Anderson J, Furnival RA, Zhang L, et al. - In this retrospective review involving 768 medical records, researchers evaluated and compared the effectiveness of the various enema solutions used in a pediatric emergency department (ED), including the “pink lady,” a previously unreported compounded combination of docusate, magnesium citrate, mineral oil, and sodium phosphate. All children (median age was 6.2 years) who received any enema over a 5-year period in an urban, quaternary care pediatric ED for inclusion in the study through electronic record review, were identified. In children treated in an ED, no significant difference was found in reported stool output produced by sodium phosphate, soap suds, and pink lady enemas. Soap suds had a much higher rate of side effects, mostly abdominal pain. In directing the choice of enema solution, further research through randomized controlled trials would be helpful.