients requiring fracture reduction under conscious sedation by emergency department attending physician.
- Patients able to understand basic spoken English or French.
Inclusion criteria for parents:
- Parents able to understand basic spoken English or French.
Exclusion criteria for patients:
- Patients with moderate to severe mental retardation
- Patients with altered mental status or intoxication
- Patients with hemodynamic instability or several traumatic injuries (other than fractures) - these patients require several treatments and may not have time to complete our study.
Exclusion criteria for parents:
Parents presenting unacceptable behaviors for family presence
- Uncooperative
- Physically aggressive, combative
- Threatening and argumentative
- Unstable emotionally or cannot be calmed
- Intoxicated or altered mental status
- Suspicion of child abuse
- Suspected perpetrator of violent crime
- Parents with moderate to severe mental retardation.
- Pregnant parent
Sites / Locations
- CHU Sainte-Justine
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Parental presence
Control
Patients in the study group will be accompanied by one of their parents for the whole procedure. Before this, a short explanation of the procedure, the patient's expected behavior during the procedure and what roles parents should play will be given to the parent by the research assistant. Parents will be seated close to the patient's head and will wear radiology proof gowns. If deemed necessary by the attending physician or if their behavior becomes unacceptable, parents can be asked to leave the procedure room at any given time. Parents will be allowed to leave the procedure room if they wish to at any time during the procedure.
One parent will stay with their child until he is in the procedure room and conscious sedation has begun. He will then be asked to leave the room and wait in an adjoining waiting room. The attending physician will invite the parent back in the room once the reduction is complete and the cast is done.