The Skeptics' Guide to EM

AUGUST 27, 2022

He is also an avid FOAM supporter/producer through various online outlets including TheSGEM. […] The post SGEM#374: Bad Habits – Medications for Opioid Use Disorder in the Emergency Department first appeared on The Skeptics Guide to Emergency Medicine. Date: August 23rd, 2022 Reference: Schoenfeld et al.

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Emergency Department Naloxone Overdose ED 100

ACEP Now

JULY 7, 2023

Emergency departments (EDs) focus on rapid initiation of medical treatment. Patients with opiate overdose get naloxone. Once trust is established and patients are willing to accept calming medication, emergency physicians should consider these guiding principles. Patients with sepsis get antibiotics.

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Emergency Department ED ALS Naloxone 52

ALiEM

NOVEMBER 29, 2023

Naloxone will not reverse the effects of xylazine; however, it is routinely given in unresponsive or obtunded patients presenting with an opioid toxidrome. In patients with minimal response to naloxone, xylazine toxicity may be suspected [10]. Opioid overdoses involving xylazine in emergency department patients: a multicenter study.

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EM Literature of Note

AUGUST 18, 2023

We do love to give out opiates in the emergency department. However, does this trial apply to the emergency department? Modified-release oxycodone-naloxone was the opiate of choice in this Australian trial. Kidney stone? Broken arm? Gunshot wound? Sore throat? Dexamethasone. And opiates. Spring into action, team!

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REBEL EM

JUNE 5, 2023

One study from a county in Massachusetts found that of all nonfatal opioid doses seen in the emergency department from 2011-2015, 1 in 20 patients subsequently died within one year of initial visit with 66% of these deaths being directly related to an opioid overdose (4). PMID 33392580.

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Naloxone ED Overdose Emergency Department 98

The Skeptics' Guide to EM

JANUARY 19, 2019

Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Hospital Observation Upon Reversal (HOUR) With Naloxone: A Prospective Clinical Prediction Rule Validation Study. Sixty minutes after receiving naloxone he is GCS 15 and walking to the desk demanding to be discharged.

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Naloxone Overdose Emergency Medical Services Emergency Department 130

ACEP Now

OCTOBER 15, 2023

1 The emergency department remains an important frontier for work in judicious prescribing, but opiate analgesia remains a valuable tool for the initial treatment of a variety of presentations. The addition of naloxone to the tablets may also provide a confounder in terms of the analgesia provided.

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