The Skeptics Guide to Emergency Medicine cover image

The Skeptics Guide to Emergency Medicine

SGEM#440: I’m Gonna Need Someone To Help Me – GRACE4 AUD and CHS Management in the ED

May 25, 2024
Dr. Bjug Borgundvaag discusses alcohol use disorder and cannabinoid hyperemesis syndrome management in the ED, emphasizing compassionate care, patient involvement in guidelines, evidence-based medicine, and effective management strategies including symptom-driven approaches, adjunctive medications, and novel therapies like capsaicin. The podcast highlights the importance of recognizing these conditions, utilizing evidence-based treatments, and navigating limited evidence in emergency medicine.
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Quick takeaways

  • Providers should focus on recognizing and assisting individuals with alcohol use disorder in the ED.
  • Prescription of anti-craving medications for alcohol use disorder is underutilized despite being safe and effective.

Deep dives

Alcohol Use Disorder: Recognition in the Emergency Department

Alcohol use disorder is a prevalent issue impacting emergency departments significantly. Emergency care providers play a crucial role in recognizing and offering help to individuals with alcohol-related problems. The lack of education on managing alcohol-related conditions emphasizes the need for improved training in medical education. Despite the availability of safe and effective anti-craving medications, they are underprescribed, highlighting a growth opportunity in this area. The urgent need for additional evidence is essential to further enhance patient care and address the stigma around substance use disorders.

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