This book fills a gap in the existing medical literature by providing a best-practice approach to the evaluation and acute treatment of patients presenting for emergency care with identifiable substance use and/or co-occurring psychiatric disorders. As the first interdisciplinary book to integrate psychiatric and emergency care, the text uniquely covers a myriad of serious medical conditions, acute mental status and dangerous behavioral abnormalities. The book focuses on guidelines that support emergency room physicians with little formal medical training in addiction medicine. The first section focuses on the diagnosis and management of substance-specific intoxication and withdrawal states, as well as common medical co-morbidities and disposition considerations. The book lends particular attention to the identification and stabilization of high risk medical conditions associated with each substance of abuse. The second section is psychiatrically focused, addressing the most common psychiatric symptoms and syndromes, their association with SUDs, an approach to differential diagnosis, and discussion of crucial treatment considerations for both safe ED management and post-ED disposition. A final section includes other pertinent topics, for example, the assessment of patient safety, responding to the medication-seeking patient, assessment and treatment of pregnant patients and working with adolescents and their families around substance use.

Substance Use and The Acute Patient is a unique and valuable contribution to the literature for both consulting psychiatrists, emergency medicine specialists, addiction medicine specialists, and all other medical professionals who provide care for these most complex and underserved patients.

Autorentext
Suzanne A. Bird M.D., Director, Acute Psychiatry Service, Massachusetts General Hospital, Assistant Professor, Harvard Medical Schoolsabird@partners.org
Abigail L. Donovan M.D., Associate Director, Acute Psychiatry Service, Massachusetts General Hospital, Assistant Professor, Harvard Medical Schoolaldonovan@partners.org

Inhalt

SECTION I: MANAGEMENT OF ACUTE SUBSTANCE USE DISORDERS

1. Opioid Use Disorders and Related Emergencies

Vinod Rao and E. Nalan Ward

2. Alcohol and Sedative Use Disorders and Related Emergencies

Curtis Wittmann, Abigail L. Donovan, and Mladen Nisavic

3. Stimulant Use Disorders and Related Emergencies

Amanda S. Green

4. Cannabis Use Disorders and Related Emergencies

S. Alex Sidelnik, ****Theodore I. Benzer

5. Management of Acute Substance Use Disorders: Hallucinogens and Associated Compounds

Mladen Nisavic, ****Melisa W. Lai-Becker

SECTION II: MANAGEMENT OF SUBSTANCE-INDUCED AND CO-OCCURRING DISORDERS

6. Substance/Medication-Induced Mood States and Co-Occurring Mood and Substance Use Disorders: Evaluation and Management in Emergency Department and Psychiatric Emergency Service Settings

Lior Givon

7. Substance-Induced Psychosis and Co-Occurring Psychotic Disorders

Hannah E. Brown, ****Yoshio Kaneko, Abigail L. Donovan

8. Substance-Induced Anxiety and Co-Occurring Anxiety Disorders

Daryl Blaney, Annise K. Jackson, Ozan Toy, Anna Fitzgerald, Joanna Piechniczek-Buczek

9. Patients with Co-Occurring Substance Use and Personality Disorders

Daniel P. Johnson, Karsten Kueppenbender

10. Preventing and Managing Risk of Violence and Suicide in Substance Abusing Patients in the Emergency Department

Michael Murphy, ****Suzanne A. Bird

SECTION III: SPECIAL TOPICS

11. Responding to the Medication-Seeking Patient

Scott G. Weiner

12. Substance Use in Children and Adolescents

Peter Jackson, Michelle Chaney, Laura M. Prager

13. Emergency Management of Substance Use in Pregnant Patients

Allison S. Baker, Charlotte S. Hogan