Temporal factors associated with opioid prescriptions for patients with pain conditions in an urban emergency department - Smith BC, Vigotsky AD, Apkarian AV, Schnitzer TJ.

IMPORTANCE: Opioid prescriptions for treatment of pain in emergency departments (EDs) are associated with long-term opioid use. The temporal pattern of opioid prescribing in the context of the opioid epidemic remains unknown. OBJECTIVE: To examine ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news

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We describe the historical use of opioids and the scope of the current opioid crisis, review the differences between dependence and addiction, and the private and public sectors response to pain management and highlight the issue of adolescent vulnerability. We conclude with a proposal for future directions that address both public and patient health needs.
Source: Current Opinion in Anaesthesiology - Category: Anesthesiology Tags: PEDIATRIC ANESTHESIA: Edited by Jorge A. Gálvez Source Type: research
I have some complicated thoughts about the problem that is convulsing the world. I have noticed that people who have shared similar thoughts have gotten some negative and even outraged reactions from people who don't grasp the subtleties. I'm going to directly confront some problems that people tend to avoid -- let's call them psychologically aversive.First the real emergency consists of the risk that the health care system will be overwhelmed. Here is the first complication that many people do not want to confront. The idea of " flattening the curve, " ceteris paribus, still means that the number of people who w...
Source: Stayin' Alive - Category: American Health Source Type: blogs
According to a new report by Orange County, California’s health care agency, the overdose deaths in Orange County have greatly surpassed that of Los Angeles, Riverside, San Bernardino, San Diego, Ventura, and Santa Barbara counties and, most shockingly, all of California as a whole. The opioid crisis in Orange County has grown so much that a high concentration of treatment centers has popped up in the area hoping to combat this issue, but it doesn’t seem to be enough. In addition, the report details that the majority of state-licensed treatment centers and unregulated sober living homes are located along the c...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Detox Resources for Alcohol and Drugs/Opiates opiate abuse opiate addiction opioid opioid crisis opioids orange county Source Type: blogs
Opioids are so highly addictive that they have created a dangerous and deadly epidemic in the United States. In fact, the National Institute on Drug Abuse reports that more than 2 million Americans abuse opioids and that more than 90 Americans die on average by opioid overdose every day. Individuals can become addicted to opioids so quickly that it can be difficult to notice when the line has been crossed over to opioid abuse. If you or your loved one is taking opioids, whether legal or illegal, make note of these signs and symptoms of opioid abuse and how to get help. How Does Opioid Abuse Begin? Opioids work by binding ...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Recovery Addiction to Pharmaceuticals Detox Resources for Alcohol and Drugs/Opiates abuse heroin heroin addiction heroin users opiate abuse opioid opioid crisis opioids prescription drug abuse prescription drug addiction Source Type: blogs
ConclusionsDental-related pain is often managed by nondental health care professionals in an ED or urgent care setting. An EHR alert may help quickly identify high-risk patients; however, the impact of alerts on prescribing patterns needs further evaluation. The decision regarding the type and quantity of medication to prescribe is complicated by lack of patient access to definitive dental treatment and lack of dental-specific training of prescribers. The limitations of this study include selective inclusion of encounters with specific ICD-9/ICD-10 codes, data limited to objectively searchable criteria, data collection for...
Source: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology - Category: ENT & OMF Source Type: research
BACKGROUND: The US is experiencing an epidemic of opioid overdoses which may be at least partially due to an over-reliance on opioid analgesics in the treatment of chronic non-cancer pain and subsequent escalation to heroin or illicit fentanyl. As Texas wa...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Alcohol and Other Drugs Source Type: news
By SAURABH JHA, MD Slumdog TB No one knows who gave Rahul Roy tuberculosis. Roy’s charmed life as a successful trader involved traveling in his Mercedes C class between his apartment on the plush Nepean Sea Road in South Mumbai and offices in Bombay Stock Exchange. He cared little for Mumbai’s weather. He seldom rolled down his car windows – his ambient atmosphere, optimized for his comfort, rarely changed. Historically TB, or “consumption” as it was known, was a Bohemian malady; the chronic suffering produced a rhapsody which produced fine art. TB was fashionable in Victorian Britain...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Artificial Intelligence Health Tech Saurabh Jha TB tuberculosis Source Type: blogs
This is not new news, but it's strong confirmation of earlier observations that have been somewhat controversial, and also bad news that the trend is continuing.That trend is declining life expectancy in the U.S. I'm not linking to the full report in JAMA because it's incredibly wonky and behind a paywall anyway, but rather to the associated editorial, which tells you what you need to know.Before we get into the substance of this, let me explain the concept of life expectancy. I'll try to put this simply, but some people find it confusing. It's really a fictitious, though useful, construct. It isn't really a prediction of ...
Source: Stayin' Alive - Category: American Health Source Type: blogs
Cliffside Malibu does not condone the use of the term “addict” when referring to people suffering from the disorder of addiction. However, we do understand that others still may use the term in order to find information. Many people may find themselves asking the question, “am I an opioid addict?” if they feel as if their use has spiraled out of control. There are many ways to find out if you may have become addicted to opioids, as well as ways to get help and find treatment. How Opioid Addiction Begins Nearly 80% of heroin users started with prescription opioids, which puts prescription drugs and ...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction to Pharmaceuticals addiction treatment opioid opioid crisis opioids pharmaceutical addiction pharmaceutical drug abuse treatment Source Type: blogs
The largest risks that come with using opioids are addiction and overdose. An overdose occurs when the body has received too much of a substance or a combination of substances. An opioid overdose can be fatal, which makes it important for all individuals to know the signs of one and what to do if it happens. What Happens During an Opioid Overdose? Opioid overdose can occur at any time, even if the opioids are being used as directed and as prescribed. Doctors can accidentally over-prescribe medications or the body can have a reaction that wasn’t expected. Opioids are a depressant, meaning they slow down the central n...
Source: Cliffside Malibu - Category: Addiction Authors: Tags: Addiction Addiction to Pharmaceuticals Heroin Painkiller Substance Abuse drug overdose heroin addiction heroin users opiates opioid opioids prescription drug abuse prescription drug addiction prescription medication Source Type: blogs
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