To study this, we propose a randomized clinical trial to compare three methods of administering midazolam for sedation: oral midazolam 0.5 mg per kg, buccal midazolam 0.3 mg per kg and intranasal midazolam 0.3 mg per kg. The subject population will be children under the age of 7 who require sedation for laceration repair in the Emergency Department of Children's Hospital and Regional Medical Center. Patients will be excluded if they have: closed head injury with loss of consciousness, abnormal neurologic exam relative to baseline status, severe developmental delay or baseline neurologic deficits, severe trauma with suspected internal injuries, acute or chronic respiratory conditions, or renal, cardiac or hepatic abnormalities.