Shorter sedation times are seen with lower doses of propofol. Patients do not need prolonged post-procedure monitoring because the occurrence of spontaneous resedation associated with propofol use is a rare event. This has implications for patient flow and staff resource allocation in a busy ED.

The belief that ketamine, in the doses used for ED PPS, causes frequent emergence delirium is flawed. A pleasant emergence phenomenon is common, but is not distressing for the child, and has no long-term (up to 30 days) negative sequelae. Rarely, there is anxiety or distress on awakening from ketamine sedation, which settles spontaneously. This should not deter emergency physicians from using ketamine for PPS.

Introduction: This study aimed to determine the level and predictors of Knowledge, Attitude and Practice (KAP) among barbers regarding health hazards associated with their profession in Fiji. Methods: A quantitative study was used to assess the levels and predictors of KAP using a structured questionnaire among 117 barbers who were chosen between June and November 2020 in Suva, Fiji. All those barbershops that operated at least for 6 months, were licensed, and 18 years and above were included. A self-administrative closed-ended structured questionnaire was used to collect data. The level of KAP was assessed using the modified Bloom’s cut-off points. A correlation test was used to determine predictors of KAP. Results: The majority of participants had a medium level of knowledge (62.4%), medium level of attitude (63.2%), and low level of practice (64.1%) towards health hazards associated with barbering the profession. However, 28.2% had low knowledge and attitude scores. The major source of knowledge was through the internet. The results of the correlation test showed that religion, education level, and weekly income were significantly correlated with knowledge (<.05) whereas age and weekly income was significantly correlated with the level of attitude of participants towards health hazards associated with their profession (<.05). Conclusion: Barbers had medium knowledge and attitude towards health hazards associated with the barbering profession while their practice was poor. These findings call for prompt and target group interventions such as strengthening enforcement, awareness, training on equipment decontamination and Good Hygiene Practices to be conducted.

BACKGROUND: The barbers&rsquo; work is associated to many infectious diseases which lead to major cause of morbidity and mortality in human&rsquo;s population globally. This study aimed to determine barbers&rsquo; practices and health hazards associated with their profession in Fiji. MATERIALS &amp; METHODS: A cross sectional quantitative study was conducted to collect data from 50 observational sessions among barbers in Suva, Fiji in 2020. A sample of 25 barbers were randomly selected to participate in this study. A checklist was used to record and collect data. Out of the 25 barbershops observed none of them carried out any form of sterilization. RESULTS: Only 4 (16%) did some form of disinfection with home bleach and savalon randomly while 84% did not have any form of decontamination in place. The results further illustrate that 22 (88%) of the disinfection were not potent while 3 (12%) were unknown. Similarly, 22 (88%) had inappropriate methods of disinfection and 3 (12%) were questionable. None of the barbershops observed had supply of hot water and only 15 (60%) had sufficient privy and hand washing facilities. Furthermore, only 6 (24%) used PPEs compared to 19 (76%) were in non-compliance. CONCLUSION: This finding calls for immediate attention of authorities to enforce relevant laws and create awareness and training to improve standards in barbering profession.