CAEP Position Statement: Emergency department management of people with opioid use disorder

Author:

Koh Justin J.ORCID,Klaiman Michelle,Miles Isabelle,Cook Jolene,Kumar Thara,Sheikh Hasan,Dong Kathryn,Orkin Aaron M.,Ali SaminaORCID,Shouldice Elizabeth

Abstract

Deaths due to opioid overdose have reached unprecedented levels in Canada; over 12,800 opioid-related deaths occurred between January 2016 and March 2019, and overdose death rates increased by approximately 50% from 2016 to 2018.1 In 2016, Health Canada declared the opioid epidemic a national public health crisis,2 and life expectancy increases have halted in Canada for the first time in decades.3 Children are not exempt from this crisis, and the Chief Public Health Officer of Canada has recently prioritized the prevention of problematic substance use among Canadian youth.4

Publisher

Springer Science and Business Media LLC

Subject

Emergency Medicine

Reference24 articles.

1. 23. Royal College of Physicians and Surgeons of Canada. Areas of focused competence diploma discipline; 2020. Available at: http://www.royalcollege.ca/rcsite/specialty-discipline-recognition/categories/discipline-recognition-areas-focused-competence-afc-programs-e (accessed August 5, 2020).

2. Yes, not now, or never: an analysis of reasons for refusing or accepting emergency department-based take-home naloxone

3. Addressing the opioid crisis in the era of competency-based medical education: recommendations for emergency department interventions

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