Format

Send to

Choose Destination
Ann Emerg Med. 2018 Oct;72(4):420-431. doi: 10.1016/j.annemergmed.2018.04.007. Epub 2018 Jun 5.

Identification, Management, and Transition of Care for Patients With Opioid Use Disorder in the Emergency Department.

Author information

1
Department of Emergency Medicine, University of Washington School of Medicine, Seattle, WA. Electronic address: hduber@uw.edu.
2
Department of Emergency Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.
3
Divisions of Emergency Medicine and Infectious Diseases, Washington University School of Medicine, St. Louis, MO.
4
San Juan Regional Medical Center, Farmington, NM.
5
Department of Emergency Medicine, Harvard Medical School, Massachusetts General Hospital, Boston, MA.
6
Department of Emergency Medicine, University of Cincinnati, and BrightView, Cincinnati, OH.
7
Department of Emergency Medicine, Florida State University, Tallahassee, FL.
8
Department of Emergency Medicine, University of Washington School of Medicine, Seattle, WA.

Abstract

Because of a soaring number of opioid-related deaths during the past decade, opioid use disorder has become a prominent issue in both the scientific literature and lay press. Although most of the focus within the emergency medicine community has been on opioid prescribing-specifically, on reducing the incidence of opioid prescribing and examining alternative pain treatment-interest is heightening in identifying and managing patients with opioid use disorder in an effective and evidence-based manner. In this clinical review article, we examine current strategies for identifying patients with opioid use disorder, the treatment of patients with acute opioid withdrawal syndrome, approaches to medication-assisted therapy, and the transition of patients with opioid use disorder from the emergency department to outpatient services.

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center