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Am J Dis Child. 1965;110(2):226. doi:10.1001/archpedi.1965.02090030236029.
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To the Editor: I was interested in reading of Dr. Sweigard's attempt to stop his patients' crying by giving them the used syringe after he had injected them (Amer J Dis Child 109:586, 1965). I find that most of my patients are satisfied with just the plastic cover of the syringe and needle. Of course, Dr. Sweigard would do much better to make the injection itself practically painless. Ever since Dr. Janet Travell suggested ethyl chloride sprays to the area to be injected, I have used this method successfully and have eliminated any pain at all in about 80% of children having immunization injections. I have not found the method as successful with infants given injections in the buttocks, but even with them, unless the skin is very thin and fair, I have found it effective. For the last two or three years, I have used commercial skin freezing preparations


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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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