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Clinical Policy: Critical Issues Related to Opioids in Adult Patients Presenting to the Emergency Department

Publication ,  Journal Article
Wolf, SJ; Byyny, R; Carpenter, CR; Diercks, DB; Gemme, SR; Gerardo, CJ; Godwin, SA; Hahn, SA; Hatten, BW; Haukoos, JS; Hickey, SM; Kaji, A ...
Published in: Annals of Emergency Medicine
September 1, 2020

This clinical policy from the American College of Emergency Physicians addresses key issues in opioid management in adult patients presenting to the emergency department. A writing subcommittee conducted a systematic review of the literature to derive evidence-based recommendations to answer the following clinical questions: (1) In adult patients experiencing opioid withdrawal, is emergency department-administered buprenorphine as effective for the management of opioid withdrawal compared with alternative management strategies? (2) In adult patients experiencing an acute painful condition, do the benefits of prescribing a short course of opioids on discharge from the emergency department outweigh the potential harms? (3) In adult patients with an acute exacerbation of noncancer chronic pain, do the benefits of prescribing a short course of opioids on discharge from the emergency department outweigh the potential harms? (4) In adult patients with an acute episode of pain being discharged from the emergency department, do the harms of a short concomitant course of opioids and muscle relaxants/sedative-hypnotics outweigh the benefits? Evidence was graded and recommendations were made based on the strength of the available data.

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Published In

Annals of Emergency Medicine

DOI

EISSN

1097-6760

ISSN

0196-0644

Publication Date

September 1, 2020

Volume

76

Issue

3

Start / End Page

e13 / e39

Related Subject Headings

  • Emergency & Critical Care Medicine
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Wolf, S. J., Byyny, R., Carpenter, C. R., Diercks, D. B., Gemme, S. R., Gerardo, C. J., … Runde, D. P. (2020). Clinical Policy: Critical Issues Related to Opioids in Adult Patients Presenting to the Emergency Department. Annals of Emergency Medicine, 76(3), e13–e39. https://doi.org/10.1016/j.annemergmed.2020.06.049
Wolf, S. J., R. Byyny, C. R. Carpenter, D. B. Diercks, S. R. Gemme, C. J. Gerardo, S. A. Godwin, et al. “Clinical Policy: Critical Issues Related to Opioids in Adult Patients Presenting to the Emergency Department.” Annals of Emergency Medicine 76, no. 3 (September 1, 2020): e13–39. https://doi.org/10.1016/j.annemergmed.2020.06.049.
Wolf SJ, Byyny R, Carpenter CR, Diercks DB, Gemme SR, Gerardo CJ, et al. Clinical Policy: Critical Issues Related to Opioids in Adult Patients Presenting to the Emergency Department. Annals of Emergency Medicine. 2020 Sep 1;76(3):e13–39.
Wolf, S. J., et al. “Clinical Policy: Critical Issues Related to Opioids in Adult Patients Presenting to the Emergency Department.” Annals of Emergency Medicine, vol. 76, no. 3, Sept. 2020, pp. e13–39. Scopus, doi:10.1016/j.annemergmed.2020.06.049.
Wolf SJ, Byyny R, Carpenter CR, Diercks DB, Gemme SR, Gerardo CJ, Godwin SA, Hahn SA, Hatten BW, Haukoos JS, Hickey SM, Kaji A, Kwok H, Lo BM, Mace SE, Nazarian DJ, Promes SB, Shah KH, Shih RD, Silvers SM, Smith MD, Thiessen MEW, Tomaszewski CA, Valente JH, Wall SP, Winger J, Cantrill SV, Hirshon JM, Mims M, Schulz T, Dubin JS, Ketcham EM, Runde DP. Clinical Policy: Critical Issues Related to Opioids in Adult Patients Presenting to the Emergency Department. Annals of Emergency Medicine. 2020 Sep 1;76(3):e13–e39.
Journal cover image

Published In

Annals of Emergency Medicine

DOI

EISSN

1097-6760

ISSN

0196-0644

Publication Date

September 1, 2020

Volume

76

Issue

3

Start / End Page

e13 / e39

Related Subject Headings

  • Emergency & Critical Care Medicine
  • 3202 Clinical sciences
  • 1103 Clinical Sciences