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the County Consult

A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.

Source: Image by Drazen Zigik on Freepik

The Social Disposition – Opioid Use Disorder: Overdose Prevention and Harm Reduction

April 15, 2024

In Chicago alone, over 1500 people died from overdose in 2023. Nationwide, the numbers are only getting worse, and the same will likely happen in our backyard. Here we review options for managing opioid use disorder in the City of Chicago to help prevent whatever harm possible.

Priyanka Pradhan, MD

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In Social EM
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Source: Photo by Markus Spiske on Unsplash

The Social Disposition – Balancing Medicine and the Law: Immigration Officers in the Emergency Department

March 8, 2024

The State of Affairs:

In 2022, we welcomed a million migrants to the United States, and this number is climbing (1). Many migrants, especially undocumented persons, utilize the emergency department as their primary care home due to inequities in health care access affecting this group. In order to deliver holistic and equitable care and build trust with your patients, it is important to understand both the rights of our patients and our immigration enforcement officers in the acute care setting. Below we will describe just this and provide tips for making your Emergency Department (ED) a safe place for everyone to receive health care within their rights. 

Adam Roussas, MD and Rashid Kysia, MD

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In Social EM
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Source: Photo by Marcelo Leal on Unsplash

The Cheese - Opioid Withdrawal Treatments and Adjuncts in the ED

February 22, 2024

Picture this: it’s 11:02pm on a Friday Night. Red Team is bed-locked and you’re doing your best hospitalist impression while managing all of the boarding patients. The nurse comes up to you and says, “Hey, this patient in bed 26 is endorsing heroin withdrawal, can we give them something for it?” What’s your next move? Here we discuss the treatment of opioid withdrawal in the emergency department. 

Vladimir Bernstein, MD

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In Social EM, Toxicology Tags Pharmocology
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