Addiction Medicine Made Easy | Fighting back against addiction
Casey Grover, MD, FACEP, FASAM
Addiction is killing us. Over 100,000 Americans died of drug overdose in the last year, and over 100,000 Americans died from alcohol use in the last year. We need to include addiction medicine as a part of everyone's practice! We take topics in addiction medicine and break them down into digestible nuggets and clinical pearls that you can use at the bedside. We are trying to create an army of health care providers all over the world who want to fight back against addiction - and we hope you will join us.*This podcast was previously the Addiction in Emergency Medicine and Acute Care podcast*
Episodes
Mentioned books
Jul 6, 2021 • 15min
Episode 6.5 - Lit Review - How Iceland Got Teens to Say No to Drugs
If you've ever wondered how we can prevent our youth from developing substance use disorders, Iceland already figured this out in the 1990s. Iceland dropped alcohol use in teens by 90% between 1998 and 2016. How did they do it? We review a magazine article that covers this incredibly effective effort in Iceland to reduce substance use in teens, and how Iceland accomplished it.
Jun 23, 2021 • 13min
Episode 6 - How to assess the severity of a substance use disorder
Do you know how to determine if an alcohol use disorder is mild, moderate, or severe? Does your patient who is using cocaine have a mild cocaine use disorder, a moderate cocaine use disorder, or a severe cocaine use disorder? In this episode we walk through the DSM-V criteria for substance use disorder and how to assess if your patient has a mild, moderate, or severe substance use disorder
Jun 9, 2021 • 24min
Episode 5 - Medications for Smoking Cessation 101
How familiar are you with pharmacotherapy for smoking cessation? Turns out medications for smoking cessation are relatively simple, and easy to prescribe. Dr. Grover gives a concise review of medications for smoking cessation. Considering that cigarette smoking causes about 1 out of every 5 deaths in America - we as acute care providers can make a big different for our patients by helping them quit smoking with medications.
Jun 2, 2021 • 16min
Episode 4.5 - Lit Review - What are patients thinking about after an opioid overdose?
Have you ever sat down with someone after an opioid overdose? Ever wondered what people are worried about after they have an overdose and end up in an Emergency Department? In this episode, we review this paper from Academic Emergency Medicine in 2021: "A qualitative study of Emergency Department patients who survived an opioid overdose: Perspectives on treatment and unmet needs." The authors interviewed patients in the ED after an opioid overdose to hear their perspectives. You'll may be surprised by what patients identify as the most important issues after an overdose.
May 26, 2021 • 33min
Episode 4 - How to handle benzodiazepine dependence
Benzodiazepines are often mis-managed by physicians. Benzodiazepine dependence develops within weeks of use, with 50% of people using them for > 1 month becoming dependent. 5% of patients with new benzodiazepine prescriptions will continue to use it after 8 years. So what do we do with these patients in the acute care setting when they want to taper off of them? Dr. Grover provides an evidence-based overview of benzodiazepine dependence, how to start people on benzodiazepine tapers, and what to do with patients that are on extremely high doses of benzodiazepines.
May 23, 2021 • 22min
Episode 3 - What is Cannabis Withdrawal Syndrome?
How much do you know about Cannabis Withdrawal Syndrome? I didn't know anything until I researched and recorded this episode. Turns out it's way more common than you think, and may be the cause of your patients' worsening anxiety and depression. This episode is an evidence based review of Cannabis Withdrawal Syndrome: What is it? How common is it? And what symptoms does it present with?
May 18, 2021 • 37min
Episode 2 - Buprenorphine Basics
Taking on a huge topic in Emergency Medicine and Acute Care - Buprenorphine! A medication that saves lives but can be very intimidating when you first start using it due to how it works in the body. Dr. Casey Grover breaks down the basics so that you can be ready to use buprenorphine successfully on your next shift.
May 10, 2021 • 20min
Episode 1.5 - Lit Review - Will this hospitalized patient develop severe alcohol withdrawal?
A review of the paper by Evan Wood et al in JAMA 2018: "Will this hospitalized patient develop severe alcohol withdrawal"We discuss a brief overview of alcohol withdrawal, and what a JAMA Rational Clinical Examination Systematic Review says on which hospitalized patients will develop severe alcohol withdrawal. We also talk about trying to predict which patients who present to the hospital in alcohol withdrawal will go on to develop severe alcohol withdrawal vs mild or moderate withdrawal.
May 4, 2021 • 18min
Episode 1 - Why Care About Addiction?
How big of a problem is substance use? Is substance use a problem for patients in the acute care setting? Is treatment for substance use effective in the acute care setting, particularly the Emergency Department?Dr. Casey Grover provides an evidence-based overview of why we should - as healthcare providers - all care about substance use disorders.
May 4, 2021 • 5min
Episode 0 - Introduction
An introduction to the Addiction in Emergency Medicine and Acute Care PodcastWho am I? Why does this topic matter? How is this podcast going to work?
