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Substance use disorders in Saudi Arabia: a scoping review

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Adolescent substance use continues to be a prevalent problem and is a cause of morbidity, mortality, and high rates of resource utilization. The variability in presentations of drug intoxication can make accurate identification of the ingested substance, and thus efficient treatment, challenging. This issue provides a review of typical presenting signs, symptoms, and physical examination findings of commonly used drugs. Evidence-based recommendations are offered for a general approach to managing adolescent patients who present with drug intoxication, with specific guidance, when indicated. How would you manage these patients? Subscribe for evidence-based best practices and to discover the outcomes. Subscribe to access the complete flowchart to guide your clinical decision making. Subscribe for full access to all Tables and Appendix. Following are the most informative references cited in this paper, as determined by the authors. Monitoring the future: national survey results on drug use overview, key findings on adolescent drug use. Accessed October 1, National survey. Trends in drug poisoning deaths among adolescents and young adults in the United States, — J Stud Alcohol Drugs. Retrospective chart review; 36, adolescents DOI: Accessed September 1, National database. Tran K, Mierzwinski-Urban M. Ketamine for pharmacological management of aggression and agitation in pre-hospital settings: a review of comparative clinical effectiveness, safety and guidelines. Clinical drug testing in primary care. National Institute on Drug Abuse. Cannabis potency data. Rome Foundation. Rome IV criteria. Cannabinoid hyperemesis syndrome: diagnosis, pathophysiology, and treatment—a systematic review. J Med Toxicol. Systematic review; articles DOI: Acute alcohol intoxication in pediatric emergencies. Pediatr Emerg Care. Cross-sectional study; patients DOI: National Center for Drug Abuse Statistics. Treatment of cocaine cardiovascular toxicity: a systematic review. Clin Toxicol Phila. Antipsychotics for the treatment of sympathomimetic toxicity: a systematic review. Am J Emerg Med. Systematic review; 73 articles DOI: The need for multiple naloxone administrations for opioid overdose reversals: a review of the literature. Subst Abus. Systematic literature review; 24 articles DOI: Subscribe to get the full list of 94 references and see how the authors distilled all of the evidence into a concise, clinically relevant, practical resource. Keywords: substance use, drug use, overdose, drug overdose, intoxication, urine drug screens, ketamine, synthetic cannabinoids, synthetic opioids, buprenorphine, fentanyl, 3,4-methylenedioxymethamphetamine, MDMA, ecstasy, molly, benzodiazepines, marijuana, cannabinoid hyperemesis syndrome, alcohol intoxication, alcohol withdrawal, stimulant medications. My Content Log In. Below is a free preview. Log in or subscribe for full access. Buy This Issue. Free Sample. Table of Contents. CASE 1. A year-old girl presents with generalized abdominal pain and intractable vomiting…. CASE 2. You hear EMS is inbound with a year-old boy who was found unresponsive and apneic…. CASE 3. Your next patient is a year-old boy who was brought into the ED by his parents for agitation…. Click to View the Interactive Pathway. Publication Information Authors Abha H. Date of most recent review: September 1, Termination date: October 1, Physicians should claim only the credit commensurate with the extent of their participation in the activity. Needs Assessment: The need for this educational activity was determined by a practice gap analysis; a survey of medical staff, including the editorial board of this publication; review of morbidity and mortality data from the CDC, AHA, NCHS, and ACEP; and evaluation responses from prior educational activities for emergency physicians. Target Audience: This enduring material is designed for emergency medicine physicians, physician assistants, nurse practitioners, and residents. Goals: Upon completion of this activity, you should be able to: 1 identify areas in practice that require modification to be consistent with current evidence in order to improve competence and performance; 2 develop strategies to accurately diagnose and treat both common and critical ED presentations; and 3 demonstrate informed medical decision-making based on the strongest clinical evidence. CME Objectives: Upon completion of this activity, you should be able to: 1 recognize acute presentations of commonly used substances in adolescent patients; 2 discuss the role and limitations of diagnostic testing in suspected illicit substance use; and 3 identify and manage common and life-threatening complications of frequently used substances. Discussion of Investigational Information: As part of the activity, faculty may be presenting investigational information about pharmaceutical products that is outside Food and Drug Administration-approved labeling. Information presented as part of this activity is intended solely as continuing medical education and is not intended to promote off-label use of any pharmaceutical product. Disclosure: It is the policy of EB Medicine to ensure objectivity, balance, independence, transparency, and scientific rigor in all CME activities. All individuals in a position to control content have disclosed all financial relationships with ACCME-defined ineligible companies. Earning Credit: 1 Go online to www. When completed, a CME certificate will be emailed to you. Content you might be interested in. Already purchased this course? More information. Buy Now. Money-back Guarantee. Plus receive updates on EB Medicine every month. Get My Sample Please provide a valid email address. 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