In both arms, the administration of local anesthetic and/or the degree to which a child is held in order to perform the procedure will be at the discretion of the treating physician. The practice, however, for a specific minor procedure is similar between all providers. For example, a child receiving sutures will have a topical anesthetic placed at triage and then injectable lidocaine administered at the time of the suturing. The doses for topical anesthetics are uniform and the decision by the provider whether to use topical anesthesia will be made before group randomization. In order for our data to be clinically meaningful, we again want to mimic PED practice. The details of all aspects of adjuvant care, such as local anesthetic use and holding a child, will be documented.