Objectives: Paediatric forearm fractures are common. Anecdotally, there is a trend towards ED reduction of selected fractures under procedural sedation. We aimed to determine the rate of subsequent operative intervention for fracture re‐displacement. Methods: Retrospective observational study of children with a forearm/wrist fracture undergoing fracture reduction in ED. Outcome of interest was operative intervention for fracture re‐displacement within 6 weeks. Results: Among 176 patients studied, operative intervention occurred in nine patients (5.1%, 95% confidence interval 2.7–9.4%). Conclusion: Reduction of paediatric forearm fractures under procedural sedation by ED clinicians is increasingly common and results in a low rate of subsequent operative intervention. [ABSTRACT FROM AUTHOR]