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.