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Most studies of pediatric procedural sedation have been conducted in university and tertiary-care pediatric settings. Little is known about this practice in community settings, where pediatric patient volume is typically lower. Researchers used data from the Procedural Sedation in the Community Emergency Department (ProSCED) registry, a database of consecutive emergency physician–directed procedural sedation cases, to describe practice patterns and associated outcomes. Fourteen community hospitals prospectively submitted data to the registry from January 2003 to March 2006 on forms required by the Joint Commission on Accreditation of Healthcare Organizations.
Of 1028 sedations, 341 (33%) were performed in patients younger than 21. The volume…