 To assess pain, the investigators will use the standard pain scale that is currently used in our Pediatric ED in order to minimize the need to re-train any of our staff with a different pain scale. The scale incorporates the Numerical rating scale 0-10 scale; NRS and the Wong-Baker faces pain scale 6 faces corresponding to 0,2,4,6,8,10; WBS. While prior studies have used different pain scales, primarily the visual analog scale VAS, the scales that the investigator currently use have been validated in children in 2009. 