Articles Tagged With: pain
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Preventing and Treating Medication Overuse Headache
Patients with migraine who have an insufficient response to acute treatment medications, including triptans, risk developing medication overuse headache (MOH). The most successful treatment for MOH is withdrawal of the offending acute pain medications combined with early use of a migraine preventative medication.
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A Review of Thermal Burns for Emergency Clinicians
Emergency medicine clinicians need to be adept at the acute treatment of both minor and major burns and be confident in their ability to decide which patients need referral to a burn center. The authors outline current recommendations for the treatment of minor burns, the initial treatment of more serious thermal injury, and the decision-making algorithm for burn center referral.
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Type of Provider and Opioid Use in New-Onset Low Back Pain
When compared to an initial visit with a primary care physician, patients who initially received care for new-onset low back pain from a chiropractor, physical therapist, or acupuncturist had decreased odds of both early and long-term opioid use.
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Understanding Medical Marijuana
This article will evaluate and assess medical marijuana, also called medical cannabis, and will cover benefits and risks, clinical considerations affecting its recommendation, and currently available evidence.
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Pain Management in the Emergency Department: Opioids and Alternative Pain Management Therapies
Opioid therapy can be an effective form of pain management in the ED for acute painful conditions. The risk of addiction and abuse should be considered in every case. Alternatives to opioid therapy include systemic agents, such as acetaminophen, NSAIDs, lidocaine, alpha agonists, anticonvulsants, ketamine, corticosteroids, and local and regional anesthesia.
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Are Epidural Steroid Injections Cost-Effective?
In a retrospective review of patients treated for low back pain and lumbar radiculopathy at the Cleveland Clinic, at three- and six-month follow-up, epidural steroid injections were no better than conservative therapies in quality of life measures or overall cost of medical care.
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Large Texas Health System Cuts Long-Term Opioid Prescriptions Significantly
Education, monitoring, and incentives lead to 64% reduction in prescriptions of five days or longer.
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Are Epidural Steroid Injections Cost-Effective?
In a retrospective review of patients treated for low back pain and lumbar radiculopathy at the Cleveland Clinic, at three- and six-month follow-up, epidural steroid injections were no better than conservative therapies in quality of life measures or overall cost of medical care.
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EHR Issues Arising in ED Malpractice Lawsuits: Info Is Outdated, Incorrect, or Missing
Electronic health record (EHR) issues are coming up in malpractice lawsuits against ED providers. Seven such cases were included in a recent analysis of 216 closed claims occurring from 2010 to 2018 in which EHRs contributed to injury.
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Ubrogepant Tablets (Ubrelvy)
Ubrogepant is indicated for the acute treatment of migraine with or without aura in adults.