Colorado MAT Part 1: Understanding Addiction & Opioid Use Disorder

Colorado MAT Part 1: Understanding Addiction & Opioid Use Disorder

  1. Addiction is widely misunderstood by the public and by many healthcare providers. It is not taught in most medical schools.
  2. Combating the opioid epidemic will require providers to understand Opioid Use Disorder (OUD) and its treatment.
  3. Addiction is a chronic, relapsing disease with extraordinarily high morbidity and mortality. It is the transition from controlled to impulsive and compulsive drug intake.
  4. Physiologic dependence is just one aspect of addiction. The behavioral and social derangements seen in addiction are the major source of harm for people with substance use disorders.
  5. Addiction is not a personal failure of will. The role of genetics and environment are enormous.
  6. It is more useful to think of addiction as a kind of "brain failure." Dopamine and different dopaminergic systems are severely affected by drug use, resulting in chronic changes and even death to areas of the brain.
  7. We do not stigmatize patients with diabetes or CHF for life choices contributing to their disease, nor do we refuse them care or make their care conditional on their behavior. We treat them.
  8. Opioid use disorder is a treatable disease. It is time that ED providers start treating it.

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Podcast # 501: Take Down Potions

Podcast # 501: Take Down Potions

Author: Jared Scott, MD Educational Pearls: Study from Hennepin County EM studied the efficacy of different drugs for agitation, which included 737 patients Most patients in this study were male and ...

16 Sep 20193min

Colorado MAT Part 4: Buprenorphine in the Emergency Department

Colorado MAT Part 4: Buprenorphine in the Emergency Department

Treatment with buprenorphine is easier, less time consuming and far more effective for management of opioid withdrawal and OUD than standard care with clonidine, IVF, haldol and other symptomatic ther...

26 Aug 20191h 5min

Colorado MAT Part 3: Medications for MAT in the ED

Colorado MAT Part 3: Medications for MAT in the ED

There are three MAT drugs available to treat addiction: naltrexone (brand name Vivitrol), methadone (brand names Dolophine or Methadose) & buprenorphine (brand name Suboxone, Subutex, and Sublicade). ...

26 Aug 201927min

Colorado MAT Part 2: Medication Assisted Treatment

Colorado MAT Part 2: Medication Assisted Treatment

Medication Assisted Treatment or (Medication for Addiction Treatment) is an important frontier in ED care of patients with Opioid Use Disorder. Naltrexone, methadone and buprenorphine are the medicati...

26 Aug 201928min

Podcast #500: 2018-19 Rapid Fire EM Literature Review

Podcast #500: 2018-19 Rapid Fire EM Literature Review

Author: Dave Saintsing Educational Pearls: Poor sleep is an independent risk factor for development of health problems such as type 2 diabetes. A 2019 study, randomized participants to 3 groups: 9 h...

24 Aug 201914min

Podcast #499: Posterior Circulation Ischemia

Podcast #499: Posterior Circulation Ischemia

Podcast # 499: Posterior Circulation Strokes Contributor: Neal O'Connor, MD Educational Pearls: Dizziness is a very common complaint in the emergency department, but how can we find patients with a d...

22 Aug 201912min

Podcast # 498: Ortho Tips

Podcast # 498: Ortho Tips

Author: Susan Ryan, DO Educational Pearls: General orthopedic principles: Examine above and below the injury Document neurovascular status X-ray imaging typically requires three different views F...

19 Aug 201912min

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