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The Archivist has never supported physically restraining angry or violent and emotionally charged children in the emergency department or on the ward. Unfortunately there may be situations where it is felt the only option. Many units will have a physical or chemical restraint guidelines which always causes controversy and most clinicians and nurses, when discussing options with the parents and trying to engage the child, do not find it easy to instigate. Dalton E M et al (Pediatrics 2021;148:e2020003939) have tackled this issue and provide some excellent advice and suggestions on how to prevent the need for restraint. Children …
Provenance and peer review Commissioned; internally peer reviewed.