In my short Pediatric Emergency Medicine career, I have successfully:
- burrito-wrapped my fair share of pediatric laceration patients;
- debrided 3rd degree burns with IM ketamine;
- removed cockroaches from ears, and
- sutured a sleeping child.
But never, ever in my career have I sutured a child without them screaming bloody murder. Until today, ladies and gents.
God bless you, Spongebob Distractionpants. For the low price of $1.99 (and your iPhone service plan, of course) you can download an episode from iTunes and totally distract a kid — without any respiratory depression or squirming!
It did absolutely nothing when I tried to distract the kid during the lidocaine injection, but once he was numb, I was suturing up his lip, dragging suture material along his face and waving suture instruments near his mouth and eyes without an ounce of fear — or even interest. He was totally, absolutely, completely fixated on my iPhone showing the SpongeBob episode. (And works faster and more reliably than PO versed.) Thank you, inherent distractability of the immature mind!
(The febrile 2 year-old tonight with otitis would have none of it, despite me going for a Yo Gabba Gabba episode, in case you’re wondering.)