In 2016, there were a total of 63,979 intentional injury deaths in the United States. Of these, 37,353 (58%) involved a firearm: 22,938 (36%) were intentional self-harm deaths and 14,415 (23%) were assault-related deaths. Since 1999, firearm violence injury death rates have increased by 17%. Comparatively, traffic-related death rates have decreased by 22%. In addition to mortality, firearm violence injury exerts an annual burden of over $2.8 billion on the healthcare system.
Every year thousands of people in Oakland California arrive at the ED in the acute stages of opioid withdrawal.1 Opioid withdrawal, an agonizing process that involves vomiting, diarrhea, shivering and pain, has historically been treated with an anti-nausea table, a
In October of 2015 Joshua J. Lynch, DO, a clinical assistant professor of emergency medicine in the Jacobs School and a physician with UBMD Emergency Medicine, read a paper that introduced him to the idea of Emergency Department based medication assisted therapy (MAT). The paper, published at Yale concluded that patients who were given buprenorphine in the ED and provided with a clinic appointment were the most likely to be in treatment a month later and the most likely to have reduced their opioid use. As an emergency room physician in a region of New York, where that year 800 people would die from opioid overdoses alone, Lynch jumped at the opportunity to do more for these patients than simply hand them brochures of treatment options (the standard of care at the time).
In 2010, Ohio became the state with fourth highest rate of overdoses in the US, a title which it defended until becoming number three in 2016 and number two the following year.1 While victims increase in number, they decrease in age. This past year the population of Ohio lost a collective 500,000 years.2 This trend is prominent in the northeast, a region of Ohio hit so hard by the opioid epidemic that funeral home revenues are reported to have spiked.3 However, a small community hospital in Summit County is fighting back.
The emergency department has become a prominent battle-ground for our nation’s opioid epidemic. The CDC estimates that between July 2016 and September 2017 over 140,000 patients visited an ER for overdose nationwide.
A patient presents in the emergency department (ED) with a nose bleed that won’t stop or a menstrual period lasting several weeks. Although bleeding disorders are rare, they often first present to the ED.
Radiographic contrast media is considered a common cause of hospital-acquired renal insufficiency, yet the latest research on contrast-induced nephropathy (CIN) suggests there may be no relationship between contrast use and renal injury1,2. A recent article by Dr.
As described in a previous Urgent Matters blog post, opioid prescriptions in the emergency department (ED) have the potential to cause long-term opioid use (defin