232 A Randomized Controlled Trial on Virtual Reality Use as a Distraction Technique for Orthopedic Injuries Requiring Sedation

Pain is a common medical complaint, and one that is exacerbated by several procedures in the emergency department (ED) including intravenous (IV) line placement and manipulative procedures (radiographic imaging, casting). Inadequate pain control during these procedures can intensify pediatric anxiety, potentially resulting in complications or need for escalation of care. Distraction techniques have been utilized to reduce pain and anxiety with varying success depending on the modality used. Recently, more immersive distraction techniques, namely virtual reality (VR), have shown a reduction in sedation needed in burn patients, as well as reduced anxiety around port access in pediatric cancer patients.