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Hey guys some of you were lucky enough to hear my friend Olivia Mittel and her guests educate our group in didactics. She presented information on human trafficking. This is a real issue and many of us have likely discharged a trafficking victim back into a terrible situation. Please read this Annals of EM article for more information very relevant to EM doctors.
Hey guys I couldn’t get available to participate in this Aliem book club but check out this interview with the author of Dreamland.
Can’t get pain meds after KASPER exposed your nasty habit, so you turned to your old friend heroin? Or you can still get your pain meds, just haven’t learned when enough is enough? Is the fear of stopping breathing really putting a damper on your narcotic addiction? Have no fear, Evzio is here.
This is old news as it was FDA approved in April, and my friend from NY says it is already being used there, but I hadn’t heard anyone talking about it. Evzio is similar to an EpiPen, but delivers a single dose of 0.4mg of naloxone instead. Once it is turned on, it gives verbal instructions in how to use it. It is now available by prescription only.
Has anyone written a prescription for this, or do you see yourself doing so in the near future? Obs your heroin addictions, give them a prescription, and out the door? Not sure how much it costs, but I saw one report that it may cost as much as $500. Goodrx.com lists the price as $591 for one kit of 2 autoinjectors, with a coupon.
http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm391465.htm
http://www.nytimes.com/2014/04/04/health/fda-approves-portable-drug-overdose-treatment.html
Public health is associated with the least interesting courses of medical school (epidemiology and biostatistics). It has been linked to ED frequent flyers and psych hold patients (social and behavioral health). One might say it’s an integral part of vague clinical decision rules and flip-flopping society guidelines and Press-Ganey scores.
It’s also something us ED docs do every day, whether we want to or not. There’s no reason why we shouldn’t try to understand it and do it better.
Kiran and I have been developing a website dedicated to public health for ED personnel. It’s a FOAMed site. Our plan is to get it tied in with sites like EMCrit, ALiEM, LITFL, and the like. It’s still a very young project, but there’s a couple articles posted for you to glance at.
If anyone is interested in population health, there’s a ton of uncharted territory and we’d welcome the collaboration. Just let us know how you want to be involved. Also, tell your friends.