Dr. Advani is medical director at Mid Coast Hospital Emergency Department, president of the medical staff at Mid Coast–Parkview Health, and on the board of managers at BlueWater Emergency Partners.
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ACEP Now: Vol 38 – No 04 – April 2019Pages: 1 2 3 | Single Page
3 Responses to “ED-Initiated Medication-Assisted Therapy: 1 Hospital’s Experience”
April 21, 2019
Dr. RAThis is not an “emergency medical condition” and please remove the phrase. It is a medical condition which can be addressed and treated by emergency room staff and providers, but let’s not address it as the prior wording. A stroke, heart attack, overdose, sepsis are “emergency medical condition”s. Opiate Abuse (or OUD if preferred) is not.
That said with evidence even as powerful as the Yale study have shown, after 30 days the evidence is scarce and even with such the need for coordinated outpatient therapy is a must if ED staff is to start dispensing MAT. I agree the ED is a great place to initiate therapy, but realize the limitations placed in front of us.
April 21, 2019
sandra schneiderFirst ever EM specific MAT course will be held on May 9/10th just after the Leadership and Advocacy Course in DC. For further information, click on the Leadership and Advocacy Course and look for MAT.
April 25, 2019
Evan SchwarzGreat article. For anyone that is interested, ACEP recently endorsed ACMT’s (American College of Medical Toxicology) position statement on this.
https://www.acmt.net/_Library/Positions/ACMT_Bup_ED_Position_Statement_REV.pdf
There will also be an organized group tweet or tweet chat on May 28, 2019 at 3 pm eastern. Use #firesidetox to join in on the discussion.