Regardless of whether they know it, many case managers are faced with patients and clients each day who are struggling with opioid use disorder (OUD). As rates of OUD continue to increase, it is essential for case managers to hone their skills of confidently recognizing and addressing the disorder.
Pandemics, economic recessions, natural disasters, and other crises can lead to increases in intimate partner violence or domestic violence for a variety of reasons. Women and children are particularly vulnerable when disasters such as COVID-19 strike.
Children present to the ED with a variety of issues ranging from benign to life-threatening. The ability to recognize potentially devastating diseases early facilitates care and ensures an optimal outcome for the child.
The use and abuse of methamphetamine is a worsening global health problem that may be underestimated in light of the current opioid epidemic. Methamphetamines result in sympathetically mediated agitation and in psychiatric symptoms. Clinicians should be knowledgeable about the recognition and treatment of these disorders, as well as about the other complications, including arrhythmias, cerebrovascular accidents, seizures, dental issues, and systemic and local infections.
Approximately one in five children evaluated in the emergency department is physically abused. Emergency physicians have a responsibility to consider abuse in the differential of every injured child. Although there is increasing awareness of the emergency physician’s role in diagnosing abuse, emergency physicians frequently fail to recognize the more subtle presentations of abuse. This article reviews the identification, evaluation, and management of a child with possible physical abuse.
Domestic violence and abuse is a national and global healthcare problem with massive consequences, affecting men, women, and children. Awareness, recognition, and resource allocation, in addition to trauma management, is an important aspect of emergent care of the trauma patient possibly injured in a domestic violence incident.
This article aims to provide acute care providers with advanced techniques in the management of opioid overdoses, including the use of naloxone, the opioid receptor antagonist, as well as harm reduction management strategies aimed at long-term risk mitigation in this vulnerable population.
TJC has clarified its position on pain management, and it is underscoring its belief that drugs are not always required to manage pain. The statement followed a letter sent by more than 60 non-profit groups and medical experts to TJC that asked it to revisit its pain management standards.