Objective: The objective was to identify, screen, highlight, review, and summarize some of the most rigorously conducted and impactful original research (OR) and review articles (RE) in global emergency medicine (EM) published in 2020 in the peerreviewed and gray literature. Methods: A broad systematic search of peer-reviewed publications related to global EM indexed on PubMed and in the gray literature was conducted. The titles and abstracts of the articles on this list were screened by members of the Global Emergency Medicine Literature Review (GEMLR) Group to identify those that met our criteria of OR or RE in the domains of disaster and humanitarian response (DHR), emergency care in resource-limited settings (ECRLS), and EM development. Those articles that | 1329 TREHAN ET Al.

Introduction: Parent-/nurse-controlled analgesia (PNCA) has been shown to be safe and effective for a variety of pediatric patient populations, yet no studies were found that assessed parent or nurse satisfaction with this opioid delivery system. The purpose of this study was to explore parent and nurse satisfaction and factors influencing satisfaction with three opioid delivery systems: PNCA with and without a basal infusion and intravenous, as needed (PRN) opioids for children with developmental delay.Methods: As part of a randomized controlled trial, parent satisfaction was measured using a modified Parent Total Quality Pain Management Instrument (Foster & Varni, 2002). Nurses were asked to complete an investigator-developed survey each shift.Results: Parents reported high levels of satisfaction regardless of the opioid delivery system, but parents in the PRN group reported longer wait times for medication and wanted more of a say in their child's pain management. PNCA was described by parents as convenient and fast, whereas PRN opioids were described as inconvenient and burdensome for nurses. Nurses' satisfaction was significantly lower for PRN opioids than PNCA owing to significantly longer administration times and less parental involvement.Discussion: To our knowledge, this is the first randomized controlled trial to explore parent and nurse satisfaction with various opioid delivery systems. Whereas all three systems resulted in high levels of parent satisfaction, nurses were more satisfied with PNCA. Adding this element of satisfaction with PNCA to the already established efficacy and safety adds support for the consideration of PNCA for children with developmental delay.