In opioid naïve patients 13-21 years of age, persistent opioid use was found in 4.8% of the post-surgical group vs 0.1% of those in the non-surgical group. Procedures associated with the highest risk of persistent opioid use were cholecystectomy and colectomy. Independent risk factors included older age, female sex, diagnoses of substance use disorder and chronic pain.

There was no advantage to giving IV acetaminophen for pain in the ED over oral.

The combination of videolaryngoscopy (VL) and Bonfils rigid intubation endoscope (BIE) was an excellent way to safely intubate patients with extremely difficult airways.

Ketofol vs ketamine alone had the advantage of fewer unpleasant emergence reactions and less post-procedural vomiting.

Patients may still have opiate abuse or dependence even if they have no prescriptions recorded on a public controlled substance database.

Neither morphine+ibuprofen nor either drug alone+placebo improved pain to a minimal score at 1 hour in children with acute extremity pain.

A dose of ibuprofen 400mg + acetaminophen 1000mg was as good as an oral opiate for extremity pain.

Codeine prescriptions for children after tonsillectomy and adenoidectomy substantially dropped after the FDA issued a black box warning over safety concerns.  Still, 1 in 20 children continue to inappropriately receive codeine after T&A.

External laryngeal manipulation (ELM) was associated with reduced first-pass success in critically ill children requiring emergent intubation.  But it could have simply been a marker of a more difficult airway, not the cause.

In pediatric patients with respiratory distress, failure of intubation on the first attempt was associated with increased risk of arrest.