The role of Adjunct therapies such as Child Life therapy and Music listening during Procedural Sedation and Analgesia(PSA) for children during painful procedures has not been studied in the Emergency Department (ED). The investigators hypothesize that there will be a reduction in sedation medication dosage without change in sedation efficacy by addition of music therapy and Child Life to standard sedation protocol in children 3-15 years of age who undergo PSA for painful (orthopedic procedures, laceration repair, incision and drainage) procedures in a Pediatric emergency Department (PED).
Inclusion Criteria: * Children aged 3-15 years * American Society of Anesthesiologists (ASA) classification 1 or 2 * Receiving intravenous ketamine for PSA for painful procedures such as fracture/joint reduction, laceration repair, incision drainage of abscess . Exclusion Criteria: 1. Known contraindications, allergy or previous adverse events with ketamine 2. Receive intramuscular or oral sedation or sedation medications other than ketamine 3. Receive ketamine for procedures not listed above 4. Outside the age range listed above 5. Parents/guardians refuse study participation.