ED Archives - AMERSA

The Authors’ Own Words: Alcohol, Marijuana, and Opioid Use Disorders: 5-Year Patterns and Characteristics of Emergency Department Encounters

Dec 8, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Alcohol, Marijuana, and Opioid Use Disorders: 5-Year Patterns and Characteristics of Emergency Department Encounters

Amber L. Bahorik, PhD; Derek D. Satre, PhD; Andrea H. Kline-Simon, MS; Constance M. Weisner, DrPH, MSW; Kelly C. Young-Wolff, PhD, MPH; & Cynthia I. Campbell, PhD

Substance Abuse Vol. 39, Iss. 1, 2018

“Our study highlights that emergency department (ED) settings offer critical opportunities for clinicians to identify and intervene on patients with alcohol, marijuana, and opioid use disorders to initiate treatment, with those who have opioid use disorders having the highest ED use and potentially the greatest treatment needs. Devoting more health resources to providing training for initiating ED-based treatments for patients who have opioid use disorders in heath-systems, such as ED-initiated buprenorphine and referral to substance use disorder treatment, may be a step toward improving health outcomes and reducing ED visits in this population.”

The Authors’ Own Words: Randomized Pilot Trial Measuring Knowledge Acquisition of Opioid Education in Emergency Department Patients Using a Novel Media Platform

Dec 6, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Randomized Pilot Trial Measuring Knowledge Acquisition of Opioid Education in Emergency Department Patients Using a Novel Media Platform

Bharath Chakravarthy, MD, MPH; Shashank Somasundaram; Jennifer Mogi, BS, BA; Roshan Burns, BS; Wirachin Hoonpongsimanont, MD, MS; Warren Wiechmann, MD, MBA; & Shahram Lotfipour, MD, MPH

Substance Abuse Vol. 39, Iss. 1, 2018

“By administering traditional Emergency Department discharge instructions through a novel media platform, this study filled a critical gap in patient health literacy with minimal cost and effort. Improving patient knowledge of important prescription opioid information is a seldom addressed, yet vital primary measure to prevent opioid misuse and addiction.”

The Authors’ Own Words: Patient Characteristics Associated with Treatment Initiation and Engagement Among Individuals Diagnosed with Alcohol and Other Drug Use Disorders in the Emergency Department and Primary Care Settings

Nov 25, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

Patient Characteristics Associated with Treatment Initiation and Engagement Among Individuals Diagnosed with Alcohol and Other Drug Use Disorders in the Emergency Department and Primary Care Settings

Andrea H. Kline-Simon, MS; Scott P. Stumbo, MA; Cynthia I. Campbell, PhD, MPH; Ingrid A. Binswanger, MD, MPH, MS; Constance Weisner, DrPH, MSW; Irina V. Haller, PhD, MS; Rulin C. Hechter, MD, PhD; Brian K. Ahmedani, PhD, LMSW; Gwen T. Lapham, PhD, MPH, MSW; Amy M. Loree, PhD, Stacy A. Sterling, DrPH, MSW; & Bobbi Jo H. Yarborough, PsyD

Substance Abuse Vol. 40, Iss. 3, 2019

“Based on these study findings, it may be beneficial for clinicians in the ED setting to focus extra attention on younger patients and non-White race/ethnicities; while clinicians in primary care settings may need to spend extra time with older patients and those with a medical comorbidity, to encourage treatment initiation among these groups, though there is also still a need for broad screening in both settings. As the ED and primary care settings are often the first line of care for patients struggling with an AOD use disorder, addressing patients’ needs in these settings as they are identified may help them access and engage in treatment.“

The Authors’ Own Words: The Care of Patients Using Methamphetamine in the Emergency Department: Perception of Nurses, Residents, and Faculty

Nov 12, 2019 by AMERSA

The Authors’ Own Words:

We ask authors to describe their impressions regarding the implications of their accepted work, how their findings will change practice, and what is noteworthy about the work.

The Care of Patients Using Methamphetamine in the Emergency Department: Perception of Nurses, Residents, and Faculty

John R. Richards, MD; J. Adam Hawkins, DO; Eric W. Acevedo, RN; Erik G. Laurin, MD

Substance Abuse Vol. 40, Iss. 1, 2019

“Methamphetamine use has been associated with serious medical problems such as myocardial infarction, heart failure, and stroke, and psychiatric issues such as acute psychosis, paranoia, and violent behavior. In this study, the medical personnel caring for these patients in the emergency department were surveyed and compared regarding their perception of the methamphetamine problem, resource utilization by these patients, and treatment preferences. The results confirm methamphetamine-using patients were frequently encountered, required high levels of care, and were often implicated in violence directed toward nurses and physicians. This study provides further evidence of the burden of methamphetamine use on society, emergency medical services, hospital resources, and the difficulties in caring for these patients due to the potential for unpredictable behavior.“