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

by

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.“

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The Authors’ Own Words: Interest in prescribing buprenorphine among resident and attending physicians at an urban teaching clinic.

by

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. 

Interest in prescribing buprenorphine among resident and attending physicians at an urban teaching clinic

Jocelyn R. James, MD; Leah M. Gordon, MD, MPH; Jared W. Klein, MD, MPH; Joseph O. Merrill , MD, MPH; Judith I. Tsui , MD, MPH

Substance Abuse Vol. 40, Iss. 1, 2019

“This academic medical center based study on attitudes toward buprenorphine maintenance treatment for opioid use disorder suggests that internal medicine physicians, especially those who are younger and who believe that buprenorphine is effective, have high interest in becoming waivered to prescribe buprenorphine. Integrating buprenorphine education, training, and waiver opportunities into residency programs may create a pipeline of buprenorphine providers and thereby expand access to effective opioid use disorder treatment.”