Episode 161.0 – Opioid Epidemic

Episode 161.0 – Opioid Epidemic

Author: Core EM April 22, 2019 Duration: 14:26

A look at the opioid epidemic and what ED providers can do to combat this formidable foe.

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Show Notes

  • Consider alternatives to opiates for acute pain
    • NSAIDs
    • Subdissociative ketamine
    • Nerve blocks
  • Curb misuse and diversion through prescribing a short supply and perform I-STOP checks
  • Narcan is not just for acute overdose treatment by EMS or within the ED anymore
    • We can equip patients, family members and friends with Narcan kits prior to discharge
    • In New York state, can prescribe Narcan to patients with near fatal overdoses or who screen positive for an opioid use disorder
    • Intranasal formulation is cheaper and more commonly prescribed than IM
  • Buprenorphine induction can be done in the ED for patients in active withdrawal, as calculated by the COWS score.
  • Home induction can be considered for patients not actively withdrawing but would like to enter medication assisted treatment

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There’s a particular kind of pressure that comes with working in an emergency department, where decisions need to be both swift and sound. Core EM-Emergency Medicine Podcast exists in that space, offering a direct line to the essential knowledge and clinical reasoning that emergency medicine demands. Created by the team at Core EM, each episode feels less like a formal lecture and more like a focused conversation with a trusted colleague. You’ll hear discussions that break down critical topics, from managing common presentations to unraveling complex, high-acuity cases, all grounded in current evidence and practical reality. This podcast serves as a reliable resource for physicians, residents, and advanced practice providers looking to solidify their foundation or stay sharp on the latest evidence. It’s about cutting through the noise to deliver core content that’s immediately applicable at the bedside. Tune in for a clear, concise, and always relevant dive into the principles that define emergency care, designed to fit into a busy clinician’s life between shifts or during a commute.
Author: Language: en-us Episodes: 100

Core EM - Emergency Medicine Podcast
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