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Prescription Drug Monitoring Programs (PDMPs) used in the Emergency Department have been proven to inform and improve opioid prescribing practices in the ED, therefore reducing the number of opioid prescriptions written1. Implemented in 49 states, these databases track Schedule 2-5 controlled…
In a recent article by Lipton et. al. (Lipton RB, Croop R, Stock EG, et al. Rimegepant, an oral calcitonin Gene–Related peptide receptor antagonist, for migraine. N Engl J Med. 2019;381:142-149), the authors attempted to identify a novel pharmaceutical therapy for patients suffering from migraine…
Electric scooters are an easy, quick, and inexpensive mode to travel short distances, and have greatly increased in popularity since being introduced in 2017. However, recent evidence supports that these scooters are associated with a high rate of injury, and specifically head injuries. Laws…
Based on a conversation with and information provided by Lindsey Yourman, M.D.
In July of 2012, Massachusetts General Hospital (MGH) rolled out its Acute Care Plan (ACP) program in its Emergency Department. The team at MGH developed ACPs to improve the coordination of care for high frequency emergency department (ED) patients. These plans are notes connected to their ED…
In 2016, there were a total of 63,979 intentional injury deaths in the United States1. Of these, 37,353 (58%) involved a firearm: 22,938 (36%) were intentional self-harm deaths and 14,415 (23%) were assault-related deaths. Since 1999, firearm violence injury death rates have increased by 17%1.…
Every year thousands of people in Oakland California arrive at the ED in the acute stages of opioid withdrawal.1 Opioid withdrawal, an agonizing process that involves vomiting, diarrhea, shivering and pain, has historically been treated with an anti-nausea table, a discharge order, and…
In October of 2015 Joshua J. Lynch, DO, a clinical assistant professor of emergency medicine in the Jacobs School and a physician with UBMD Emergency Medicine, read a paper that introduced him to the idea of Emergency Department based medication assisted therapy (MAT).1
In 2010, Ohio became the state with fourth highest rate of overdoses in the US, a title which it defended until becoming number three in 2016 and number two the following year.1 While victims increase in number, they decrease in age. This past year the population of Ohio lost a…
The emergency department has become a prominent battle-ground for our nation’s opioid epidemic. The CDC estimates that between July 2016 and September 2017 over 140,000 patients visited an ER for overdose nationwide. At a time where a staggering 4 out of 5 new heroin users started out misusing…