Substance Use and the Acute Psychiatric Patient: Emergency Management

Description

This book fills a gap in the existing medical literature by providing a best-practice approach to the evaluation and acute treatment of patients presenting for emergency care with identifiable substance use and/or co-occurring psychiatric disorders. As the first interdisciplinary book to integrate psychiatric and emergency care, the text uniquely covers a myriad of serious medical conditions, acute mental status and dangerous behavioral abnormalities. The book focuses on guidelines that support emergency room physicians with little formal medical training in addiction medicine. The first section focuses on the diagnosis and management of substance-specific intoxication and withdrawal states, as well as common medical co-morbidities and disposition considerations. The book lends particular attention to the identification and stabilization of high risk medical conditions associated with each substance of abuse. The second section is psychiatrically focused, addressing the most common psychiatric symptoms and syndromes, their association with SUDs, an approach to differential diagnosis, and discussion of crucial treatment considerations for both safe ED management and post-ED disposition. A final section includes other pertinent topics, for example, the assessment of patient safety, responding to the medication-seeking patient, assessment and treatment of pregnant patients and working with adolescents and their families around substance use. Substance Use and The Acute Patient is a unique and valuable contribution to the literature for both consulting psychiatrists, emergency medicine specialists, addiction medicine specialists, and all other medical professionals who provide care for these most complex and underserved patients. Front Matter ....Pages i-xv Front Matter ....Pages 1-1 Opioid Use Disorders and Related Emergencies (Vinod Rao, E. Nalan Ward)....Pages 3-25 Alcohol and Sedative Use Disorders and Related Emergencies (Curtis Wittmann, Abigail L. Donovan, Mladen Nisavic)....Pages 27-50 Stimulant Use Disorders and Related Emergencies (Amanda S. Green)....Pages 51-68 Cannabis Use Disorders and Related Emergencies (S. Alex Sidelnik, Theodore I. Benzer)....Pages 69-81 Management of Acute Substance Use Disorders: Hallucinogens and Associated Compounds (Mladen Nisavic, Melisa W. Lai-Becker)....Pages 83-91 Front Matter ....Pages 93-93 Substance/Medication-Induced Mood Disorders and Co-occuring Mood and Substance Use Disorders: Evaluation and Management in Emergency Department and Psychiatric Emergency Service Settings (Lior Givon)....Pages 95-110 Substance-Induced Psychosis and Co-occurring Psychotic Disorders (Hannah E. Brown, Yoshio Kaneko, Abigail L. Donovan)....Pages 111-124 Substance-Induced Anxiety and Co-occurring Anxiety Disorders (Daryl Blaney Jr., Annise K. Jackson, Ozan Toy, Anna Fitzgerald, Joanna Piechniczek-Buczek)....Pages 125-144 Patients with Co-occurring Substance Use and Personality Disorders (Daniel P. Johnson, Karsten Kueppenbender)....Pages 145-162 Preventing and Managing Risk of Violence and Suicide in Substance-Abusing Patients in the Emergency Department (Michael Murphy, Suzanne A. Bird)....Pages 163-183 Front Matter ....Pages 185-185 Responding to the Medication-Seeking Patient (Scott G. Weiner)....Pages 187-198 Substance Use in Children and Adolescents (Peter Jackson, Michelle Chaney, Laura M. Prager)....Pages 199-209 Emergency Management of Substance Use in Pregnant Patients (Allison S. Baker, Charlotte S. Hogan)....Pages 211-221 Back Matter ....Pages 223-235