Managing Emergency Department Patients With Opioid Use Disorder (Substance Use Disorders CME) | Podcast
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Managing Emergency Department Patients With Opioid Use Disorder (Substance Use Disorders CME)

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Date: 06/12/2024 | Length: 44:09

Show Notes

Current State of Opioid Epidemic

  • Overview of overdose deaths and trends.
  • Data and statistics about opioid overdose mortality rates.
  • Three Waves of Opioid Overdose Deaths in the U.S.

Opioid Classifications and Urine Drug Testing

  • Types of opioids: synthetic, semi-synthetic, and natural.
  • Urine drug testing limitations and false positives/negatives.
  • Practical use and research on co-ingestions

Emergency Medical Services (EMS) and Pre-Hospital Care

  • Importance of ABCs in acute opioid overdose cases.
  • Naloxone usage trends and an empirical approach.
  • Anecdotal insights on changing naloxone administration dosages.

Clinical Management in the Emergency Department

Buprenorphine Initiation

  • Protocols for initiating buprenorphine in ED settings.
  • Assessment using the Clinical Opiate Withdrawal Scale (COWS).
  • Safe dosing procedures for buprenorphine.

Withdrawal and Overdose Care

  • Laboratory testing recommendations.
  • Capnography and VBG in overdose management.
  • The role of end-tidal CO2 monitoring and respirations.

Methadone vs. Buprenorphine Considerations

  • Methadone to buprenorphine transition protocols.
  • Personal testimonials and clinical experiences in managing overdoses and withdrawal symptoms.

Patient Discharge and Follow-upPreparation of discharge prescriptions.

  • Referral to addiction medicine clinics and resources.
  • Educating patients on continued treatment and harm reduction.
 

Meet the Host

Sam Ashoo, MD, FACEP

Dr. Ashoo is a practicing emergency physician, board-certified in emergency medicine and clinical informatics. Join him as he interviews Corey Hazekamp, MD, MS, one of authors of the June 2024 Emergency Medicine Practice article Managing Emergency Department Patients With Opioid Use Disorder


 

To Read The Companion Article:
To Read The Companion Article:
To Read The Companion Article:
Publication Information
Authors

Corey S. Hazekamp, MD, MS; Dana Sacco, MD, MSc

Peer Reviewed By

Patrick Maher, MD, MS; Brian G. Wiener, MD

Publication Date

June 1, 2024

CME Expiration Date

June 1, 2027    CME Information

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-B Credits.
Specialty CME Credits:Included as part of the 4 credits, this CME activity is eligible for 4 Substance Use Disorders CME credits, subject to your state and institutional approval. This CME activity is eligible for 4 credits toward the United States Department Justice Drug Enforcement Administration Medication Access and Training Expansion (MATE) requirements.

Pub Med ID: 38768011

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