Opioids Part 1 with Dr. Sheyna Gifford

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EM Basic LLC

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4.6 • 665 Ratings

🗓️ 2 January 2017

⏱️ 29 minutes

🔗️ Recording | iTunes | RSS

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Summary

It's no secret that we have a major opioid problem in the United States. The number of people addicted to opioids has reached epidemic proportions and we are certainly seeing this everyday in the Emergency Department. In this episode Dr. Sheyna Gifford discusses a few facts about the scope of this epidemic, the basics of recognizing opioid overdose, and initial stabilization and treatment. She'll discuss the many different ways of using naloxone (aka Narcan) that we can utilize to wake up patients safely and without precipitating acute withdrawal.

Transcript

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0:00.0	Hey everybody. This is Steve Carroll, and this is the EM Basic podcast. We are back after a long
0:06.8	hiatus with two episodes which will discuss opioids. Dr. Shane at Gifford is back to discuss this
0:12.0	very important topic and what it means to us in the emergency department. This episode is part
0:17.3	one in a two-part series that will discuss opioid overdose, how to recognize it,
0:22.2	and how to treat it, how to responsibly prescribe opioids, screen for opioid abuse, and get people
0:28.0	the right help that they need if they're addicted to these medicines. So as an update for myself,
0:33.7	since the last episode, I moved to the Atlanta area and started a new job with Emory University.
0:38.5	I'm working primarily at Grady Hills System in downtown Atlanta, and I'm loving it.
0:43.5	From here on out, you won't hear the standard military disclaimer, but I guess I should mention at least once that this podcast doesn't represent Emory University or Grady Health System.
0:52.0	That's all I'll have to say on that topic, so from here on out, you'll save about 4.5 seconds
0:56.5	of your valuable time each time you listen to the podcast, since there's no more standard
1:00.9	disclaimer.
1:01.9	You're welcome.
1:03.2	Part one of this two-part series covers recognizing opioid overdose and how to treat obvious
1:07.9	overdoses.
1:09.3	Part two will go through a more complete differential diagnosis of these altered patients,
1:13.4	so you don't miss anything else,
1:15.4	as well as some pearls on special situations, disposition,
1:18.7	and how to screen for opioid abuse in the ED.
1:21.6	After Dr. Gifford is done, I'll come back on with some more information
1:24.8	about what I'm planning for the podcast in the near future.
1:31.6	Don't worry, it's all good stuff. With that said, here's Dr. Shana Gifford speaking on opioid overdose recognition and initial treatment.
	...

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