Many drugs are effective systemically, but slow onset of non-intravenous routes of administration may limit their clinical utility. While anesthesiologists usually have intravenous (IV) access for drug delivery, other healthcare professionals in less controlled situations such as acute crises in the emergency room, critical care settings, or urgent needs in the community, may need non-invasive drug delivery [1].

Proximal humerus fracture with simultaneous shoulder dislocation in children is a rare occurrence, with few reported cases. This systematic review of case reports aimed to document the outcomes of different treatment methods. A comprehensive literature search from 1980 to 2024 included case reports on traumatic shoulder fracture-dislocation in children. Eighteen studies were included, with a mean followup of 1.5 years. The cases comprised 7 boys and 11 girls, aged between 11 months and 16 years (median 6 years). The cases were divided into two groups based on epiphysealinvolvement.

Chronic pain conditions constitute the primary reason for seeking healthcare, the development of related disability and addiction, and the highest driver of healthcare costs. Chronic temporomandibular, jaw and orofacial pain after acute jaw sprain/strain can be prevented if prompt and appropriate treatment in an emergency or urgent care clinic is provided using a jaw sprain/strain clinical protocol immediately after onset to begin the healing and recovery process. 

Acute pain is defined as an unpleasant sensory and emotional experience associated with, or resembling actual or potential tissue damage as a result of a surgical procedure, physical trauma, or as a consequence of a medical condition [1]. The prevalence of moderate-severe pain, defined as pain which significantly interferes with daily living activities, ranges between 27% and 66% in hospitalized pediatric patients and remains inconsistent even in those institutions with excellent resources and good reputations [2,3].

The tongue is a complex muscular organ essential for speech, taste, chewing and swallowing [1]. Tongue injuries range in severity from minor lacerations to complete amputation. The most common location is anterior dorsum as a result of falls, seizures, self-mutilation, electroconvulsive therapy or child abuse [1,2].