Something for pain: Responsible opioid use in emergency medicine

摘要: The United States is currently experiencing a public health crisis of opioid addiction, which has its genesis in an industry marketing effort that successfully encouraged clinicians to prescribe opioids liberally, and asserted the safety prescribing for chronic non-cancer pain, despite preponderance evidence demonstrating risks dependence misuse. resulting rise use pushed drug overdose deaths front motor vehicle collisions become leading cause accidental death country. Emergency providers frequently treat patients complications abuse, also manage with acute are routinely prescribed. therefore well positioned both prevent new cases misuse initiate appropriate treatment existing addicts. In opioid-naive patients, this accomplished by careful consideration likelihood benefit harm prescription pain. If prescribed, chance reduced matching number pills prescribed expected duration pain selecting preparation low abuse liability. Patients who present care exacerbations or painful conditions associated best managed treating symptoms alternatives encouraging addiction.