dren. 3 It is likely that many patients presenting to the emergency department with trauma would not be fasted. Trauma further delays gastric emptying in children, 4 making it impossible to predict a "safe" interval before administration of deep sedation or anesthesia. These children would appear to be exposed to a significant risk of regurgitation and possible pulmonary aspiration, necessitating precautions such as rapid-sequence tracheal intubation with application of cricoid pressure.We question the wisdom of the described method of sedation in this population of patients.
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