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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.
List of contents
Opioid Use Disorders and Related Emergencies.- Alcohol and Sedative Use Disorders and Related Emergencies.- Stimulant Use Disorders and Related Emergencies.- Cannabis Use Disorders and Related Emergencies.- Management of Acute Substance Use Disorders: Hallucinogens and Associated Compounds.- Substance/Medication-Induced Mood States and Co-Occurring Mood and Substance Use Disorders: Evaluation and Management in Emergency Department and Psychiatric Emergency Service Settings.- Substance-Induced Psychosis and Co-Occurring Psychotic Disorders.- Substance-Induced Anxiety and Co-Occurring Anxiety Disorders.- Patients with Co-Occurring Substance Use and Personality Disorders.- Preventing and Managing Risk of Violence and Suicide in Substance Abusing Patients in the Emergency Department.- Responding to the Medication-Seeking Patient.- Substance Use in Children and Adolescents.- Emergency Management of Substance Use in Pregnant Patients.
About the author
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
Summary
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.
Additional text
“This book is meant for those who work in emergency departments including physicians, emergency department and consultation liaison psychiatrists, social workers, nurse practitioners, physician assistants, and trainees in these professions. … This is a valuable book on a common problem in emergency departments where there is a lack of training and limited literature.” (Michael Easton, Doody's Book Reviews, February 7, 2020)
Report
"This book is meant for those who work in emergency departments including physicians, emergency department and consultation liaison psychiatrists, social workers, nurse practitioners, physician assistants, and trainees in these professions. ... This is a valuable book on a common problem in emergency departments where there is a lack of training and limited literature." (Michael Easton, Doody's Book Reviews, February 7, 2020)
