Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e
|Section 24. Psychosocial Disorders >|
Chapter 289. Alcohol and Other Drugs of Abuse
Sections: Alcohol and Other Drugs of Abuse: Introduction, Scope of the Problem, Definitions, Alcohol Withdrawal, Opiate Withdrawal, Benzodiazepine Withdrawal, Cocaine Withdrawal and Other Stimulant Withdrawal, Marijuana Withdrawal, ED Screening, Brief Intervention, and Referral to Treatment), The Medical Clearance Examination, Acknowledgments, References.
Topics Discussed: alcohol abuse; substance abuse.
Excerpt:"In EDs around the world, on every shift, patients present for
our care because of the consequences of unhealthy drinking or drug
use. Sometimes, the cause of the presenting problem is obvious,
but, just as often, the connection of substance use with its medical
consequences remains undiscovered. Emergency physicians are experts
in stabilization, diagnosis, and treatment of acute alcohol
and drug emergencies and their secondary complications, but often
fail to ask about drinking and substance abuse. ED failure to screen
and detect substance abuse could contribute significantly to adverse
drug reactions or delays in instituting appropriate treatment. Management
and disposition are often challenging and frustrating because of
factors outside our control that co-vary with unhealthy alcohol and
drug use, such as psychiatric illness, homelessness, low level of
health literacy, lack of insurance coverage or ability to pay for
medications, criminal justice involvement, and absence of family
support for caregiving...."
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